Weight and Symptom Diary for Self-monitoring in Heart Failure Clinic Patients

Eastwood, Catherine; Travis, Lucille; Morgenstern, Tanya T.; Donaho, Erin K.

doi:10.1097/01.jcn.0000287027.49628.a7

Cited by 48 publications

(42 citation statements)

References 21 publications

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“…Although the most prevalent signs and symptoms were consistent with findings reported in the literature, [13][14][15][16][17][18][19] patients in our study reported some rarely discussed signs and symptoms, such as change in urine output; cool, pale, or mottled skin; and irregular pulse. Our findings may be more comprehensive as a result of our use of the checklist format.…”

Section: Discussionsupporting

confidence: 81%

Signs and Symptoms of Heart Failure: Are You Asking the Right Questions?

Albert

Trochelman

et al. 2010

American Journal of Critical Care

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Background Patients may not verbalize common and atypical signs and symptoms of heart failure and may not understand their association with worsening disease and treatments. Objectives To examine prevalence of signs and symptoms relative to demographics, care setting, and functional class. Methods A convenience sample of 276 patients (164 ambulatory, 112 hospitalized) with systolic heart failure completed a 1-page checklist of signs and symptoms experienced in the preceding 7 days (ambulatory) or in the 7 days before hospitalization. Demographic and medical history data were collected. Results Mean age was 61.6 (SD, 14.8) years, 65% were male, 58% were white, and 45% had ischemic cardiomyopathy. Hospitalized patients reported more sudden weight gain, weight loss, severe cough, low/orthostatic blood pressure, profound fatigue, decreased exercise, restlessness/confusion, irregular pulse, and palpitations (all P < .05). Patients in functional class IV reported more atypical signs and symptoms of heart failure (severe cough, nausea/vomiting, diarrhea or loss of appetite, and restlessness, confusion, or fainting, all P ≤ .001). Sudden weight gain increased from 5% in functional class I to 37.5% in functional class IV (P < .001). Dyspnea occurred in all functional classes (98%–100%) and both settings (92%–100%). Profound fatigue was associated with worsening functional class (P < .001) and hospital setting (P = .001); paroxysmal nocturnal dyspnea was associated with functional class IV (P = .02) and hospital setting (P < .001). Conclusion Profound fatigue is more reliable than dyspnea as an indicator of functional class. Nurses must recognize atypical signs and symptoms of worsening functional class to determine clinical status and facilitate patient care decisions.

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Section: Discussionsupporting

confidence: 81%

Signs and Symptoms of Heart Failure: Are You Asking the Right Questions?

Albert

Trochelman

et al. 2010

American Journal of Critical Care

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“…Although the study was a retrospective analysis, majority of those enrolled used the diary and had better outcomes than did the nondiary users. 30 Thus, it seems that patients are willing and able to track symptoms but may need more intensive self-management support to take action based on the data. 31 Self-monitoring is a consistently effective strategy to change health behaviors.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Feasibility of 2 Novel Heart Failure Monitoring Instruments to Facilitate Patient Recognition of Symptoms

Wakefield

Groves

Drwal

et al. 2016

Journal of Cardiovascular Nursing

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New strategies and instruments are needed to promote a patient-clinician partnership and actively engage patients in symptom monitoring and recognition. Easy-to-use and practical instruments for patients to monitor symptoms may lead to appropriate and accurate reporting as well as improved symptom management. Although the instruments used in this study resulted in symptom monitoring, appropriate action was not undertaken as a result of such monitoring.

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“…According to the study of Eastwood et al in 2007, weight and symptom self-monitoring diary users indicated improvement in HF clinical and hospital outcomes [34].…”

Section: Patient With Hf Experience Weight Gain and Other Symptoms Ofmentioning

confidence: 99%

Self-Monitoring by Traffic Light Color Coding Versus Usual Care on Outcomes of Patients With Heart Failure Reduced Ejection Fraction: Protocol for a Randomized Controlled Trial (Preprint)

Nomali¹,

Mohammadrezaei²,

Keshtkar³

et al. 2017

Preprint

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Weight and Symptom Diary for Self-monitoring in Heart Failure Clinic Patients

Abstract: Diary users showed evidence of improved clinical and hospital outcomes. Further investigation is needed to clarify the characteristics of a diary user and the effect of diary use on self-management and outcomes.

Cited by 48 publications

References 21 publications

Signs and Symptoms of Heart Failure: Are You Asking the Right Questions?

Signs and Symptoms of Heart Failure: Are You Asking the Right Questions?

Evaluation of Feasibility of 2 Novel Heart Failure Monitoring Instruments to Facilitate Patient Recognition of Symptoms

Self-Monitoring by Traffic Light Color Coding Versus Usual Care on Outcomes of Patients With Heart Failure Reduced Ejection Fraction: Protocol for a Randomized Controlled Trial (Preprint)

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