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

Details

Serval ID
serval:BIB_6075C30762FB
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Symptom perception in heart failure: a scoping review on definition, factors and instruments.
Journal
European journal of cardiovascular nursing
Author(s)
Santos G.C., Liljeroos M., Dwyer A.A., Jaques C., Girard J., Strömberg A., Hullin R., Schäfer-Keller P.
ISSN
1873-1953 (Electronic)
ISSN-L
1474-5151
Publication state
Published
Issued date
02/2020
Peer-reviewed
Oui
Volume
19
Number
2
Pages
100-117
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Abstract
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.
To review systematically the heart failure symptom perception literature and synthesise knowledge on definition, description, factors and instruments.
We conducted a scoping review including studies reporting patient-reported symptom perception in adults with heart failure. Structured searches were conducted in Medline, PubMed, Embase, CINAHL, PsychINFO, Web of Science, Cochrane, JBI and grey literature. Two authors independently reviewed references for eligibility. Data were charted in tables and results narratively summarised.
The search yielded 3057 references, of which 106 were included. The definition of heart failure symptom perception comprised body listening, monitoring signs, recognising, interpreting and labelling symptoms, and furthermore awareness of and assigning meaning to the change. Symptom monitoring, recognition and interpretation were identified as challenging. Symptom perception facilitators include prior heart failure hospitalisation, heart failure self-care maintenance, symptom perception confidence, illness uncertainty and social support. Barriers include knowledge deficits, symptom clusters and lack of tools/materials. Factors with inconsistent impact on symptom perception include age, sex, education, experiences of living with heart failure, comorbidities, cognitive impairment, depression and symptom progression. One instrument measuring all dimensions of heart failure symptom perception was identified.
Heart failure symptom perception definition and description have been elucidated. Several factors facilitating or hampering symptom perception are known. Further research is needed to determine a risk profile for poor symptom perception - which can then be taken into consideration when supporting heart failure self-care.
Keywords
Adult, Aged, Aged, 80 and over, Diagnostic Techniques, Cardiovascular/classification, Diagnostic Techniques, Cardiovascular/standards, Female, Heart Failure/classification, Heart Failure/physiopathology, Humans, Male, Middle Aged, Symptom Assessment/classification, Symptom Assessment/standards, Terminology as Topic, Heart failure, barriers, body analysis, body observation, facilitators, symptom perception
Pubmed
Web of science
Create date
04/12/2019 22:32
Last modification date
10/02/2021 6:28
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