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Background: Thirst can be aggravated in patients with heart failure (HF), and optimization of HF medication can have positive impact on thirst.
Objectives: The aims of this study were to describe changes in thirst intensity and to determine factors associated with high thirst intensity during optimization of HF medication.
Methods And Results: Patients with HF (N = 66) who were referred to an HF clinic for up-titration of HF medication were included. Data were collected during the first visit to the clinic and at the end of the treatment program. Data were dichotomized by the median visual analog scale score for thirst, dividing patients into 2 groups: low thirst intensity (0-20 mm) and high thirst intensity (>20 mm on a visual analog scale of 0-100 mm). In total, 67% of the patients reported a higher thirst intensity after the HF up-titration program. There was no difference in thirst intensity between the patients who reached target doses and those who did not. Plasma urea level (odds ratio, 1.33; 95% confidence interval, 1.07-1.65) and fluid restriction (odds ratio, 6.25; 95% confidence interval, 1.90-20.5) were independently associated with high thirst intensity in patients with HF.
Conclusions: Thirst intensity increased in two-thirds of the patients during a time period of optimization of HF medication. Fluid restriction and plasma urea levels were associated with high thirst intensity.
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http://dx.doi.org/10.1097/JCN.0000000000000319 | DOI Listing |
J Res Nurs
December 2024
Professor of Nursing and Chair of Health Service Research, Catherine McAuley School of Nursing & Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.
Background: Heart failure (HF) patients can experience poor appetite and intense thirst. The Thirst Distress Scale for HF (TDS-HF) and the Simplified Nutritional Appetite Questionnaire (SNAQ) are tools used to assess these symptoms. However, these questionnaires are not currently available in Thai.
View Article and Find Full Text PDFJ Appl Physiol (1985)
December 2024
Faculty of physical activity sciences, Université de Sherbrooke, P.Q., Canada.
Understanding how hydration status influences pain perception is particularly important in older adults, as both dehydration and pain are prevalent in this population. Ten individuals (70 ± 4 years) completed two randomized and counterbalanced trials. They were exposed to passive heat until they lost 1% body mass through sweat and urine (~ 100 min), with the loss either unreplaced (sham infusion, HYPO) or fully replaced via 0.
View Article and Find Full Text PDFHeart Lung
November 2024
Nursing Direction, Medical Center, University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, Freiburg 79106, Germany.
Nurs Crit Care
October 2024
Nanfang Hospital, Southern Medical University, Guangzhou, China.
Background: Thirst is a clinical discomfort symptom reported by most patients admitted to intensive care unit (ICU). Little is known about the dynamic change and risk factors of intense thirst in neuro-intensive care unit (Neuro-ICU).
Aim: The objective of this study was to explore the dynamic change and determine the risk factors of intense thirst in patients admitted to Neuro-ICU, providing reference for personalized interventions of intense thirst.
G Ital Nefrol
August 2024
U.O. Nefrologia e Dialisi, Ospedale "M. Bufalini", Cesena, Italia.
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