Woods, LS and Walker, KN and Duff, JS, Perceptions of fluid restriction self-care in heart failure, British Journal of Cardiac Nursing, 13, (5) pp. 168-174. ISSN 1749-6403 (2018) [Refereed Article]
© 2018 MA Healthcare Ltd
Objectives: Daily fluid restriction reduces fluid retention and therefore lessens the symptom burden of heart failure but the literature shows that adherence is sub-optimal. The objectives of the current study were to understand patientsí experiences of fluid restriction self-care and identify factors affecting adherence.
Methods: Semi-structured interviews were conducted with four inpatients. Data were interpreted using the World Health Organizationís 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-related dimension, and included unrelenting, uncomfortable thirst and dry mouth, which were a cause of significant distress. Patients reported unease about the complexity of the condition, misunderstood the treatment rationale and were confused about the benefit of adherence.
Conclusions: The current study supports the current consensus that self-care for long-term conditions is complex and challenging. More patient-focused research is advised to address difficulties in adhering to fluid restriction. Improvement in thirst and dry-mouth alleviation strategies is needed.
|Item Type:||Refereed Article|
|Keywords:||heart failure, nursing, self care, fluid, patient experience|
|Research Division:||Health Sciences|
|Research Field:||Community and primary care|
|Objective Group:||Clinical health|
|Objective Field:||Clinical health not elsewhere classified|
|UTAS Author:||Woods, LS (Mrs Leanna Woods)|
|UTAS Author:||Walker, KN (Professor Kim Walker)|
|UTAS Author:||Duff, JS (Dr Jed Duff)|
|Deposited By:||Health Sciences|
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