Self‐management of congestive heart failure among elderly men in Japan

Sano, Motohiro; Majima, Tamotsu

doi:10.1111/ijn.12653

Cited by 5 publications

(11 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 28 37 40 44 48 50 Some reported purposely choosing not to make lifestyle behaviour changes as the effort of these changes outweighed perceived benefits. 46 50 …”

Section: Resultsmentioning

confidence: 99%

Do chronic heart failure symptoms interact with burden of treatment? Qualitative literature systematic review

et al. 2021

View full text Add to dashboard Cite

ObjectiveExplore the interaction between patient experienced symptoms and burden of treatment (BoT) theory in chronic heart failure (CHF). BoT explains how dynamic patient workload (self-care) and their capacity (elements influencing capability), impacts on patients’ experience of illness.DesignReview of qualitative research studies.Data sourcesCINAHL, EMBASE, MEDLINE, PsycINFO, Scopus and Web of Science were searched between January 2007 and 2020.Eligibility CriteriaJournal articles in English, reporting qualitative studies on lived experience of CHF.Results35 articles identified related to the lived experience of 720 patients with CHF. Symptoms with physical and emotional characteristics were identified with breathlessness, weakness, despair and anxiety most prevalent. Identifying symptoms’ interaction with BoT framework identified three themes: (1) Symptoms appear to infrequently drive patients to engage in self-care (9.2% of codes), (2) symptoms appear to impede (70.5% of codes) and (3) symptoms form barriers to self-care engagement (20.3% of codes). Symptoms increase illness workload, making completing tasks more difficult; simultaneously, symptoms alter a patient’s capacity, through a reduction in their individual capabilities and willingness to access external resources (ie, hospitals) often with devasting impact on patients’ lives.ConclusionsSymptoms appear to be integral in the patient experience of CHF and BoT, predominately acting to impede patients’ efforts to engage in self-care. Symptoms alter illness workload, increasing complexity and hardship. Patients’ capacity is reduced by symptoms, in what they can do and their willingness to ask for help. Symptoms can lower their perceived self-value and roles within society. Symptoms appear to erode a patient’s agency, decreasing self-value and generalised physical deconditioning leading to affective paralysis towards self-care regimens. Together describing a state of overwhelming BoT which is thought to be a contributor to poor engagement in self-care and may provide new insights into the perceived poor adherence to self-care in the CHF population.PROSPERO registration numberCRD42017077487.

show abstract

“… 28 37 40 44 48 50 Some reported purposely choosing not to make lifestyle behaviour changes as the effort of these changes outweighed perceived benefits. 46 50 …”

Section: Resultsmentioning

confidence: 99%

Do chronic heart failure symptoms interact with burden of treatment? Qualitative literature systematic review

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Manuscript types included 46 observational studies, 2, 7, 14, 21–63 27 qualitative studies, 4, 64–89 12 literature reviews, 16, 17,…”

Section: Resultsmentioning

confidence: 99%

“…115 Some of the 106 references related to more than one of the research questions. Twelve included references related to HF symptom perception definition, 1, 8, 17, 27, 34, 43, 54, 75, 80, 100, 102, 106 68 to description, 2–4, 7, 10, 16, 17, 21–42, 49, 64–74, 76–79, 81–87, 89…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Symptom perception in heart failure: a scoping review on definition, factors and instruments

Santos

Liljeroos

Dwyer

et al. 2019

European Journal of Cardiovascular Nursing

View full text Add to dashboard Cite

2020). Symptom perception in heart failure: a scoping review on definition, factors and instruments.(2) AbstractBackground. Symptom perception in heart failure (HF) has been identified as crucial for effective self-care that is a modifiable factor related to decreased hospital readmission and improved survival. Aims. To systematically review the HF symptom perception literature and synthesise knowledge on definition, description, factors and instruments. Methods. We conducted a scoping review including studies reporting patient reported symptom perception in adults with HF. Structured searches were conducted in Medline, PubMed, Embase, CINAHL, PsychINFO, Web of Science, Cochrane, JBI and grey literature. Two authors independently reviewed references for eligibility. Data were charted in tables and results narratively summarized. Results. The search yielded 3,057 references, of which 106 were included. The definition of HF symptom perception comprised body listening, monitoring signs, recognising, interpreting and labelling symptoms, and furthermore awareness of and assigning meaning to the change. Symptom monitoring, recognition and interpretation were identified as challenging. Symptom perception facilitators include prior HF hospitalisation, HF self-care maintenance, symptom perception confidence, illness uncertainty and social support. Barriers include knowledge deficits, symptom clusters and lack of tools/materials. Factors with inconsistent impact on symptom perception include age, sex, education, experiences of living with HF, comorbidities, cognitive impairment, depression and symptom progression. One instrument measuring all dimensions of HF symptom perception was identified. Conclusion. HF symptom perception definition and description have been elucidated. Several factors facilitating or hampering symptom perception are known. Further Symptom perception in heart failure: a scoping review on definition, factors and instruments 3 research is needed to determine a risk profile for poor symptom perception -which can then be taken into consideration when supporting HF self-care. (3) Keywords Heart failure Symptom perception Body observation Body analysis Facilitators Barriers Symptom perception in heart failure: a scoping review on definition, factors and instruments

show abstract

“…The draft version of the framework and interventions described was based on the self-management process from a recent study, 15 the Middle-Range theory of self-care for chronic HF, 16 and current recommended clinical practice guidelines. 17 The self-management process is an approach to living life that prevents worsening of symptoms while balancing good choices and preferences.…”

Section: Descriptions Of the Nursing Intervention Model For Patients With Hearth Failurementioning

confidence: 99%

Development of a Home-Based Nursing Intervention Model for Patients With Heart Failure: A Qualitative Feasibility Study

Sano

Majima

2021

INQUIRY

Self Cite

View full text Add to dashboard Cite

Aim: To develop and verify the feasibility of a personalized home-based heart failure (HF) nursing intervention model to support HF patients, promote self-management, and avoid HF exacerbation and re-hospitalization. Methods: Based on processes established in previous studies, literature reviews, and evidence-based guidelines and theories, we developed the nursing intervention model for patients with HF. The goal of this model is to harmonize symptom deterioration prevention behavior and individual lifestyle. After intervention, we conducted semi-structured interviews with participants, and data were transcribed verbatim, after which qualitative content analysis was employed. The contents of visiting nursing practice, opinions on this nursing model, and self-management in patients with HF were analyzed qualitatively and inductively from the viewpoint of practicality and acceptability. Results: Five nurses who provided interventions, as well as five patients with HF, participated in this study. Accordingly, our findings showed that the framework, assessment, and nursing intervention contents of this model can be practical for everyday home nursing visitations. Conclusions: The content has been revised so that more visiting nurses can use them, including those who have less cardiovascular nursing experience.

show abstract

Self‐management of congestive heart failure among elderly men in Japan

Cited by 5 publications

References 15 publications

Do chronic heart failure symptoms interact with burden of treatment? Qualitative literature systematic review

Do chronic heart failure symptoms interact with burden of treatment? Qualitative literature systematic review

Symptom perception in heart failure: a scoping review on definition, factors and instruments

Development of a Home-Based Nursing Intervention Model for Patients With Heart Failure: A Qualitative Feasibility Study

Contact Info

Product

Resources

About