Problems Experienced in the First Month After Discharge From a Heart Failure-Related Hospitalization

Purpose: Heart failure is a global health concern with high morbidity and mortality rates. Individuals with heart failure commonly experience problems that impact daily life. However, little is known regarding which problems are most significant during the immediate posthospitalization period. Thus,...

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Main Authors: Joan S. Grant, Lucinda J. Graven, Kelly Fuller
Format: Article
Language:English
Published: Advocate Aurora Health 2018-04-01
Series:Journal of Patient-Centered Research and Reviews
Subjects:
Online Access:https://digitalrepository.aurorahealthcare.org/cgi/viewcontent.cgi?article=1588&context=jpcrr
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author Joan S. Grant
Lucinda J. Graven
Kelly Fuller
author_facet Joan S. Grant
Lucinda J. Graven
Kelly Fuller
author_sort Joan S. Grant
collection DOAJ
description Purpose: Heart failure is a global health concern with high morbidity and mortality rates. Individuals with heart failure commonly experience problems that impact daily life. However, little is known regarding which problems are most significant during the immediate posthospitalization period. Thus, the purpose of this study was to identify high-priority problems experienced by individuals the first month after discharge from an acute care facility with a diagnosis of heart failure. Methods: This descriptive, exploratory study was part of a 12-week randomized controlled pilot study that examined the efficacy of a coping partnership intervention (COPE-HF Partnership) between a trained research nurse and individuals with heart failure in managing self-care and depressive symptoms. Data from participants randomized to the intervention group (N = 19; 58% Caucasian, 58% male) were used in this study. Participants were provided a list of potential heart failure-related problems, from which they identified those of highest priority. Content and quantitative data analysis was conducted. Results: Difficulty in managing heart failure symptoms, adhering to treatment plan, completing daily activities, and experiencing negative emotions and moods were the most common problems experienced by individuals with heart failure. Other less common problems for the group were inadequate resources and managing interpersonal issues. Conclusions: Individuals with heart failure experience complex problems in the home that impact all aspects of their lives. Incorporating strategies to address these problems could assist in the development of interventions to reduce negative heart failure outcomes.
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spelling doaj.art-201f1c776a7e44ea968600f153b340332023-02-02T14:35:34ZengAdvocate Aurora HealthJournal of Patient-Centered Research and Reviews2330-06982018-04-015214014810.17294/2330-0698.1588Problems Experienced in the First Month After Discharge From a Heart Failure-Related HospitalizationJoan S. Grant0Lucinda J. Graven1Kelly Fuller2University of Alabama at Birmingham School of Nursing, Birmingham, ALFlorida State University College of Nursing, Tallahassee, FLFlorida State University College of Nursing, Tallahassee, FLPurpose: Heart failure is a global health concern with high morbidity and mortality rates. Individuals with heart failure commonly experience problems that impact daily life. However, little is known regarding which problems are most significant during the immediate posthospitalization period. Thus, the purpose of this study was to identify high-priority problems experienced by individuals the first month after discharge from an acute care facility with a diagnosis of heart failure. Methods: This descriptive, exploratory study was part of a 12-week randomized controlled pilot study that examined the efficacy of a coping partnership intervention (COPE-HF Partnership) between a trained research nurse and individuals with heart failure in managing self-care and depressive symptoms. Data from participants randomized to the intervention group (N = 19; 58% Caucasian, 58% male) were used in this study. Participants were provided a list of potential heart failure-related problems, from which they identified those of highest priority. Content and quantitative data analysis was conducted. Results: Difficulty in managing heart failure symptoms, adhering to treatment plan, completing daily activities, and experiencing negative emotions and moods were the most common problems experienced by individuals with heart failure. Other less common problems for the group were inadequate resources and managing interpersonal issues. Conclusions: Individuals with heart failure experience complex problems in the home that impact all aspects of their lives. Incorporating strategies to address these problems could assist in the development of interventions to reduce negative heart failure outcomes.https://digitalrepository.aurorahealthcare.org/cgi/viewcontent.cgi?article=1588&context=jpcrrheart failureproblemspostdischargehospitalizationmorbiditymortalitysymptoms
spellingShingle Joan S. Grant
Lucinda J. Graven
Kelly Fuller
Problems Experienced in the First Month After Discharge From a Heart Failure-Related Hospitalization
Journal of Patient-Centered Research and Reviews
heart failure
problems
postdischarge
hospitalization
morbidity
mortality
symptoms
title Problems Experienced in the First Month After Discharge From a Heart Failure-Related Hospitalization
title_full Problems Experienced in the First Month After Discharge From a Heart Failure-Related Hospitalization
title_fullStr Problems Experienced in the First Month After Discharge From a Heart Failure-Related Hospitalization
title_full_unstemmed Problems Experienced in the First Month After Discharge From a Heart Failure-Related Hospitalization
title_short Problems Experienced in the First Month After Discharge From a Heart Failure-Related Hospitalization
title_sort problems experienced in the first month after discharge from a heart failure related hospitalization
topic heart failure
problems
postdischarge
hospitalization
morbidity
mortality
symptoms
url https://digitalrepository.aurorahealthcare.org/cgi/viewcontent.cgi?article=1588&context=jpcrr
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AT kellyfuller problemsexperiencedinthefirstmonthafterdischargefromaheartfailurerelatedhospitalization