Heo Seongkum, Moser Debra K, Lennie Terry A, Grudnowski Sarah, Kim JinShil, Turrise Stephanie
University of Arkansas for Medical Sciences, Little Rock, AR, USA.
University of Kentucky, Lexington, KY, USA.
West J Nurs Res. 2019 Nov;41(11):1623-1641. doi: 10.1177/0193945918823786. Epub 2019 Jan 18.
Patients' perceptions of the causes and consequences of heart failure (HF) symptoms may impact effective self-management. The purpose of this study was to describe and explore patients' perceptions of HF symptom status and the causes and consequences on their daily lives in patients with HF. Descriptive and qualitative data were obtained from 20 patients using a semistructured interview guide. Data were analyzed using content analysis and descriptive statistics. Participants reported 15 symptoms (median = 4). Five themes were (a) multiple causes and multiple symptoms; (b) knowing some causes, but still unclear; (c) not being able to live life as previously did; (d) facing emotional distress due to HF symptoms; and (e) development of new priorities and lifestyles. The findings demonstrate that all participants perceived considerable difficulties living with HF symptoms. More comprehensive interventions need to be delivered to patients to manage multiple causes and symptoms effectively.
患者对心力衰竭(HF)症状的原因及后果的认知可能会影响有效的自我管理。本研究的目的是描述和探讨患者对HF症状状况及其对HF患者日常生活的原因和后果的认知。使用半结构化访谈指南从20名患者中获取描述性和定性数据。采用内容分析和描述性统计方法对数据进行分析。参与者报告了15种症状(中位数 = 4)。五个主题分别为:(a)多种原因和多种症状;(b)知道一些原因,但仍不清楚;(c)无法像以前那样生活;(d)因HF症状面临情绪困扰;(e)形成新的优先事项和生活方式。研究结果表明,所有参与者都认为HF症状给生活带来了相当大的困难。需要为患者提供更全面的干预措施,以有效管理多种原因和症状。