- Title
- Perceptions of fluid restriction self-care in heart failure
- Creator
- Woods, Leanna S.; Walker, Kim N.; Duff, Jed S.
- Relation
- British Journal of Cardiac Nursing Vol. 13, Issue 5, p. 236-242
- Publisher Link
- http://dx.doi.org/10.12968/bjca.2018.13.5.236
- Publisher
- MA Healthcare
- Resource Type
- journal article
- Date
- 2018
- Description
- 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 patients' 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 Organization's 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.
- Subject
- heart failure; self-care; self-management; patient adherence; fluid therapy; patient experience
- Identifier
- http://hdl.handle.net/1959.13/1419934
- Identifier
- uon:37519
- Identifier
- ISSN:2052-2207
- Language
- eng
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