The effect of fluid restriction monitoring guidelines using the Heart Failure Self-Care Application (Aplikasi Perawatan Mandiri Heart Failure/ATRIA) on reducing risk of fluid retention in heart failure patients at Dr. Saiful Anwar Hospital Malang
Abstract
Heart failure patients are often at risk of rehospitalization due to recurrent symptoms such as dyspnea, edema, pulmonary congestion, and rapid weight gain resulting from fluid retention. This study aimed to analyze the impact of guided fluid restriction using the ATRIA application on risk of fluid retention in heart failure patients. The quasi-experimental method was used with a posttestonly control group design. Simple random sampling was carried out to select respondents, with the intervention group given the ATRIA application and the control group receiving a booklet intervention. The study duration was four weeks, with 16 respondents in the intervention group and 15 respondents in the control from Dr. Saiful Anwar Hospital, Malang. Data analysis used an independent sample t-test to assess differences in body and weekly weight changes. The results
showed no significant difference in body weight between the intervention and control groups each week (p > 0.05). Similarly, there was no significant difference change in body weight between the two groups (p > 0.05). In conclusion, there is no distinction observed between the ATRIA application and booklet concerning fluid restriction guidelines for reducing risk of fluid retention in heart failure patients. The results suggested that nurses could provide educational services and monitor the condition of heart failure patients using either application or booklet. Future studies are recommended to analyze factors that might impact fluid retention in heart failure patient.
References
Perhimpunan Dokter Kardiovaskular Indonesia (PERKI). Pedoman tatalaksana gagal jantung, Edisi pertama, Jakarta: PERKI, 2015.
Reyes EB, Ha JW, Firdaus I, Ghazi AM, Phrommintikul A, Sim D, et al. Heart failure across Asia: same healthcare burden but differences in organization of care. Int J Cardiol 2016; 223:163-7. https://doi.org/10.1016/j.ijcard.2016.07.256.
Gensini GF, Alderighi C, Rasoini R, Mazzanti M, Casolo G. Value of telemonitoring and telemedicine in heart failure management. Card Fail Rev 2017; 3(2):116. https://doi.org/10.15420/cfr.2017:6:2.
Desai AS, Stevenson LW. Rehospitalization for heart failure: predict or prevent? Circulation 2012;126(4):501-6. https://doi.org/ 10.1161/circulationaha.112.125435.
Iqbal MA, Gupta M. Cardiogenic pulmonary edema. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024. PMID: 31334980.
McMurray JJ, Adamopoulos S, Anker SD, Auricchio A, Böhm M, Dickstein K, et al. Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur Heart J 2012;33(14):1787-847. https://doi.org/ 10.1093/eurheartj/ehs104.
Lefler LL, Rhoads SJ, Harris M, Funderburg AE, Lubin SA, Martel ID, et al. Evaluating the use of mobile health technology in older adults with heart failure: mixed-methods study. JMIR Aging 2018;1(2):e12178. https://doi.org/10.2196/12178
Feijen M, Egorova AD, Beeres SL, Treskes RW. Early detection of fluid retention in patients with advanced heart failure: a review of a novel multisensory algorithm, HeartLogicTM. Sensors 2021;21(4):1361. https://doi.org/10.3390/s21041361.
Houston BA, Kalathiya RJ, Kim DA, Zakaria S. Volume overload in heart failure: an evidence-based review of strategies for treatment and prevention. InMayo Clinic Proceedings 2015; 90 (9):1247-61. https://doi.org/ 10.1016/j.mayocp.2015.05.002.
Hansen B. Fluid overload. Front Vet Sci 2021; 8:668688. https://doi.org/ 10.3389/fvets.2021.668688.
Satou GM, Rheuban K, Alverson D, Lewin M, Mahnke C, Marcin J, et al. Telemedicine in pediatric cardiology: a scientific statement from the American Heart Association. Circulation 2017;135(11):e648-78. https://doi.org/ 10.1161/cir.0000000000000478.
White MF, Kirschner J, and Hamilton MA. Self-care guide for the heart failure patient. Circulation 2014; 129(3). https://doi.org/10.1161/circulationaha.113.003991.
Inglis SC, Clark RA, McAlister FA, Ball J, Lewinter C, Cullington D, et al. Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Cochrane Database Sys Rev 2010; 8. https://doi.org/ 10.1002/14651858.CD007228.pub2.
Delaney C, Apostolidis B, Bartos S, Morrison H, Smith L, Fortinsky R. A randomized trial of telemonitoring and self-care education in heart failure patients following home care discharge. Home Health Care Manag Pract 2013; 25(5):187-95. https://doi.org/10.1177/108482231247513.
Radhakrishnan K, Jacelon C. Impact of telehealth on patient self-management of heart failure: a review of literature. J Cardiovas Nurs 2012; 27(1):33-43. https://doi.org/ 10.1097/jcn.0b013e318216a6e9.
Kiyarosta N, Ghezeljeh TN, Naghashzadeh F, Feizi M, Haghani S. The effect of using smartphone applications on self-care in patients with heart failure. Nurs Prac Today 2020; 7(4):311-21. https://doi.org/10.18502/npt.v7i4.4041.
Lukitasari M, Kusumastuty I, Nugroho DA, Rohman MS, Kristianingrum ND. Gagal jantung: perawatan mandiri dan multidisiplin. Malang: Universitas Brawijaya Press; 2021.
Heiney SP, Donevant SB, Adams SA, Parker PD, Chen H, Levkoff S. A smartphone app for self-management of heart failure in older African Americans: feasibility and usability study. JMIR Aging 2020;3(1):e17142. https://doi.org/10.2196/17142.
American Heart Association. Managing heart failure symptoms [Internet]. www.heart.org. 2017. Available from: https://www.heart.org/en/health-topics/heart-failure/warning-signs-of-heart-failure/managing-heart-failure-symptoms.
