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Symptom recognition and health care seeking among immigrants and native Swedish patients with heart failure

Journal article
Authors Azar Hedemalm
Maria Schaufelberger
Inger Ekman
Published in BMC Nursing
Volume 7
Issue 1
Pages 9
ISSN 1472-6955
Publication year 2008
Published at Institute of Medicine, Department of Emergeny and Cardiovascular Medicine
Institute of Health and Care Sciences
Pages 9
Language en
Subject categories Cardiac and Cardiovascular Systems


ABSTRACT: BACKGROUND: It is not known what patient perceptions or beliefs lead to beneficial decisions or response patterns in symptom interpretation among heart failure (HF) patients, especially immigrants. The aim of this study was to explore and compare symptom recognition and health care seeking patterns among immigrants and native Swedes with HF. METHODS: The study used a qualitative design. Semi-structured interviews were conducted with 42 patients with HF, of whom 21 were consecutively selected immigrants and 21 were randomly selected Swedish patients. The interviews were analysed using content analysis. RESULTS: A majority of the immigrant patients sought health care for symptoms and signs, such as breathing difficulties, fatigue and swelling. Twice as many immigrants as Swedes were unaware of "what the illness experience entailed" and which symptoms indicated worsening of HF. CONCLUSION: The symptoms that patients sought care for, were similar among immigrants and Swedes. However, when interpreting symptoms more immigrants were unaware of the connection between the symptoms/signs and their HF condition. More tailored educational interventions might improve recognition of worsening symptoms in immigrant patients with chronic heart failure.

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