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Evaluation of Hydration Status by Bioelectrical Impedance Vector Analysis in Patients with Ischemic Heart Disease Undergoing Exercise Stress Test
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Status and influencing factors of home-based fluid management in patients with chronic heart failure

Linbin Ye1, Kehan Chen2, Li Ning3

  • 1Haining Hospital of Traditional Chinese Medicine, Haining, China.

Frontiers in Cardiovascular Medicine
|February 27, 2026
PubMed

Insights

Home-based fluid management in chronic heart failure (CHF) patients is moderate and influenced by factors like gender and disease duration. Tailored plans are needed to improve patient self-care and outcomes.

Area of Science:

  • Cardiology
  • Nursing
  • Public Health

Background:

  • Chronic heart failure (CHF) management requires effective home-based fluid monitoring.
  • Self-management of fluid balance is crucial for preventing exacerbations in CHF patients.

Purpose of the Study:

  • To assess the current status of home-based fluid management in CHF patients.
  • To identify factors influencing fluid management practices among these patients.

Main Methods:

  • A survey was conducted with 165 hospitalized CHF patients (NYHA class II-IV) from three tertiary hospitals.
  • The Body Fluid Management Self-Rating Scale for CHF patients (BFMSS) and a general information questionnaire were utilized.

Main Results:

  • Overall home-based fluid management capacity was moderate (mean score 83.15 ± 18.89).
  • Self-care management scored highest, while self-care maintenance scored lowest.
  • Gender, marital status, disease duration, and comorbidities significantly influenced fluid management (P < 0.05).

Conclusions:

  • CHF patients exhibit moderate home-based fluid management skills, necessitating improvement.
  • Interventions should address identified influencing factors like demographics and clinical characteristics.
  • Personalized, comprehensive fluid management strategies are recommended for better patient outcomes.
Abstract

Keywords:
BFMSSchronic heart failurefluid managementhome careself-careself-efficacytransitional care

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