Full text not available from this repository.

Abstract

Objectives: Daily fluid restriction reduces fluid retention and thereforelessens the symptom burden of heart failure but the literature showsthat adherence is sub-optimal. The objectives of the current study wereto understand patients’ experiences of fluid restriction self-care andidentify factors affecting adherence. Methods: Semi-structuredinterviews were conducted with four inpatients. Data were interpretedusing the World Health Organization’s dimensions affecting adherence;these dimensions were patient-related, condition-related, therapy-related, health system/team-related and socioeconomic-related.Findings: Fluid restriction self-care was unpleasant and challenging.The most commonly reported factors were in the therapy-relateddimension, and included unrelenting, uncomfortable thirst and drymouth, which were a cause of significant distress. Patients reportedunease about the complexity of the condition, misunderstood thetreatment rationale and were confused about the benefit of adherence.Conclusions: The current study supports the current consensus thatself-care for long-term conditions is complex and challenging. Morepatient-focused research is advised to address difficulties in adheringto fluid restriction. Improvement in thirst and dry-mouth alleviationstrategies is needed.

Item Type:	Article
Authors/Creators:	Woods, LS and Walker, KN and Duff, JS
Keywords:	heart failure; nursing; self care; fluid; patient experience
Journal or Publication Title:	British Journal of Cardiac Nursing
Publisher:	Mark Allen Group
ISSN:	1749-6403
DOI / ID Number:	https://doi.org/10.12968/bjca.2018.13.5.236
Copyright Information:	© 2018 MA Healthcare Ltd
Related URLs:	UTAS Profile: Walker, KN UTAS Profile: Duff, JS
Item Statistics:	View statistics for this item

Actions (login required)

Item Control Page