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Trajectory of thirst intensity and distress from admission to 4-weeks follow up at home in patients with heart failure
Karolinska Inst, Sweden.
Univ Kentucky, KY USA.
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Univ Groningen, Netherlands.
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Australian Catholic Univ, Australia.ORCID iD: 0000-0002-4197-4026
2018 (English)In: Patient Preference and Adherence, ISSN 1177-889X, E-ISSN 1177-889X, Vol. 12, p. 2223-2231Article in journal (Refereed) Published
Abstract [en]

Background: Patients with heart failure (HF) can suffer from increased thirst intensity and distress. Trajectories of thirst intensity and distress from hospital to home are unclear. The aim of this study was to describe thirst intensity and distress trajectories in patients from the time of hospital admission to 4 weeks after discharge, and describe trajectories of thirst intensity and distress by patients characteristics (gender, age, body mass index [BMI], plasma urea, anxiety, and depression). Patients and methods: In this observational study, data were collected from patients with HF (n=30) at hospital admission, discharge, and at 2 and 4 weeks after discharge. Thirst intensity (visual analog scale, 100 mm) and distress (Thirst Distress Scale-HF, score 9-45) were used. Trajectories were examined using growth modeling. Results: Trajectory of the thirst intensity was significantly different, for patients with low and high thirst intensity levels (median cut-off 39 mm), from admission to 4 weeks follow up (thirst increased and decreased, respectively). Patients with high level of thirst distress (median score amp;gt;22) at admission, having fluid restriction and women continued to have higher thirst distress over time. Patients feeling depressed had higher thirst intensity over time. There were no differences in the trajectories of thirst intensity and distress by age, BMI, plasma urea, and anxiety. Conclusion: Intensity and distress of thirst, having fluid restriction, and feeling depressed at the admission were critical in predicting the trajectory of thirst intensity and distress after discharge to home in patients with HF. Effective intervention relieving thirst should be provided before their discharge to home.

Place, publisher, year, edition, pages
DOVE MEDICAL PRESS LTD , 2018. Vol. 12, p. 2223-2231
Keywords [en]
heart failure; thirst intensity; thirst distress; trajectories; fluid restriction
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-152639DOI: 10.2147/PPA.S167724ISI: 000448168100001OAI: oai:DiVA.org:liu-152639DiVA, id: diva2:1262061
Available from: 2018-11-09 Created: 2018-11-09 Last updated: 2019-06-27

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