Evidence map›Paper›PMID 24335834›Full record

ArticleThe Journal of cardiovascular nursing

Symptom perceptions and self-care behaviors in patients who self-manage heart failure.

Katherine M Reeder, Patrick M Ercole, Gina M Peek, Carol E Smith

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07184541 (The Effect of a Nurse-led Daily Weight Monitoring Intervention), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07184541 narecruitingnot on this map

The Effect of a Nurse-led Daily Weight Monitoring Intervention (Wake and Weigh) on Heart Failure Quality of Life and Self-care

TypeinterventionalSponsorLee Anne SiegmundRan2024 to 2026Enrolled42ConditionsHeart FailureArmsWake and Weigh, Usual care
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Symptom Management in Chronic Heart Failure: Strategies and Behaviours From Patients' Perspectives-A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Managing 'sick days' in patients with chronic conditions: An exploration of patient and healthcare provider experiences.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  15. Article
  16. Association between Residence Location and Pre-Hospital Delay in Patients with Heart Failure.International journal of environmental research and public health · 2021
    Article
  17. Article
  18. Evaluation of the Heart Failure in Internet Patient Information: Descriptive Survey Study.International journal of environmental research and public health · 2021
    Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Katherine M ReederKatherine M. Reeder, PhD, RN Research Assistant Professor, Goldfarb School of Nursing at Barnes-Jewish College, St Louis, Missouri. Patrick M. Ercole, PhD, MPH Assistant Professor, Goldfarb School of Nursing at Barnes-Jewish College, St Louis, Missouri. Gina M. Peek, MSN, RN Assistant Professor, Newman Division of Nursing, Emporia State University, Kansas. Carol E. Smith, PhD, RN, FAAN Professor, School of Nursing & Preventive Medicine, Kansas University Medical Center, Kansas City.
Patrick M Ercole
Gina M Peek
Carol E Smith
Barnes-Jewish College · US

Funding

HF Group Appointments Rehospitalization PreventionR01HL085397 · NHLBI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SMITH, CAROL E · 2006 to 2011
$3.7M
Timeliness of Symptom Recognition, Interpretation, and Reporting in Heart FailureR00NR012217 · NINR · BARNES-JEWISH HOSPITAL · PI REEDER, KATHERINE MARIE · 2012 to 2014
$538k
Timeliness of Symptom Recognition, Interpretation, and Reporting in Heart FailureK99NR012217 · NINR · UNIVERSITY OF KANSAS MEDICAL CENTER · PI REEDER, KATHERINE MARIE · 2010 to 2011
$154k
NHLBI NIH HHS R01 HL085397NHLBI NIH HHS R01HL085397NINR NIH HHS K99 NR012217NINR NIH HHS R00 NR012217NINR NIH HHS R00NR012217
6 · The paper itself

Abstract

backgroundPatients with heart failure (HF) are at heightened risk for acute exacerbation requiring hospitalization. Although timely reporting of symptoms can expedite outpatient treatment and avoid the need for hospitalization, few patients recognize and respond to symptoms until acutely ill.

objectiveThe purpose of this study was to explore patients' perceptions of symptoms and self-care behaviors for symptom relief, leading up to a HF hospitalization.

methodsTo examine prehospitalization symptom scenarios, semistructured interviews were conducted with 60 patients hospitalized for acute decompensated HF.

resultsThirty-seven patients (61.7%) said that they had a sense that "something just wasn't quite right" before their symptoms began but were unable to specify further. Signs and symptoms most often recognized by the patients were related to dyspnea (85%), fatigue (53.3%), and edema (41.7%). Few patients interpreted their symptoms as being related to worsening HF and most often attributed symptoms to changes in diet (18.3%) and medications (13.3%). Twenty-six patients (43.3%) used self-care strategies to relieve symptoms before hospital admission. More than 40% of the patients had symptoms at least 2 weeks before hospitalization.

conclusionsDespite the wide dissemination of HF evidence-based guidelines, important components of symptom self-management remain suboptimal. Because most of HF self-management occurs in the postdischarge environment, research is needed that identifies how patients interpret symptoms of HF in the specific contexts in which patients self-manage their HF. These findings suggest the need for interventions that will help patients expeditiously recognize, accurately interpret, and use appropriate and safe self-care strategies for symptoms.

Indexed as

Health Knowledge, Attitudes, PracticeAdultAgedAged, 80 and overCross-Sectional StudiesDyspneaEdemaFatigueFemaleHeart FailureHumansInterviews as TopicMaleMiddle AgedPatient AdmissionSelf Care

Identifiers

PMID24335834
PMCPMC4116472
OpenAlexW1995176333

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.