Selected references underwent full text review to determine final inclusion. Two reviewers (GCS, ML) independently reviewed titles and abstracts of retrieved references and determined eligibility per inclusion/exclusion criteria without conducting a quality appraisal.
#Perception definition literature software#
References were imported into citation management software (Endnote X7.7.1, Clarivate Analytics) and duplicates were removed. Article eligibility criteria are detailed in Table 1. Studies of symptom perception in adults living with HF were considered for inclusion along with expert opinion and position papers. 19 The protocol is available on request from the corresponding author. 18 The sequential process included identifying the research question, identifying and selecting relevant studies, data charting and comprehensively summarising results.
We conducted a scoping review and followed standard reporting guidelines for scoping reviews. What instruments have been used to measure HF symptom perception? What factors are associated with HF symptom perception? How has HF symptom perception been described? How has HF symptom perception been defined? This study aims to operationalise symptom perception by examining the scope of work on HF symptom perception relating to four research questions:
16, 17 These reviews identify some factors associated with symptom recognition, 17 yet gaps remain regarding symptom perception definition, modifying factors and instruments measuring this construct. Two integrative reviews 16, 17 have synthesised the literature on symptom recognition, interpretation and response. However, an overview focusing specifically on symptom perception is missing as the literature is embedded in the larger body of work on self-care. HF self-care theory, 1, 8 modifying factors 9– 11 and instruments measuring HF self-care 12– 15 have been summarised. Reviewing the available instruments for assessing symptom perception may help in measuring this construct. Understanding the factors influencing symptom perception may help identify patients at risk of poor symptom perception and develop tailored strategies for improving symptom perception. 7 Symptom perception needs to be operationalised. 6 Self-care in HF remains suboptimal worldwide. 5 In contrast, symptom recognition combined with appropriate responses decrease emergency room visits, HF hospitalisation and all-cause mortality. seeking care), 4 and prolonged hospitalisation. 1 Symptom perception is challenging for patients with HF, 2, 3 and failure to detect or interpret symptoms appropriately can result in inappropriate 3, 4 or delayed responses (e.g. 1 Symptom perception has been described as involving body listening, monitoring signs to detect physical sensations and recognising, interpreting and labelling symptoms. patient activities to maintaining physiological stability, perceiving and responding to symptoms). Symptom perception is a necessary antecedent of self-care management and has emerged as essential for effective heart failure (HF) self-care (i.e. Heart failure, symptom perception, body observation, body analysis, facilitators, barriers Introduction
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