Clinical Nursing Practice Guideline for Symptom Management of Dyspnea in Heart Failure Patient:An Integrative Reviews

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จรูญศรี มีหนองหว้า ไวยพร พรมวงค์


Dyspnea is common symptom among heart failure (HF) patients and causes of readmission. There is unclear guidelines on symptom management of dyspnea in HF patients. This integrative reviews aimed to appraise and synthesize the current literature on nursing practice guidelines (CNPGs) for management of dyspnea in HF patients. Pubmed, Google Scholar, Ovid, Thailand digital journals, Cochrane, CINIALS, ThaiLIS, and ProQuest Nursing in 2010-2018 were searched for clinical studies in HF patients. A total of 21 studies were met the review criteria include 11 studies were Level A, two studies were Level B, four studies were Level C and D. The results showed that1) educated self-care prevention of dyspnea: restricted sodium in diet, limit fluid, diuretic drugs management, influenza and pneumonia vaccination, physical exercise, avoiding what makes the symptoms worse, teach and practice skills in evaluating fluid, weighing and self-monitoring 2) dyspnea assessment including factors related dyspnea and 3) symptom management of dyspnea both non-pharmacology and pharmacology. The study provided suggestions for continuing development of the evidence-based CNPGs those appropriated as well as promote nurses' awareness to improve the use of CNPGs and to ensure high quality care for symptom management of dyspnea in HF patients, nurses should actively participate in development, implementation, and maintenance of CNPGs


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Research Article
Author Biography

จรูญศรี มีหนองหว้า, Department of Adult and Elderly Nursing, Boromarajonani College of Nursing, Sanpasittiprasong, UbonRatchathani 3400



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