Description of self‐reported fluid intake and its effects on body weight, symptoms, quality of life and physical capacity in patients with stable chronic heart failure

Holst, Marie; Strömberg, Anna; Lindholm, Maud; Willenheimer, Ronnie

doi:10.1111/j.1365-2702.2008.02295.x

Cited by 34 publications

(53 citation statements)

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“…6,7,10 Intervention studies have shown that thirst intensity and thirst distress are increased in patients having a fluid restriction and decreased with a liberal fluid intake. 8,39,84,85 However, other studies have shown that there is no difference in thirst between patients having fluid restriction and those with a liberal fluid intake. 38,86,87 Finally, dehydration and the increased neurohormonal activation in HF may play an important role in causing thirst.…”

Section: Factors Related To Thirstmentioning

confidence: 99%

“…Seven out of thirteen studies were randomized trials examining the effects of a fluid restriction. 8,38,39,[84][85][86][87] Three studies used qualitative methods to describe how it is to live with HF and to explore reasons and motivations for compliance with HF treatment. 6,7,10 A randomized controlled trial investigated effects of a drug for HF.…”

Section: Descriptions Of Thirstmentioning

confidence: 99%

“…11 In most of the studies, thirst has been described using the intensity of the thirst, which was measured with a visual analogue scale (VAS) ranging from 0 (no thirst) to 100 (worst possible thirst) or a numeric rating scale (NRS) from 0 to 10 (Table 1). 11,20,39,40,84,86,87 Thirst distress in patients with HF has been described in two studies 8,9 using the Thirst Distress Scale (scores 6-30) developed for patients with renal failure. 8,9,26 Moderate to severe thirst distress was found in 47% of patients with HF (Table 1).…”

Section: Descriptions Of Thirstmentioning

confidence: 99%

“…6,10,84 Fluid restriction can be difficult for some patients, and they might struggle to decide between following the restriction of the fluid intake or their own desire for drinking more water than allowed. 6 It might become a struggle for the patients to try to control thirst and then blaming themselves when not succeeding in following fluid restriction and gaining in weight.…”

Section: Consequences Of Thirstmentioning

confidence: 99%

“…84,85 Power analysis for a randomized study showed that 50 patients would be needed to detect a clinically important difference in thirst intensity of 20 mm (P <0.05) with a confidence of 80%.…”

Section: Sample Sizementioning

confidence: 99%

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Thirst in Patients with Heart Failure : Description of thirst dimensions and associated factors with thirst

Waldréus

2016

Linköping University Medical Dissertations

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Introduction: Nurses and other health care professionals meet patients with heart failure (HF) who report they are thirsty. Thirst is described by the patients as a concern, and it is distressing. Currently there are no standardized procedures to identify patients with increased thirst or to help a patient to manage troublesome thirst and research in the area of thirst is scarce. In order to prevent and relieve troublesome thirst more knowledge is needed on how thirst is experienced and what factors cause increased thirst. Aim: The aim of this thesis was to describe the thirst experience of patients with HF and describe the relationship of thirst with physiologic, psychologic and situational factors. The goal was to contribute to the improvement of the care by identifying needs and possible approaches to prevent and relieve thirst in patients with HF. Methods: The studies in this thesis used a cross-sectional design (Study I) and prospective observational designs (II-IV). Studies include data from patients with HF who were admitted to the emergency department for deterioration in HF (I, IV) or visited an outpatient HF clinic for worsening of HF symptoms (III); others were patients who were following up after HF hospitalization (II), and patients with no HF diagnosis who sought care at the emergency department for other illness (I). Patients completed questionnaires on thirst intensity, thirst distress, HF self-care behaviour, feeling depressive and feeling anxious. Data on sociodemographic, clinical characteristics, pharmacological treatment and prescribed fluid restriction were retrieved from hospital medical records and by asking the patients. Data were also collected from blood, urine and saliva samples to measure biological markers of dehydration, HF severity and stress. Results: Thirst was prevalent in 1 out of 5 patients (II) and 63% of patients with worsening of HF symptoms experienced moderate to severe thirst distress at hospital admission (IV). Patients at an outpatient HF clinic who reported thirst at the first visit were more often thirsty at the follow-up visits compared to patients who did not report thirst at the first visit (II). Thirst intensity was significantly higher in patients hospitalized with decompensated HF compared to patients with no HF (median 75 vs. 25 mm, visual analogue scale [VAS] 0-100 mm; P < 0.001) (I). During optimization of pharmacological treatment of HF, thirst intensity increased in 67% of the patients. Thirst intensity increased significantly more in patients in the high thirst intensity group compared to patients in the low thirst intensity group (median +18 mm vs. -3 mm; P < 0.001) (III). Patients who were admitted to the hospital with high thirst distress continued to have high thirst distress over time (IV). A large number of patients were bothered by thirst and feeling dry in the mouth when they were thirsty (III, IV). Patients with a fluid restriction had high thirst distress over time and patients who were feeling depressed had high thirst intensity over time...

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Section: Factors Related To Thirstmentioning

confidence: 99%

Section: Descriptions Of Thirstmentioning

confidence: 99%

Section: Descriptions Of Thirstmentioning

confidence: 99%

Section: Consequences Of Thirstmentioning

confidence: 99%

Section: Sample Sizementioning

confidence: 99%

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Thirst in Patients with Heart Failure : Description of thirst dimensions and associated factors with thirst

Waldréus

2016

Linköping University Medical Dissertations

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Thirst distress in outpatients with heart failure in a Mediterranean zone of Spain

et al. 2021

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AimsThis study aimed to evaluate psychometric properties of the Spanish version of the Thirst Distress Scale for patients with Heart Failure (TDS-HF) and to describe thirst distress-associated factors in outpatients at a heart failure (HF) clinic in Spain. Thirst is common in patients with HF, but thirst distress has rarely been addressed and may significantly decrease quality of life. Methods and results A cross-sectional study was performed assessing perceived thirst distress by patients with HF during the preceding 3 days, with the TDS-HF (scores 8 to 40). Univariable and multivariable linear regression analyses were performed to identify variables independently associated with thirst distress. Three-hundred two HF outpatients were included (age 67 ± 12 years, 74% male, HF duration 82 ± 75 months, left ventricular ejection fraction 42 ± 14%). Most patients were on treatment with fluid restriction (99%), sodium restriction (99%), and diuretics (70%). The psychometric evaluation of the Spanish version of the TDS-HF showed satisfactory item-total and inter-item correlations (range from 0.77 to 0.85 and 0.60 to 0.84, respectively), and internal consistency was 0.95 (Cronbach's alpha). The majority perceived mild to moderate thirst distress, and 18% perceived it as high or severe. The mean score obtained was 16.2 ± 9.3 (median 13, Q1-Q3 8-20). Higher serum urea {beta coefficient 1.6 [95% confidence interval (CI) 0.267 to 2.92], P = 0.019} and lower potassium [beta coefficient À3.63 (85% CI À6.32 to À0.93), P = 0.009] remained significantly associated with thirst distress in the multivariable analysis, together with the dose of diuretics [beta coefficient 2.98 (95% CI 1.37 to 4.59), P < 0.001]. Treatment with angiotensin receptor blocker showed an independent protective effect [beta coefficient À3.62 (95% CI À6.89 to À0.345), P = 0.03]. Conclusions The psychometric evaluation of the Spanish version of the TDS-HF showed good psychometric properties. One in five patients experienced severe distress by thirst, but the majority had mild to moderate thirst distress. The dose of diuretics and angiotensin receptor blocker treatment influence thirst distress and could be clinically important targets to relieve thirst distress in patients with HF.

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A Comprehensive Transition of Care Plan for a Patient Admitted with Acute Decompensated Heart Failure

Eiswirth

2016

Pharmacologic Trends of Heart Failure

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Description of self‐reported fluid intake and its effects on body weight, symptoms, quality of life and physical capacity in patients with stable chronic heart failure

Cited by 34 publications

References 30 publications

Thirst in Patients with Heart Failure : Description of thirst dimensions and associated factors with thirst

Thirst in Patients with Heart Failure : Description of thirst dimensions and associated factors with thirst

Thirst distress in outpatients with heart failure in a Mediterranean zone of Spain

A Comprehensive Transition of Care Plan for a Patient Admitted with Acute Decompensated Heart Failure

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