ArticleThe Journal of cardiovascular nursing2022
Heart Failure Knowledge, Symptom Perception, and Symptom Management in Patients With Heart Failure.
Article in The Journal of cardiovascular nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.
What it found
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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.
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Who cites it
11 citing papers in PubMed, 16 citations in OpenAlex.
- Current status and global trends in self-care among patients with heart failure: challenges and opportunities.The journal of cardiovascular aging · 2026Article
- Tailored Text Messaging Intervention to Improve Self-Care in Patients With Heart Failure (Text4HF): Protocol for a Pilot Randomized Controlled Trial.JMIR research protocols · 2026Article
- Digital Literacy and Heart Failure Self-Care in Older Patients and Their Caregivers: Dyadic Analysis Using the Actor-Partner Interdependence Model.JMIR aging · 2026Article
- Family cohesion and adaptability in heart failure: an APIMeM analysis of symptom perception and spousal caregiving on patient self-care.Frontiers in medicine · 2026Article
- Depression and risk of hospital readmission in older patients with heart failure: a systematic review and meta-analysis.Frontiers in cardiovascular medicine · 2026Review
- Recognition of worsening heart failure symptoms, help-seeking attitudes, and time-to-presentation in chronic heart failure: a single-center KAP study in China.Frontiers in cardiovascular medicine · 2026Article
- Multidimensional Determinants of Functional Status in Patients with Heart Failure.Heart international · 2025Article
- Latent profile and influencing factors of volume management behaviors in patients with chronic heart failure: a cross-sectional study.Frontiers in cardiovascular medicine · 2025Article
- Using the 5Ms Framework to Advance Aging-Responsive Care for Heart Failure with Reduced Ejection Fraction.Clinical interventions in aging · 2025Review
- Translation and psychometric validation of the Heart Failure Symptom Tracker (HFaST).BMC cardiovascular disorders · 2024Article
- Mediators of the Association Between Cognitive Function and Self-care Behaviors in Patients Hospitalized With an Exacerbation of Heart Failure.The Journal of cardiovascular nursingObservational
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundPrevention of heart failure (HF) exacerbations requires that patients carefully self-manage their condition. Symptom perception is a key component in self-care for patients with HF that involves monitoring for HF symptoms and recognizing symptom changes. Heart failure knowledge is a prerequisite for better symptom perception and symptom management. However, the relationships among HF knowledge, symptom perception, and symptom management remain unclear.
objectiveThe aim of this study was to explore the inter-relationships among HF knowledge, symptom monitoring, symptom recognition, and symptom response in patients with HF.
methodWe included 185 patients with HF in this study. Heart failure knowledge was measured using the Dutch HF Knowledge Scale. Symptom monitoring, symptom recognition, and symptom response were measured using the Self-care of HF Index. Structural equation modeling was used for data analyses.
resultsHeart failure knowledge was associated with symptom monitoring (β = .357, P < .001). Symptom monitoring was directly associated with both symptom recognition (β = .371, P < .001) and symptom response (β = .499, P < .001). Symptom recognition was directly associated with symptom response (β = .274, P < .001). Heart failure knowledge was not directly associated with symptom recognition, nor with symptom response. Heart failure knowledge was indirectly associated with symptom recognition and symptom response through symptom monitoring.
conclusionSymptom monitoring is associated with both symptom recognition and symptom response and is a mediator between HF knowledge and symptom recognition and between HF knowledge and symptom response. This finding suggests that it is important for clinicians not just to increase patients' HF knowledge but also to enhance their skills of symptom monitoring and symptom recognition and promote symptom monitoring among patients to improve symptom response in self-care.
Identifiers
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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.