Real experience of nutritional support in patients with chronic heart failure and acute decompensation: a qualitative research
10.3760/cma.j.cn115682-20220409-01716
- VernacularTitle:慢性心力衰竭急性失代偿患者营养支持真实体验的质性研究
- Author:
Yongliang LI
1
;
Minhui ZHONG
;
Fang ZHU
;
Chan YU
;
Xia DUAN
Author Information
1. 同济大学医学院,上海 200092
- Keywords:
Heart failure;
Acute decompensation;
Nutritional support;
Experience;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2022;28(35):4870-4876
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the real experience of nutritional support in patients with chronic heart failure and acute decompensation during hospitalization, understand the common needs, so as to provide a reference for implementing targeted support and constructing nutritional support programs for this group in the future.Methods:From January to February 2022, 15 patients with chronic heart failure and acute decompensation in Jiading District Central Hospital Affiliated Shanghai University of Medicine &Health Sciences were interviewed in depth in a one-to-one, semi structured way using the purposeful sampling method. Colaizzi phenomnological 7-step analysis method was applied to analyze, summarize and refine the theme.Results:Through detailed analysis of data, five themes were extracted, namely, diversification of emotional experience, polarization of nutrition emphasis, dissatisfaction with hospital nutrition support, health related behavior change, and internal drive.Conclusions:Acute decompensated patients with chronic heart failure experience a variety of emotional experiences on nutritional support during hospitalization, and are dissatisfied with hospital nutritional support. Their attention to nutrition is polarized. The change of health behavior is manifested in the awareness of nutrition, positive change and willingness to participate in nutrition decision-making. Therefore, medical staff should speed up and improve the promotion of nutritional support programs for patients with chronic heart failure to promote their rehabilitation and improve their quality of life.