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Relationship Between Symptom Burden and Self-Management Among Patients with Chronic Heart Failure: A Cross-Sectional

JinLian Li1, LiQing Feng1, Xing Shui1

  • 1Department of Cardiac Care Unit, the Third Affiliated Hospital, SunYat-Sen University, Guangzhou, People's Republic of China.

Patient Preference and Adherence
|August 14, 2023
PubMed

Insights

Patients with chronic heart failure (CHF) experience significant symptom burden, with lower self-management correlating to worse outcomes. Improving self-management strategies like drug and symptom management is key to reducing CHF symptom burden.

Area of Science:

  • Cardiology
  • Public Health
  • Nursing

Background:

  • Chronic heart failure (CHF) is a significant global health concern.
  • Effective self-management is crucial for controlling CHF symptoms, yet evidence on its association with symptom burden is limited.
  • This study investigates the relationship between self-management and symptom burden in CHF patients.

Purpose of the Study:

  • To assess the correlation between self-management and overall symptom burden in patients with chronic heart failure.
  • To examine the relationship between self-management and specific dimensions of symptom burden in CHF patients.

Main Methods:

  • A cross-sectional study involving 128 hospitalized CHF patients.
  • Data collected using questionnaires for demographics, disease characteristics, symptom burden (Memorial Symptom Assessment Scale-Heart Failure), and self-management (Heart Failure Self-Management Scale).
  • Spearman correlation and linear regression analyses were employed to determine associations.

Main Results:

  • Hospitalized CHF patients exhibited high symptom burden and moderate to low self-management levels.
  • A significant negative correlation was found between total self-management scores and overall symptom burden.
  • Drug management, symptom management, and attitude toward the disease were identified as key factors influencing symptom burden.

Conclusions:

  • CHF patients often face substantial symptom burden, with suboptimal self-management levels.
  • Enhanced self-management, particularly in drug and symptom management, is associated with reduced symptom burden in CHF.
  • Interventions targeting self-management may improve symptom control and quality of life for individuals with chronic heart failure.
Abstract

Keywords:
chronic heart failureself-managementsymptom burden

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