State of the Science in Heart Failure Symptom Perception Research: An Integrative Review

  title={State of the Science in Heart Failure Symptom Perception Research: An Integrative Review},
  author={Solim Lee and Barbara Riegel},
  journal={The Journal of Cardiovascular Nursing},
Background: Heart failure (HF) is a common condition requiring self-care to maintain physical stability, prevent hospitalization, and improve quality of life. Symptom perception, a domain of HF self-care newly added to the Situation-Specific Theory of HF Self-Care, is defined as a comprehensive process of monitoring and recognizing physical sensations and interpreting and labeling the meaning of the sensations. Objective: The purpose of this integrative review was to describe the research… 

An Integrative Review of the Symptom Perception Process in Heart Failure.

It is indicated that symptom perception was likely to diversify the pathway of HF management and a variety of contributing factors to the symptom perception process were found to be intertwined.

Symptom perception in heart failure: a scoping review on definition, factors and instruments

  • G. SantosM. Liljeroos P. Schäfer-Keller
  • Medicine
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
  • 2019
Background: Symptom perception in heart failure has been identified as crucial for effective self-care that is a modifiable factor related to decreased hospital readmission and improved survival.

Symptom perception in heart failure - Interventions and outcomes: A scoping review.

Symptom Perception and Influencing Factors in Chinese Patients with Heart Failure: A Preliminary Exploration

The results showed that the level of depression, the New York Heart Association functional class, the left ventricular ejection fraction, and educational background were identified as independent factors of symptom perception in Chinese patients with heart failure.

Symptom perception management education improves self-care in patients with heart failure.

This study proposed the development and implementation of a complex intervention on symptom perception and fluid management in patients with heart failure and suggested that patient education focused on symptom recognition, combined with reinforcements, led to better self-care behaviors.

Symptom Recognition as a Mediator in the Self-Care of Chronic Illness

It is suggested that symptom recognition promotes autonomous self-care behaviors in people with a chronic condition and directly affects consulting self- care management behaviors but not through symptom recognition.

Psychometric evaluation of the Heart Failure Somatic Perception Scale in a European heart failure population

  • G. PucciarelliA. Greco E. Vellone
  • Medicine, Psychology
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
  • 2019
The validity and reliability of the HFSPS were supportive in this European sample and all the correlations with the Kansas City Cardiomyopathy Questionnaire scores were statistically significant.

(Illness perception and its connection with chosen characteristics in heart failure patients)

Patients with more serious heart failure and decreasing self-suffi ciency perceive their illness more negatively, and illness perceptions of chronic heart failure may be exacerbated by decreasing quality of life, the incidence of depression, poorer social support, or older age of the patient.

Self-management in Heart Failure: The Importance of Self-regulation but not Complexity of Condition

Self-regulation in HF should be explored to provide a clearer understanding of the processes used to change health behavior, and SM may be particularly useful in HF with preserved ejection fraction, where there is no proven pharmacological treatment.

Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled Trial

It is supported that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure.



A Situation-Specific Theory of Heart Failure Self-care

A situation-specific theory of heart failure self-care is described in which self- care is defined as a naturalistic decision-making process involving the choice of behaviors that maintain physiologic stability and the response to symptoms when they occur (management).

Evaluation of Feasibility of 2 Novel Heart Failure Monitoring Instruments to Facilitate Patient Recognition of Symptoms

Evaluating the feasibility of 2 patient self-monitoring instruments designed to facilitate both HF symptom recognition and reporting of these symptoms to providers found them helpful and would recommend them to other patients with HF.

Why Do Elders Delay Responding to Heart Failure Symptoms?

Background:Elders with heart failure (HF) are at risk for frequent hospitalizations for symptom management. Repeated admissions are partly related to delay in responding to HF symptoms. Contextual

A Typology of Heart Failure Self-Care Management in Non-Elders

  • V. DicksonJ. DeatrickB. Riegel
  • Medicine, Psychology
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
  • 2008

Heart failure symptom monitoring and response training.

Symptom Perceptions and Self-care Behaviors in Patients Who Self-manage Heart Failure

The findings suggest the need for interventions that will help patients expeditiously recognize, accurately interpret, and use appropriate and safe self-care strategies for symptoms, leading up to a HF hospitalization.

The Situation-Specific Theory of Heart Failure Self-Care: Revised and Updated

Prior research illustrates that all 3 self-care processes (ie, maintenance, symptom perception, and management) are integral toSelf-care.

Facilitators and barriers to heart failure self-care.

Self-care and Quality of Life Outcomes in Heart Failure Patients

  • K. Grady
  • Medicine, Psychology
    The Journal of cardiovascular nursing
  • 2008
Findings from RCTs of self-care, as an intervention, on HF patient QOL do not allow one to draw strong conclusions about the benefits of this intervention on QOL outcomes, and the most efficacious strategies can subsequently provide the basis for changing clinical practice and improving patients' lives.

Symptom recognition in elders with heart failure.

There is a need to develop interventions that focus on the symptom experience to help patients-particularly older ones-in somatic awareness and symptom interpretation, and the theory of an age-related decline in the ability to attend to internal physical symptoms is supported.