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Perceptions of fluid restriction self-care in heart failure


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]

Copyright Statement

© 2018 MA Healthcare Ltd

DOI: doi:10.12968/bjca.2018.13.5.236


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 Details

Item Type:Refereed Article
Keywords:heart failure, nursing, self care, fluid, patient experience
Research Division:Health Sciences
Research Group:Nursing
Research Field:Community and primary care
Objective Division:Health
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)
ID Code:126313
Year Published:2018
Deposited By:Health Sciences
Deposited On:2018-06-05
Last Modified:2019-01-30

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