ABSTRACT
Objective To investigate the status quo of hope level as well as the relationship between the hope level and social support in patients with chronic heart failure (CHF). Method A total of 120 CHF patients were surveyed by Herth hope index (HHI) and social support rating scale (SSRS). Results The overall HHI score and SSRS were (30.2±4.2) and (38.4±6.2), respectively. Both were at a medium level. The general score of HHI was positively related to general SSRS (r=0.527, P＜0.01). Conclusions Both of HHI and SSRS of patients with CHF are at moderate level. The patients with higher level of social support have better hope level. Nurses should take pertinent interventions to improve the social support of CHF, helping them to improve their hope and respond to diseases effectively.
ABSTRACT
Objective To explore the true experience of patients living with end-stage heart failure Methods The phenomenological methodology was used in the study.Eleven inpatients with end-stage heart failure were treated with semi-structured interviews and recorded live. Colaizzi method was used for data analysis with Nvivo11.0. Results Four themes were extracted:perceivestressful heart failuresymptoms; complex psychological experience, both negative and positive response coexist;perceive insufficient medical system support;ambivalent attitude toward death. Conclusion Health care providers should pay attention to the physical and psychological feelings of patients with end-stage heart failure, take targeted interventions to alleviate their suffering, provide palliative care while providing heart failure management to patients, and attach importance to communication with patients to help them recognize death correctly. At the same time, we should promote the development of grass-roots health institutions and provide patients with more convenient and adequate medical resources.