Research Progress on Capacity Management in Patients with Chronic Heart Failure

Ming-Juan ZHANG, Chun-Xiao FANG, Chang-Ping SONG

Abstract


Fluid retention is the first inducement in patients with decompensated heart failure (62.7%) and deterioration of heart failure[2]. The main reason for fluid retention is poor medication adherence and inability to strictly control the intake of fluids in the diet. It has not adjusted to diuretics according to their own conditions, such as high salt diet. Studies have shown that CHF patients' lack of self-management ability is to monitor body weight and urine daily and control liquid intake[3]. Xiaochun[4] investigated 178 cases of CHF, and found that 84.8% of the patients did not monitor the intake and output, 80.3% thought it was worthless to monitor the weight and intake, 66.3% did not know how to deal with the data of body weight and intake and output, 46.1% did not know the attentions of taking diuretics. The patient's capacity management is also affected by factors such as age, low cultural level, memory impairment, and visual loss. The inability of the medical staff to accurately assess and inform
the patient's adjustment of liquid intake is also an important factor in capacity management. In the hospital, the best assessment of fluid state and monitoring of hemodynamics are important parts of nursing work, effective volume management strategy can effectively reduce the 30 day rehospitalization rate of patients with heart failure[5]. Improving the patient's ability to monitor body weight and access capacity and informing the patient's criteria for adjusting the
amount of entry and exit are beneficial to CHF patients to identify symptoms early and avoid liquid retention.


Keywords


Chronic heart failure, Capacity management, High volume assessment


DOI
10.12783/dtbh/icmsb2018/25443

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