2019/03/21 by Macy L. Stockdill, Macy Stockdill, Patricia A. Patrician +1 · 1 citation
Medicine · Nursing · #CINAHL #Cardiac Health and Mental Health #Chronic Disease Management Strategies #Clinical psychology #Distress #Exacerbation #Heart Failure Treatment and Management #Heart failure #Intensive care medicine #Internal medicine #MEDLINE #Medicine #Nursing #Psychiatry #Psychological intervention #Quality of life (healthcare) #Scopus
paper · doi:10.1177/0193945919833710
crossref issued 2019/03/21 · crossref published 2019/03/21 · crossref published-online 2019/03/21 · openalex publication_date 2019/03/21 · crossref created 2019/03/21 · crossref published-print 2019/10/01 · openalex created_date 2025/10/10 · crossref deposited 2026/05/01 · crossref indexed 2026/07/31 · openalex updated_date 2026/08/01
Heart failure is a common, complex, and costly condition accompanied by a high degree of symptom burden. The concept of heart failure symptom burden has been used and measured inconsistently in research. To develop effective symptom management and palliation strategies, a clear conceptual understanding is needed. Rodgers' evolutionary method of concept analysis was used to identify articles in CINAHL, Embase, Scopus, and PubMed focused on chronic heart failure. Analysis of 20 articles revealed key attributes (subjectivity, negative impact on daily life and/or overall functioning, synergistic symptom associations, and symptom exacerbation), related terms (symptom distress and symptom experience), a surrogate term (heart failure burden), antecedents (heart failure classification or stage), and consequences (increased morbidity/mortality, decreased functioning, increased symptom prevalence/severity, decreased quality of life, and recurrent hospital admissions). No gold standard for measurement was identified. Research is needed to validate heart failure symptom burden measurement strategies across populations.