Non–Symptom-Related Factors Contributing to Delay in Seeking Medical Care by Patients With Heart Failure: A Narrative Review

Gravely, Shannon; Tamim, Hani; Smith, Judy L.; Daly, Tamara; Grace, Sherry L.

doi:10.1016/j.cardfail.2011.05.003

Cited by 11 publications

(6 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8-14 Factors that have been shown to decrease delay include chest pain, a prior history of HF, and using an ambulance to arrive at the hospital. 8,10,15 Irrespective of the cause, delays in treatment may increase morbidity and result in a more severe case of ADHF when inpatient admission is ultimately required.…”

Section: Introductionmentioning

confidence: 99%

Delayed hospital presentation in acute decompensated heart failure: Clinical and patient reported factors

et al. 2013

View full text Add to dashboard Cite

Background Patients with acute decompensated heart failure (ADHF) often wait a considerable amount of time before going to the hospital. Prior studies have examined the reasons why such delays may occur, but additional studies are needed to identify modifiable factors contributing to these delays. Purpose To describe care-seeking delay times, factors associated with prolonged delay, and patient's thoughts and actions in adult men and women hospitalized with ADHF. Methods We surveyed 1,271 patients hospitalized with ADHF at 8 urban medical centers between 2007 and 2010. Results The average age of our study population was 73 years, 47% were female, and 72% had prior heart failure. The median duration of pre-hospital delay prior to hospital presentation was 5.3 hours. Patients who delayed longer than the median were older, more likely to have diabetes, peripheral edema, to have symptoms that began in the afternoon, and to have contacted their medical provider(s) about their symptoms. Prolonged care seekers were less likely to have attributed their symptoms to ADHF, less likely to want to have bothered their doctor or family, and were more likely to be concerned about missing work due to their illness (all p values<0.05). Conclusions Care-seeking delays are common among patients with ADHF. A variety of factors contribute to these delays which in some cases may represent efforts to manage ADHF symptoms at home. More research is needed to better understand the detrimental effects of these delays and how best to encourage timely care-seeking behavior in the setting of ADHF.

show abstract

Section: Introductionmentioning

confidence: 99%

Delayed hospital presentation in acute decompensated heart failure: Clinical and patient reported factors

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Most common factors known to complicate self-care are age, male sex, HF (self-care) knowledge, experience and severity (7), low socioeconomic status, poor health literacy, lack of social support, poor functional status, presence of comorbidities, and poor cognitive function (8,9). Clinicians have also been recommended to take psychological risk factors, such as depression and anxiety, into account when focusing on optimizing HF self-care skills ("heart failure" or "congestive heart failure" or "cardiac failure" or "chronic heart failure") and (psychological or "psychological distress" or "psychological effect" or "psychological effects" or "psychological factors" or "psychological aspects" or "psychological problems" or "psychological disorders" or "psychological trauma" or "psychological health" or personality or "personality disorder" or "personality traits" or "type a" or "type d personality" or "mental health" or "mental illness" or "mental disorders" or "mental stress" or "mentally ill" or "negative affectivity" or depression or anxiety or "positive affect" or optimism or "life satisfaction" or pessimism or coping or happiness or attitudes or "self efficacy" or "health belief" or "locus of control" or "health locus of control" or beliefs or perception or confidence or worry or rumination or panic or "panic attacks" or "post traumatic stress disorder" or phobia or "generalized anxiety disorder" or resilience or "quality of life" or "social desirability" or defensiveness or "vital exhaustion" or fatigue or barriers or neuroticism or conscientiousness or extraversion or openness or agreeableness or "big five" or alexithymia) and ("self care" or "self management" or "patient management" or compliance or adherence or "patient compliance" or "non compliance" or "non adherence" or "medication adherence") MeSH terms Heart Failure; Self Care; Patient Compliance; Medication Adherence; Depression; Anxiety; Personality MeSH = medical subject headings.…”

mentioning

confidence: 99%

Psychological Determinants of Heart Failure Self-Care

Kessing

Denollet

Widdershoven

et al. 2016

Psychosomatic Medicine

View full text Add to dashboard Cite

Psychological factors (depression, self-efficacy, and mental well-being) were associated with specific self-care facets in patients with chronic HF. These associations were predominantly observed with self-reported indices of self-care and not objective indices. Methodological heterogeneity and limitations preclude definite conclusions about the association between psychological factors and self-care and should be addressed in future research.

show abstract

“…It would be helpful to train visiting nurses to communicate smoothly with staff in other roles. Research on care delays has mainly focused on hospitalization and emergency services (Gravely et al, 2011), with most studies examining in-hospital care. Future studies should consider the importance of home care.…”

Section: Discussionmentioning

confidence: 99%

How visiting nurses detect symptoms of disease progression in patients with chronic heart failure

Taniguchi

Okada

Seto

et al. 2020

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

Purpose: Chronic heart failure patients are often rehospitalized because they fail to seek appropriate, timely care. However, both patients and nurses experience difficulties in detecting signs of heart failure exacerbation. We aimed to qualitatively investigate how visiting nurses detect symptoms of disease progression in chronic heart failure patients in their homes. Methods: Participants were three experienced home-visit chronic heart failure nurses who completed one-to-one interviews. Data were analysed using the qualitative synthesis method (KJ method). Results: Six themes were identified that reflected detection of disease exacerbation and nursing support to prevent disease progression: difficulty of judging deterioration in patients with comorbidities; ascertaining conditions needing immediate intervention; detection of illness progression from changes in the patient's appearance; inferring instability in physical condition from patients' concerns and questions; arranging to ensure continued management of the patient post discharge; and instructing patients to ensure they never return to their old habits. Conclusions:The findings indicate that nurses experience challenges in detecting illness progression and judging when outpatient or hospital care is needed. However, nurses use a range of signs and symptoms to determine deterioration. Home-visit nurses thus play a crucial role in the post-hospital care of chronic heart failure patients. ARTICLE HISTORY

show abstract

Non–Symptom-Related Factors Contributing to Delay in Seeking Medical Care by Patients With Heart Failure: A Narrative Review

Cited by 11 publications

References 47 publications

Delayed hospital presentation in acute decompensated heart failure: Clinical and patient reported factors

Delayed hospital presentation in acute decompensated heart failure: Clinical and patient reported factors

Psychological Determinants of Heart Failure Self-Care

How visiting nurses detect symptoms of disease progression in patients with chronic heart failure

Contact Info

Product

Resources

About