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Thirst Trajectory and Factors Associated With Persistent Thirst in Patients With Heart Failure
Institution:1. Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Linköping, Sweden;2. Department of Research, Södertälje Sjukhus, Södertälje, Sweden;3. Department of Cardiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands;4. Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden;1. Division of Cardiology, Vanderbilt University Medical Center, Nashville, Tennessee;2. Pharmacy Practice, Lipscomb University College of Pharmacy, Nashville, Tennessee;3. Department of Biostatistics, Vanderbilt University School of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee;4. Cardiovascular Surgery, Vanderbilt University Medical Center, Nashville, Tennessee;1. United Heart and Vascular Clinic, St Paul, Minnesota;2. University of Iowa, Iowa City, Iowa;1. Department of Nursing, College of Medicine, National Cheng Kung University, Tainan City, Taiwan (R.O.C);2. Division of Acute, Critical, and Long-term Care, University of Michigan School of Nursing, Ann Arbor, Michigan;3. Neuropsychology Section, Department of Psychiatry and Department of Neurology, University of Michigan School of Medicine, Ann Arbor, Michigan
Abstract:BackgroundThirst is often increased in patients with heart failure (HF) and can cause distress during the course of the condition. The aim of the present study was to describe the trajectory of thirst during an 18-month period and to identify variables associated with persistent thirst in patients with HF.Methods and ResultsData were collected from 649 patients with HF with the use of the Revised Heart Failure Compliance Scale at 1, 6, 12, and 18 months after a period of hospital treatment for worsening HF. Thirst trajectory was described for the 4 follow-up visits and logistic regression analysis was used to identify factors independently associated with persistent thirst. In total, 33% (n = 212) of the patients reported thirst on ≥1 occasions and 34% (n = 46) continued to have thirst at every follow-up visit. Nineteen percent (n = 121) of the patients had persistent thirst. Patients with persistent thirst were more often younger and male and had more HF symptoms. Higher body mass index and serum urea also increased the risk of persistent thirst.ConclusionsPatients with HF who were thirsty at the 1-month follow-up were more often also thirsty at subsequent visits. Assessment of thirst is warranted in clinical practice because one-fifth of patients suffer from persistent thirst.
Keywords:Thirst  heart failure  trajectory  persistent thirst
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