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Knowledge and communication difficulties for patients with chronic heart failure: qualitative study

BMJ, 2000-09, Vol.321 (7261), p.605-607 [Peer Reviewed Journal]

2000 BMJ Publishing Group Ltd. ;Copyright 2000 BMJ ;2000 INIST-CNRS ;Copyright: 2000 (c) 2000 BMJ Publishing Group Ltd. ;Copyright © 2000, British Medical Journal 2000 ;ISSN: 0959-8138 ;ISSN: 0959-8146 ;EISSN: 1468-5833 ;EISSN: 1756-1833 ;DOI: 10.1136/bmj.321.7261.605 ;PMID: 10977838 ;CODEN: BMJOAE

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Title:
Knowledge and communication difficulties for patients with chronic heart failure: qualitative study
Author: Rogers, A E ; Addington-Hall, J M ; Abery, A J ; McCoy, A S M ; Bulpitt, C ; Coats, A J S ; Gibbs, J S R
Subjects: Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiology ; Cardiology. Vascular system ; Communication ; Communication Barriers ; Confusion ; Death ; Diseases ; Fatigue ; General Practice ; Heart ; Heart diseases ; Heart failure ; Heart Failure - psychology ; Heart failure, cardiogenic pulmonary edema, cardiac enlargement ; Hospital admissions ; Humans ; Medical sciences ; Memory Disorders ; Middle Aged ; Miscommunication ; Older adults ; Older people ; Patient Education as Topic ; Physician patient relationships ; Physician-Patient Relations ; Prognosis ; Short term memory ; Travel
Is Part Of: BMJ, 2000-09, Vol.321 (7261), p.605-607
Description: Abstract Objectives: To explore patients' understanding of chronic heart failure; to investigate their need for information and issues concerning communication. Design: Qualitative analysis of in-depth interviews by a constant comparative approach. Participants: 27 patients identified by cardiology and care of the elderly physicians as having symptomatic heart failure (New York Heart Association functional class of II, III, or IV) and who had been admitted to hospital with heart failure in the past 20 months. Results: Participants were aged 38–94 (mean 69 years); 20 had a New York Heart Association classification of III or IV. All had at least one concurrent illness. Participants sought information from the research interviewer about their heart failure, their prognosis, and likely manner of death. They also described several factors that could inhibit successful communication with their doctors. These included difficulties in getting to hospital appointments, confusion, short term memory loss, and the belief that doctors did not want to provide patients with too much knowledge. Conclusions: Good communication requires the ability both to listen and to impart relevant information. Effective and better ways of communicating with patients with chronic heart failure need to be tested. Disease specific barriers to effective communication, such as short term memory loss, confusion, and fatigue should be addressed. Strategies to help patients ask questions, including those related to prognosis, should be developed.
Publisher: London: British Medical Journal Publishing Group
Language: English
Identifier: ISSN: 0959-8138
ISSN: 0959-8146
EISSN: 1468-5833
EISSN: 1756-1833
DOI: 10.1136/bmj.321.7261.605
PMID: 10977838
CODEN: BMJOAE
Source: MEDLINE
Alma/SFX Local Collection
ProQuest Central

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Knowledge and communication difficulties for patients with chronic heart failure: qualitative study

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