# Status and influencing factors of home-based fluid management in patients with chronic heart failure

## TL;DR

This study examines how patients with chronic heart failure manage fluids at home and finds that their ability is moderate and influenced by factors like gender and health conditions.

## Contribution

The study identifies key factors affecting home-based fluid management in CHF patients and highlights the need for personalized care plans.

## Key findings

- CHF patients have moderate home-based fluid management capacity with a mean score of 83.15.
- Self-care confidence and monitoring are weaker aspects of fluid management.
- Gender, marital status, disease duration, and comorbidities significantly influence fluid management.

## Abstract

To investigate the status of home-based fluid management among patients with chronic heart failure (CHF) and analyze its influencing factors.

From October to December 2022, 165 hospitalized patients diagnosed with CHF (New York Heart Association functional class II–IV) were selected using convenience sampling from three tertiary hospitals in Zhejiang Province. Participants were surveyed using a general information questionnaire and the Body Fluid Management Self-Rating Scale for CHF patients (BFMSS).

The overall home-based fluid management capacity of CHF patients was at a moderate level, with a mean score of 83.15 ± 18.89. Among the dimensions, the highest to lowest scores were: self-care management, self-care confidence, self-care monitoring, and self-care maintenance. Gender (P = 0.014), marital status (P = 0.001), disease duration (P = 0.003), and comorbidities (P = 0.006) were identified as significant influencing factors for home-based fluid management.

The home-based fluid management capacity of CHF patients requires improvement and is influenced by multiple factors. Healthcare providers should develop tailored, comprehensive home-based fluid management plans to improve patient outcomes.