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Perceptions of fluid restriction self-care in heart failure

Woods, LS ORCID: 0000-0003-4811-4608, Walker, KN ORCID: 0000-0002-0267-416X and Duff, JS ORCID: 0000-0003-1427-0303 2018 , 'Perceptions of fluid restriction self-care in heart failure' , British Journal of Cardiac Nursing, vol. 13, no. 5 , pp. 168-174 , doi: 10.12968/bjca.2018.13.5.236.

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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: 10.12968/bjca.2018.13.5.236
Copyright Information:

© 2018 MA Healthcare Ltd

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