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Symptom perception management education improves self-care in patients with heart failure

datacite.subject.fosCiências Médicas::Outras Ciências Médicas
datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg15:Proteger a Vida Terrestre
dc.contributor.authorSousa, Joana Pereira
dc.contributor.authorOliveira, Cláudia
dc.contributor.authorPais-Vieira, Miguel
dc.date.accessioned2026-05-15T10:56:25Z
dc.date.available2026-05-15T10:56:25Z
dc.date.issued2021-06-05
dc.descriptionEx-docente
dc.description.abstractBACKGROUND: Patients with heart failure often have difficulty recognizing signs and symptoms of the disease, which delays seeking help, and therefore interferes with patient engagement and self-care management. Early detection of these symptoms could lead to care-seeking and avoid hospitalizations. OBJECTIVE: The purpose of this study was to design a complex intervention through a systematic literature review and qualitative study. METHODS: Our design followed the Medical Research Council's recommendations. To design a complex intervention, we combined a systematic literature review on education, symptom recognition, and self-care management in patients with heart failure, and semi-structured interviews with cardiology healthcare providers and patients with heart failure admitted to a cardiology ward. RESULTS: The systematic literature review identified 582 studies published between 2005 and 2014, of which four were included in the final review. These suggested that patient education focused on symptom recognition, combined with reinforcements, led to better self-care behaviors. Additionally, content analysis of semi-structured interviews revealed three themes: health management, behavior management, and support received. CONCLUSIONS: Combining the findings of the literature review and the themes that emerged from the semi-structured interviews, we proposed the development and implementation of a complex intervention on symptom perception and fluid management.eng
dc.description.sponsorshipThis study partially fulfilled degree requirements for successful completion of a Ph.D. in Nursing at Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, Portugal, by Joana Pereira Sousa (PhD candidate, MNSc, RN). Miguel Pais-Vieira is affiliated to grant research: FCT IF/00098/2015 (MS), Bial 96/2016 (MS). We would like to thank Editage (www.editage.com) for English language editing.
dc.identifier.citationSousa, J. P., Oliveira, C., & Pais-Vieira, M. (2021). Symptom perception management education improves self-care in patients with heart failure. WORK: A Journal of Prevention, Assessment & Rehabilitation, 69(2), 465-473. DOI: https://doi.org/10.3233/wor-213491.
dc.identifier.doi10.3233/wor-213491
dc.identifier.eissn1875-9270
dc.identifier.issn1051-9815
dc.identifier.urihttp://hdl.handle.net/10400.8/16281
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSAGE Publications
dc.relation.hasversionhttps://journals.sagepub.com/doi/full/10.3233/WOR-213491
dc.relation.ispartofWork
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectHeart failure
dc.subjectself-management
dc.subjectsymptom recognition
dc.subjectcomplex intervention
dc.titleSymptom perception management education improves self-care in patients with heart failureeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage473
oaire.citation.issue2
oaire.citation.startPage465
oaire.citation.titleWORK: A Journal of Prevention, Assessment & Rehabilitation
oaire.citation.volume69
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNamePereira de Sousa
person.givenNameJoana
person.identifier.ciencia-id551F-033A-267C
person.identifier.orcid0000-0001-5515-0696
person.identifier.ridI-3020-2014
person.identifier.scopus-author-id57210926095
relation.isAuthorOfPublication9663f6c0-6002-449a-86ad-f94c78577e43
relation.isAuthorOfPublication.latestForDiscovery9663f6c0-6002-449a-86ad-f94c78577e43

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BACKGROUND: Patients with heart failure often have difficulty recognizing signs and symptoms of the disease, which delays seeking help, and therefore interferes with patient engagement and self-care management. Early detection of these symptoms could lead to care-seeking and avoid hospitalizations. OBJECTIVE: The purpose of this study was to design a complex intervention through a systematic literature review and qualitative study. METHODS: Our design followed the Medical Research Council's recommendations. To design a complex intervention, we combined a systematic literature review on education, symptom recognition, and self-care management in patients with heart failure, and semi-structured interviews with cardiology healthcare providers and patients with heart failure admitted to a cardiology ward. RESULTS: The systematic literature review identified 582 studies published between 2005 and 2014, of which four were included in the final review. These suggested that patient education focused on symptom recognition, combined with reinforcements, led to better self-care behaviors. Additionally, content analysis of semi-structured interviews revealed three themes: health management, behavior management, and support received. CONCLUSIONS: Combining the findings of the literature review and the themes that emerged from the semi-structured interviews, we proposed the development and implementation of a complex intervention on symptom perception and fluid management.
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