liu.seSök publikationer i DiVA
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Self-Care Monitoring of Heart Failure Symptoms and Lung Impedance at Home Following Hospital Discharge: Longitudinal Study
Oslo Univ Hosp, Norway; Univ Oslo, Norway.
Vilnius Univ, Lithuania.
Vilnius Univ, Lithuania.
Oslo Univ Hosp, Norway.
Visa övriga samt affilieringar
2020 (Engelska)Ingår i: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 22, nr 1, artikel-id e15445Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Self-care is key to the daily management of chronic heart failure (HF). After discharge from hospital, patients may struggle to recognize and respond to worsening HF symptoms. Failure to monitor and respond to HF symptoms may lead to unnecessary hospitalizations. Objective: This study aimed to (1) determine the feasibility of lung impedance measurements and a symptom diary to monitor HF symptoms daily at home for 30 days following hospital discharge and (2) determine daily changes in HF symptoms of pulmonary edema, lung impedance measurements, and if self-care behavior improves over time when patients use these self-care monitoring tools. Methods: This study used a prospective longitudinal design including patients from cardiology wards in 2 university hospitals-one in Norway and one in Lithuania. Data on HF symptoms and pulmonary edema were collected from 10 participants (mean age 64.5 years; 90% (9/10) male) with severe HF (New York Heart Association classes III and IV) who were discharged home after being hospitalized for an HF condition. HF symptoms were self-reported using the Memorial Symptom Assessment Scale for Heart Failure. Pulmonary edema was measured by participants using a noninvasive lung impedance monitor, the Cardio Set Edema Guard Monitor. Informal caregivers aided the participants with the noninvasive measurements. Results: The prevalence and burden of shortness of breath varied from participants experiencing them daily to never, whereas lung impedance measurements varied for individual participants and the group participants, as a whole. Self-care behavior score improved significantly (P=.007) from a median of 56 (IQR range 22-75) at discharge to a median of 81 (IQR range 72-98) 30 days later. Conclusions: Noninvasive measurement of lung impedance daily and the use of a symptom diary were feasible at home for 30 days in HF patients. Self-care behavior significantly improved after 30 days of using a symptom diary and measuring lung impedance at home. Further research is needed to determine if daily self-care monitoring of HF signs and symptoms, combined with daily lung impedance measurements, may reduce hospital readmissions.

Ort, förlag, år, upplaga, sidor
JMIR PUBLICATIONS, INC , 2020. Vol. 22, nr 1, artikel-id e15445
Nyckelord [en]
heart failure; telemedicine; lung impedance; diary; self-care; prospective study
Nationell ämneskategori
Övrig annan medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:liu:diva-163222DOI: 10.2196/15445ISI: 000506042900001PubMedID: 31909717OAI: oai:DiVA.org:liu-163222DiVA, id: diva2:1390993
Anmärkning

Funding Agencies|Nordic funding organization, NordForsk; Nordic Programme on Health and Welfare [76015]

Tillgänglig från: 2020-02-03 Skapad: 2020-02-03 Senast uppdaterad: 2024-01-17

Open Access i DiVA

fulltext(382 kB)485 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 382 kBChecksumma SHA-512
44f2f6517d4b6ab7ce143b804fbc4c7113f3d013b5bba9cbe0e6609e55db74653e5dd32fdaacc93dbb8a534c9ef011e7b7df831af63051fb6c7167ad46643eda
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextPubMed

Person

Jaarsma, TinyStrömberg, Anna

Sök vidare i DiVA

Av författaren/redaktören
Jaarsma, TinyStrömberg, Anna
Av organisationen
Avdelningen för omvårdnad och reproduktiv hälsaMedicinska fakultetenKardiologiska kliniken US
I samma tidskrift
Journal of Medical Internet Research
Övrig annan medicin och hälsovetenskap

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 486 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 808 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf