Chronic Heart Failure Patients’ Perceptions on their Palliative Care Needs

Objective: The aim of this study was to investigate the perceptions of patients with chronic heart failure regarding palliative care needs. Method: The study used a qualitative design. Five patients with chronic heart failure (New York Heart Association functional classes III or IV) were interviewed in inpatient unit at the main referral government hospital in Indonesia. Data was analyzed using content analysis. Results: Patients reported dyspnea and fatigue as the most common signs and symptoms of chronic heart failure. Psychologically, patients experience fear and believe that the disease is the most serious illness. Declining body functions and quality of life are the reasons chronic heart failure patients need palliative care. Professional treatment, end-of-life care, information, support, and motivation are identified as the needs of patients in palliative care. Conclusions: The findings provide valuable information for health care professionals about the needs of patients with chronic heart failure in relation to palliative care.