Heart failure symptom clusters and functional status – a cross‐sectional study

Herr, Janet K.; Salyer, Jeanne; Flattery, Maureen; Goodloe, Lauren; Lyon, Debra E.; Kabban, Christine Schubert; Clement, Dolores G.

doi:10.1111/jan.12596

Cited by 47 publications

(77 citation statements)

References 53 publications

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“…For example, in investigating symptom clusters in patients with heart failure, Herr et al. () considered ejection fraction and New York Heart Association heart failure class as two of their physiologic influencing factors.…”

Section: Resultsmentioning

confidence: 99%

“…Some investigators considered symptoms like anxiety and depression to be influencing factors (e.g., Tankumpuan, Utriyaprasit, Chayaput, & Itthimathin, 2015); others considered anxiety and depression as symptoms (Herr et al, 2015). As Pugh et al (2000) have suggested, it may be that variables can fit into different TOUS concepts at different times.…”

Section: Symptomsmentioning

confidence: 99%

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An integrative review of the theory of unpleasant symptoms

Blakeman

2019

Journal of Advanced Nursing

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Aims The aim of this study was to explore how the theory of unpleasant symptoms (TOUS) has been used in the methodological design and analysis of symptom research. Design An integrative review, using Whittemore and Knafl's approach. Data Sources Searches were conducted between 26 January–10 February 2018. Databases included CINAHL Complete, PubMed, Proquest Nursing and Allied Health Source, Health Source: Nursing/Academic Edition, Academic Search Complete and Google Scholar. Review Methods A systematic approach to searching, screening and analysing the literature was applied. The matrix method, content analysis, constant comparison, counting and clustering were used. Results Sixty‐four records were included. Most studies were quantitative, cross‐sectional, instrument‐based and conducted in the USA. Various symptoms and patient populations were represented and each of the TOUS concepts were explored. Conclusion Although the theory has a role to play in furthering symptom science, attention should be paid to the areas of the model and of symptom research that have received less attention. More complex statistical approaches and big data will help to illuminate symptom experiences. Additional focus on intervention studies and all symptom dimensions will help to advance symptom science research. Impact This review is the first to provide a comprehensive, systematic summary of the uses of the TOUS across the research literature to date. This theory is a diverse, holistic middle‐range theory capable of being applied to multiple symptoms and populations. Researchers should consider using the theory as a conceptual framework for studies to advance symptom science and explore symptoms holistically.

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Section: Resultsmentioning

confidence: 99%

Section: Symptomsmentioning

confidence: 99%

An integrative review of the theory of unpleasant symptoms

Blakeman

2019

Journal of Advanced Nursing

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“…helped to improve their functional status (Herr et al, 2015). There were found associations between symptoms and patient-rated health and indirect associations through functional limitations.…”

Section: Introductionmentioning

confidence: 98%

“…Patients’ management of fatigue and its consequences was a process involving activities to handle fatigue (Schjoedt, Sommer, & Bjerrum, ). It was shown in another study that managing disease behaviour and discomforts of illness symptoms patients with CHF may be helped to improve their functional status (Herr et al., ). There were found associations between symptoms and patient‐rated health and indirect associations through functional limitations.…”

Section: Introductionmentioning

confidence: 99%

A complex intervention of self‐management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities; A longitudinal follow‐up

Zakrisson

Arne

Hasselgren

et al. 2018

Journal of Advanced Nursing

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Aim To test a self‐management intervention in primary health care (PHC) for patients with chronic obstructive pulmonary disease (COPD) or chronic heart failure (CHF) on self‐efficacy, symptoms, functioning, and health. Background Patients with COPD or CHF experience often the same symptoms such as shortness of breath, cough, lack of energy, dry mouth, numbness or tingling in hands and feet, pain and sleeping problems. Design A multicentre randomized control trial. Method The trial was conducted with one intervention group (N = 73) and one control group (N = 77). The trial was performed from September 2013–September 2015 at nine PHC centres in three county councils in Sweden. At baseline patients with COPD and CHF experienced any symptom. Follow‐ups were performed after 3 months and 1 year. The intervention was structured on Bandura's theory of self‐efficacy in six meetings and individual action plans based on personal problems were performed and discussed. Results At baseline, there were no differences between the groups except for SF‐36 social function. After 3 months, the intervention group improved performance and satisfaction with regard to own selected activities, otherwise no differences were found. Conclusion When designing a program, the patient's own difficulties must be taken into consideration if person‐centred care is to be established. It is feasible to include both patients with COPD and CHF in the same group in PHC. Healthcare professionals need supervision in pedagogics during intervention in self‐management.

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“…Delaying treatment can lower the physical, psychological, and social aspects of a patient's quality of life. Therefore, it is essential to understand the individual clinical factors and indicators involved to facilitate the recognition of differences among patients with heart failure and to enable a systematic approach towards assessing the symptoms to be followed [10].…”

Section: Introductionmentioning

confidence: 99%

Factors Related to N-Terminal Pro-B-Type Natriuretic Peptide as a Biomarker for Heart Failure

Lee¹,

Choi²,

Oh³

2016

jkbns

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ly leads to hospitalization and high treatment costs which are more than 800 billion won per year [4].Patients with heart failure experience physical symptoms, including fatigue, dyspnea, and generalized edema, depending on the condition's severity. These physical symptoms can have psychological effects, for example, anxiety, depression, and reduced self-efficacy, which can hinder daily activities, work, and a person's social life [6]. Heart failure is difficult to cure, and its characteristics often include recurrent cycles of deterioration and improvement. Consequently, rehospitalization rates con- Purpose: This study aimed to examine the relationships between the N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels with the sociodemographic and clinical factors, self-care behaviors, and the physical symptom experiences in patients with heart failure. Methods: This cross-sectional study utilized a convenience sample of adult outpatients and inpatients who attended a cardiology department in a tertiary hospital in Seoul, Korea. The data from 154 patients with heart failure were collected using a questionnaire, and their clinical data were extracted from their electronic medical records. Results: Compared with the patients with high NTproBNP levels, those with low NT-proBNP levels had significantly lower physical symptom experiences scores. Patients with low-and mid-NT-proBNP levels were more likely to be employed compared with those with high NT-proBNP levels. Patients with low NT-proB-NP levels had higher left ventricular ejection fractions, and were less likely to have arrhythmias and comorbidities. Conclusion: The results from this study showed that patients with more severe heart failure had higher physical symptom experiences scores; hence, individualizing treatment approaches based on heart failure severity is necessary. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Heart failure symptom clusters and functional status – a cross‐sectional study

Abstract: Individuals with heart failure may be helped to improve their functional status by managing sickness behaviour and discomforts of illness symptoms. Identification of symptom clusters may lead to the development of interventions focusing on a cluster of heart failure symptoms.

Cited by 47 publications

References 53 publications

An integrative review of the theory of unpleasant symptoms

An integrative review of the theory of unpleasant symptoms

A complex intervention of self‐management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities; A longitudinal follow‐up

Factors Related to N-Terminal Pro-B-Type Natriuretic Peptide as a Biomarker for Heart Failure

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