Clinical Associate Professor, School of Nursing; John A. Hartford Postdoctoral Fellow, University of Pennsylvania.
Symptom clusters of heart failure†
Article first published online: 31 JUL 2009
Copyright © 2009 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 32, Issue 5, pages 551–560, October 2009
How to Cite
Jurgens, C. Y., Moser, D. K., Armola, R., Carlson, B., Sethares, K. and Riegel, B. (2009), Symptom clusters of heart failure. Res. Nurs. Health, 32: 551–560. doi: 10.1002/nur.20343
John A Hartford Foundation Building Academic Geriatric Nursing Capacity. The project described was partially supported by a Center grant, 1P20NR010679 from NIH, National Institute of Nursing Research to Debra K. Moser, University of Kentucky. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research or the National Institutes of Health.
- Issue published online: 7 SEP 2009
- Article first published online: 31 JUL 2009
- Manuscript Accepted: 17 JUN 2009
- heart failure;
Patients with heart failure (HF) report multiple symptoms. Change in symptoms is an indicator of HF decompensation. Patients have difficulty differentiating HF symptoms from comorbid illness or aging. The study purpose was to identify the number, type, and combination of symptoms in hospitalized HF patients and test relationships with comorbid illness and age. A secondary analysis from a HF registry (N = 687) was conducted. The sample was 51.7% female, mean age 71 ± 12.5 years. The theory of unpleasant symptoms informed the study regarding the multidimensional nature of symptoms. Factor analysis of nine items from the Minnesota Living with HF Questionnaire resulted in three factors, acute and chronic volume overload and emotional distress. Clusters occurred more frequently in older patients, but caused less impact. © 2009 Wiley Periodicals, Inc. Res Nurs Health 32:551–560, 2009