A qualitative study of chronic heart failure patients' understanding of their symptoms and drug therapy
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OBJECTIVES: To explore patients' understanding of their symptoms and the treatment of their heart failure. DESIGN: Qualitative analysis of in-depth interviews, using a constant comparative approach. SUBJECTS: 27 patients identified by Cardiology and Care of the Elderly physicians as having (a) symptomatic heart failure (New York Heart Association functional classes II, III and IV) and (b) a hospital admission for heart failure in the previous 20 months. RESULTS: Patients were aged between 38-94 years (mean 69), 20 were in NYHA functional class III or IV. All had at least one concurrent illness. Analysis of the data identified four key areas: patients had little understanding of the purpose of their medications, were concerned about both the quantity and combination of drugs they were prescribed, had difficulties in differentiating between the side effects of drugs and symptoms of heart failure, and had little knowledge to help them interpret and/or treat changing symptoms. CONCLUSION: Providing patients with relevant information about their medications may help to reduce anxiety about the drugs they are taking. Acknowledging the symptoms associated with heart failure and the likely side effects of treatments might improve patients' ability to interpret, treat or relieve symptoms.
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Many patients have little appreciation of the significance or the knowledge of how to adjust their diuretic dose.
“Many patients have little appreciation of the significance or the knowledge of how to adjust their diuretic dose. 63 , 78 , 79”
From Prioritizing symptom management in the treatment of chronic heart failure (2020) · cites this paper as [79]
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- Authors
- Rogers, A., Addington-Hall, J. M., McCoy, A. S. M., Edmonds, P. M., Abery, A. J., Coats, A. J. S., Simon, J., & Gibbs, R.
- Affiliations
- King's College London (GB)
- Imperial College London (GB)
- Corresponding author
- Rogers, Angie
- Venue
- European Journal of Heart Failure
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-06-01
- Volume
- 4
- Issue
- 3
- Pages
- 283-287
- ISSN
- 1388-9842 (ISSN-L)
- 1879-0844
- OpenAlex
- W1979353609
- Cited by
- 125
- References
- 23
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 6 · 2023: 2 · 2022: 4 · 2021: 1 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 8 · 2016: 6 · 2015: 4 · 2014: 6 · 2013: 6 · 2012: 9
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Heart Failure (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (submittedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Funders
- Menzies Centre for Australian Studies, King's College London, University of London
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Keywords
- chronic heart failure, patient understanding, symptom awareness, pharmacotherapy, adverse drug reactions, medication knowledge, symptom interpretation, patient anxiety, hospitalization, NYHA functional class
- MeSH terms
- Adult, Aged, Aged, 80 and over, Cardiotonic Agents, Female, Heart Failure, Humans, Interviews as Topic, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Patient Education as Topic
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