Unmet needs following hospitalization with heart failure: Implications for clinical assessment and program planning

Lippincott Williams & Wilkins
Publication Type:
Journal Article
Journal of Cardiovascular Nursing, 2008, 23 (6), pp. 541 - 546
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Background: Measuring health status is increasingly important in both clinical practice and research. The Heart Failure Needs Assessment Questionnaire (HFNAQ) is a self-administered, disease-specific, 30-item questionnaire that measures an individuals perception of his/her needs in the physical, psychological, social, and spiritual domains. Objectives: To assess the prevalence of needs in patients with heart failure (HF)recently discharged from hospital. Methods: The HFNAQ was administered to participants (n = 132; mean [SD] age, 72.3 [9.69]years; 63% male) consenting to attend an HF-specific cardiac rehabilitation program. Results: The total mean HFNAQ score was 67.3 (95% confidence interval, 65.03Y69.75), indicating an average level of need around the midrange of the scale. In this vulnerable postdischarge phase, there was evidence of predominance of psychological and social concerns over physical needs. None of the variables that were examined for associations with the measures of needs reached statistical significance, highlighting the strongly individualized perception of need.
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