Symptoms and strategies in heart failure self-management in Turkey [corrected]

Int Nurs Rev. 2008 Dec;55(4):462-7. doi: 10.1111/j.1466-7657.2008.00661.x.

Abstract

Background: Patients with heart failure can live longer and achieve a better quality of life by learning about the symptoms and management of the disease and about associated changes required in the lifestyle and by controlling symptoms.

Objectives: The objective of this study was to determine the symptoms experienced by patients with heart failure and to identify the strategies they use in the management of the disease.

Methods: The study was carried out with 64 (53.3%) of patients diagnosed with chronic heart failure [functional class (II-III)] who had been admitted to the cardiology polyclinic. The patients had to be literate and conscious, and had to voluntarily accept to participate in the study. Data were gathered by a questionnaire. The patients were interviewed face to face with the researcher in the polyclinic. Data were evaluated by percentage values, averages and chi-square.

Results: Symptoms identified in the subjects were fatigue in 67.2%, dyspnoea in 60.9% and palpitation in 59.4% of respondents. A statistically significant difference was noted between men and women in the case of fatigue (P = 0.039), with this symptom having a stronger restricting effect on the daily activities of men compared with women. A significant difference between men and women was also observed for the management of dyspnoea (P = 0.004), preferred approach for avoiding this symptom being resting for men, while using medication and oxygen for women.

Conclusion: Fatigue was found to be the most common symptom experienced by the subjects, followed by dyspnoea, palpitation and oedema, respectively. A significant difference between men and women was noted in approaches for reducing symptoms.

MeSH terms

  • Activities of Daily Living / psychology
  • Adaptation, Psychological*
  • Adult
  • Aged
  • Attitude to Health*
  • Chi-Square Distribution
  • Chronic Disease
  • Cross-Sectional Studies
  • Dyspnea / etiology
  • Edema / etiology
  • Fatigue / etiology
  • Female
  • Heart Failure* / complications
  • Heart Failure* / prevention & control
  • Heart Failure* / psychology
  • Humans
  • Male
  • Men / education
  • Men / psychology
  • Middle Aged
  • Nursing Methodology Research
  • Patient Education as Topic
  • Self Care* / methods
  • Self Care* / psychology
  • Sex Factors
  • Statistics, Nonparametric
  • Surveys and Questionnaires
  • Turkey
  • Women / education
  • Women / psychology