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Somatic Changes Perceived by Patients With Heart Failure During Acute Exacerbation: A Qualitative Study Using Text
Patients with heart failure (HF) often struggle to describe their symptoms using medical terms. Understanding patient-specific language is crucial for better symptom assessment and care.
Area of Science:
- Cardiology
- Medical Sociology
- Health Communication
Background:
- Patients with heart failure (HF) frequently exhibit poor symptom perception due to a mismatch between medical terminology and their experienced somatic changes.
- Effective symptom management in HF necessitates healthcare professionals understanding the patient's subjective experience of bodily sensations.
Purpose of the Study:
- To analyze patient narratives of somatic changes in heart failure (HF) using text mining.
- To clarify the comprehensive description of somatic changes through patients' own expressions.
Main Methods:
- Conducted semistructured interviews with 21 patients hospitalized for acute exacerbation of HF.
- Employed content analysis via text mining to analyze qualitative interview data.
Main Results:
- Frequently used patient terms included "breath" (46 times), "distressed" (40 times), and "feet" (29 times).
- Somatic changes described by patients, such as "dyspnea on exertion" and "edema," were often expressed using diverse, non-medical language.
- Analysis revealed a wide variation in how patients articulated their somatic experiences.
Conclusions:
- Patient-specific expressions of symptoms are vital for accurate assessment.
- Healthcare providers should incorporate patient-centered language alongside medical jargon for comprehensive symptom evaluation in HF.
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