Combination of Ice Cubes Therapy and Booklet Education Against the Thirst of Congestive Heart Failure Patients: Case Report
DOI:
https://doi.org/10.37287/ijghr.v8i5.2265Keywords:
congestive heart failure, fluid restriction, health education, ice cube therapy, thirst managementAbstract
Congestive Heart Failure (CHF) often requires fluid restriction, which can cause patients to experience excessive thirst and discomfort. This article describes combining ice-sucking therapy with health education delivered via a booklet to address thirst in CHF patients on fluid restriction. This case report describes a patient with congestive heart failure (CHF) undergoing fluid restriction. The intervention consisted of ice-sucking therapy for 5–10 minutes over three consecutive days, accompanied by health education using a booklet. Thirst was assessed before and after the intervention using a 0–10 Visual Analog Scale (VAS), where higher scores indicated greater thirst intensity. Changes in thirst levels were evaluated descriptively by comparing pre- and post-intervention VAS scores. The VAS score decreased from 8 to 3 after three days of the intervention. The patient also reported reduced thirst, greater comfort during fluid restriction, and moister lip mucosa. The application of ice-sucking therapy, combined with health education via a booklet, reduced thirst levels among CHF patients undergoing fluid restriction. This evidence suggests that combining these two interventions may help alleviate thirst symptoms associated with fluid restriction.
References
Ayed, S. (2023). Impact of qualified nursing education on self-care and disease knowledge in heart failure patients. European Heart Journal, 44(Supplement_2). https://doi.org/10.1093/eurheartj/ehad655.2887
Chen, Y., Ding, J., Xi, Y., Huo, M., Mou, Y., Song, Y., Zhou, H., & Cui, X. (2023). Thirst in heart failure: A scoping review. In Nursing Open (Vol. 10, Number 8, pp. 4948–4958). John Wiley and Sons Inc. https://doi.org/10.1002/nop2.1818
Colin-Ramirez, E., Arcand, J., Saldarriaga, C., & Ezekowitz, J. A. (2024). The current state of evidence for sodium and fluid restriction in heart failure. In Progress in Cardiovascular Diseases (Vol. 82, pp. 43–54). W.B. Saunders. https://doi.org/10.1016/j.pcad.2024.01.004
Cotie, L. M., Pakosh, M., & Ghisi, G. L. de M. (2024). Inpatient vs. Outpatient: A Systematic Review of Information Needs throughout the Heart Failure Patient Journey. In Journal of Clinical Medicine (Vol. 13, Number 4). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/jcm13041085
Cuthbert, J. J., Cleland, J. G. F., & Clark, A. L. (2024). Diuretic Treatment in Patients with Heart Failure: Current Evidence and Future Directions—Part II: Combination Therapy. In Current Heart Failure Reports (Vol. 21, Number 2, pp. 115–130). Springer. https://doi.org/10.1007/s11897-024-00644-2
Eng, S. H., Jaarsma, T., Lupón, J., González, B., Ehrlin, J., Díaz, V., Bayes-Genis, A., & Waldréus, N. (2021). Thirst and factors associated with frequent thirst in patients with heart failure in Spain. Heart and Lung, 50(1), 86–91. https://doi.org/10.1016/j.hrtlng.2020.08.002
Fazry, I. M., & Kristinawati, B. (2026). Effectiveness of Health Education Using Booklets Towards Ability Self-Care for Heart Failure Patients. Indonesian Journal of Global Health Research, 8(3), 1059–1068. https://doi.org/10.37287/ijghr.v8i3.971
Herrmann, J. J., Beckers-wesche, F., Ehjm Baltussen, L., Verdijk, M. H., Bellersen, L., Brunner-la Rocca, H., Jaarsma, T., Pisters, R., Sanders-van Wijk, S., Rodwell, L., Van Royen, N., Frank Gommans, D., & Van Kimmenade, R. R. (2022). Fluid REStriction in Heart Failure vs Liberal Fluid UPtake: Rationale and Design of the Randomized FRESH-UP Study. https://doi.org/10.1016/j
Jaarsma, T., Hill, L., Bayes-Genis, A., La Rocca, H. P. B., Castiello, T., Čelutkienė, J., Marques-Sule, E., Plymen, C. M., Piper, S. E., Riegel, B., Rutten, F. H., Ben Gal, T., Bauersachs, J., Coats, A. J. S., Chioncel, O., Lopatin, Y., Lund, L. H., Lainscak, M., Moura, B., … Strömberg, A. (2021). Self-care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology. European Journal of Heart Failure, 23(1), 157–174. https://doi.org/10.1002/ejhf.2008
Kato, N. P., Nagatomo, Y., Kawai, F., Kitai, T., & Mizuno, A. (2024). Fluid Restriction for Patients with Heart Failure: Current Evidence and Future Perspectives. In Journal of Personalized Medicine (Vol. 14, Number 7). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/jpm14070741
Kristinawati, B., Glorino, M., Pandin, R., Yuman Tanaya, V., & Arifudin, N. F. (2025). The Role of Psychoeducation in Promoting Long-Term Behavioral Maintenance among Patients with Heart Failure: A Systematic Review. https://orcid.org/0009-0006-6409-7958
McDonagh, T. A., Metra, M., Adamo, M., Baumbach, A., Böhm, M., Burri, H., Čelutkiene, J., Chioncel, O., Cleland, J. G. F., Coats, A. J. S., Crespo-Leiro, M. G., Farmakis, D., Gardner, R. S., Gilard, M., Heymans, S., Hoes, A. W., Jaarsma, T., Jankowska, E. A., Lainscak, M., … Koskinas, K. C. (2021). 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. In European Heart Journal (Vol. 42, Number 36, pp. 3599–3726). Oxford University Press. https://doi.org/10.1093/eurheartj/ehab368
Nakaya, T. G., Conchon, M. F., Garcia, A. K. A., Uchôa, E. T., & Fonseca, L. F. (2021). Effects of the ice popsicle on vasopressin, osmolality, thirst intensity, and thirst discomfort. Revista Gaucha de Enfermagem, 42, 1–8. https://doi.org/10.1590/1983-1447.2021.20190449
Nurmajid, H., & Kristinawati, B. (2026). Efektivitas Intervensi Booklet Edukasi Kesehatan dalam Meningkatkan Kualitas Hidup pada Pasien Gagal Jantung. Health Information : Jurnal Penelitian, 18(1), 12–22. https://doi.org/10.36990/hijp.v18i1.1805
Satti, Y. C., & Irwandy, F. (2024). Evaluation of Sucking Ice Cube and Frozen Fruit on Thirst in Congestive Heart. 7(2), 314–320. https://doi.org/10.52774/jkfn.v7i2.145
Savarese, G., Becher, P. M., Lund, L. H., Seferovic, P., Rosano, G. M. C., & Coats, A. J. S. (2022). Global burden of heart failure: a comprehensive and updated review of epidemiology. In Cardiovascular Research (Vol. 118, Number 17, pp. 3272–3287). Oxford University Press. https://doi.org/10.1093/cvr/cvac013
Shahim, B., Kapelios, C. J., Savarese, G., & Lund, L. H. (2023). Global Public Health Burden of Heart Failure: An Updated Review. Cardiac Failure Review, 9. https://doi.org/10.15420/cfr.2023.05
Tsai, H.-Y., Chao, A., & Hsiao, W.-L. (2023). The effectiveness of cold oral stimuli in quenching postoperative thirst: A systematic review and meta-analysis. Intensive and Critical Care Nursing, 75. https://doi.org/https://doi.org/10.1016/j.iccn.2022.103359
Wefer, F., Krüger, L., Waldréus, N., & Köpke, S. (2024). Non-pharmacological interventions to reduce thirst in patients with heart failure or hemodialysis: A systematic review and meta-analysis. Heart & Lung, 67, 33–45. https://doi.org/https://doi.org/10.1016/j.hrtlng.2024.04.012
Wu, L., Rodriguez, M., El Hachem, K., & Krittanawong, C. (2024). Diuretic Treatment in Heart Failure: A Practical Guide for Clinicians. In Journal of Clinical Medicine (Vol. 13, Number 15). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/jcm13154470
Zheng, Y., Chen, Q., Xia, C., & Liu, H. (2025). Thirst symptoms in patients with heart failure: An integrative review. Journal of Advanced Nursing, 81(1), 35–52. https://doi.org/https://doi.org/10.1111/jan.16250.
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