Journal of Multidisciplinary Healthcare (Sep 2022)
Quantitative and Qualitative Research on Management Strategies for Dyspnoea in Elderly Patients with Coronary Heart Disease Complicated with Chronic Heart Failure
Abstract
Ya-Nan Niu,1,* Rui Li,2,* Pei Zhao,1 Piao He,1 Yan-Ling Li,2 Yun Wang3 1Department of Spine Surgery, Affiliated Hospital of Hebei University, Baoding, People’s Republic of China; 2Department of Tuberculosis, Affiliated Hospital of Hebei University, Baoding, People’s Republic of China; 3Department of Nursing, Xingtai Medical College, Xingtai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yun Wang, Department of Nursing, Xingtai Medical College, No. 618 Iron and Steel North Road, Xindu District, Xingtai City, Hebei Province, 054000, People’s Republic of China, Tel +8613703120786, Email [email protected]: To investigate the most effective strategies for the management of dyspnoea in elderly patients with coronary atherosclerotic heart disease (CHD) complicated with chronic heart failure (CHF).Methods: The best management plans for dyspnoea were evaluated using quantitative and qualitative research techniques for a total of 120 senior patients with CHD complicated with CHF. A self-made questionnaire on dyspnoea management strategies served as the survey instrument for the cross-sectional quantitative investigation. A phenomenological approach served as the framework for the qualitative study, which involved semi-structured interviews with 12 elderly patients who had CHD complicated by CHF. Data were gathered through audio recordings, and the Colaizzi method was used to analyse the data.Results: A data analysis of the qualitative research results revealed the four strategies for dyspnoea management that were most effective: using drugs, inhaling oxygen, staying in a comfortable position and maintaining air circulation. These were consistent with the most effective strategies identified by the quantitative findings. There was no significant difference in the choice of dyspnoea management strategies for men and women (t = 0.968, P = 0.806); patients tended to use multiple integrated strategies to manage dyspnoea.Conclusion: Health care providers should consider employing individualised combinations of dyspnoea management strategies to assist elders with CHD complicated with CHF during acute exacerbations of dyspnoea.Keywords: elderly people, CHD complicated with CHF, dyspnoea, management strategies, quantitative research, qualitative research
