ABSTRACT
Objective:To understand the level of thirst distress in heart failure and analyze its influencing factors, in order to provide a theoretical basis for implementing the intervention measures to alleviate patients′ thirst distress.Methods:A total of 187 patients with heart failure who met the inclusion criteria from the First Affiliated Hospital and the Second Affiliated Hospital of Dalian Medical University from November 2019 to October 2020 were selected as the research objects. The General Information Questionnaire, Thirst Distress Scale-Heart Failure, Generalized Anxiety Disorder 7-item Scale, Patient Health Questionaire-9 and Brief Illness Perception Questionnaire were used to investigate heart failure patients. Multiple linear regression was used to explore the influencing factors of heart failure patients′ thirst distress.Results:The score of thirst distress in heart failure patients was (23.95 ± 4.21), multiple stepwise linear regression analysis showed that heart function grade, diuretic usage, anxiety, depression and disease perception were the influencing factors of thirst distress in patients with heart failure, which explained 41.9% of the thirst distress in heart failure patients.Conclusions:The thirst distress of heart failure patients is in the middle level, and its thirst distress is affected by many factors, clinical medical staff should pay attention to the severity of thirst distress in patients with heart failure, actively develop different intervention measures to reduce patients′ thirst sensation, and explore effective schemes to alleviate thirst distress in patients with heart failure.
ABSTRACT
Objective:To investigate the effect of peppermint decoction spray on thirst distress and quality of life of patients with chronic heart failure.Methods:By convenient sampling method, a total of 122 chronic heart failure patients admitted to Guangzhou Red Cross Hospital from January to September 2020 were enrolled, who were assigned to experimental group and control group, 61 cases, respectively. Routine nursing and volume management were implemented in the two groups. The control group was treated with pure water spray, while the experimental group implemented peppermint decoction spray therapy, continuous treatment for 10 days. The clinical effect was assessed by Thirst Distress Scale for Patients with Heart Failure (TDS-HF) and Minnesota Living with Heart Failure Questionnaire (MLHFQ), respectively.Results:After 5 days and 10 days of treatment, the scores of TDS-HF were (12.80 ± 3.29) and (11.82 ± 2.63) in the experimental group, lower than that in the control group (15.29 ± 4.26) and (14.26 ± 3.74), the difference was statistically significant ( t=3.48, 4.04, both P<0.01); after 10 days of treatment, the physical dimension, emotional dimension and total MLHFQ scores were (56.12 ± 9.22), (51.21 ± 12.83) and (52.18 ± 6.09) in the experimental group, higher than that in the control group (50.82 ± 9.84), (49.10 ± 11.72) and (47.83 ± 5.44), the difference was statistically significant ( t=2.96, 3.53, 4.02, all P<0.05). Conclusions:Peppermint decoction spray therapy can effectively alleviate thirst distress and promote quality of life of patients with chronic heart failure.