Introduction. Thirst is a common symptom of chronic heart failure (CHF) patients. Difficulties to adherence with fluid restrictions are among the effects of thirst in HF patients and therefore have an impact on worsening condition, but intervention studies aimed specifically at reducing thirst in CHF are lacking.

Purpose. Purpose of this manuscript is to assess the effective intervention to reduce thirst intensity in CHF patients.

Methods. Medline, Pubmed, EBSCO and hand search were searched using the key words thirst, intervention, heart failure, CHF, fluis restriction, therapy.

Result.  Eighteen articles were found, six studies were inluded. Any kind of interventions in each articles, include: drink cold water 5oC, chewing gum, saliva substitute, sucking ice cubes and three bundle of interventions (oral swab, water sprays and menthol moisturizer).

Conclusions. The most effective interventions to alleviate thirst was sucking ice cubes. But, no intervention studies were found in congestive heart failure patients. So investigations in people with heart failure is needed.


Keywords: thirst, intervention, heart failure, systematic review


Albert, N. M., Nutter, B., Forney, J., Slifcak, E., & Tang, W. H. W. (2013). A randomized controlled pilot study of outcomes of strict allowance of fluid therapy in hyponatremic heart failure (SALT-HF). Journal of Cardiac Failure, 19(1), 1–9.

Arfany, NW., Armiyati, Y., Argo, M., Kusuma, BE. Efektifitas mengunyah permen karet dan mengulum es batu terhadap penurunan rasa haus pada pasien penyakit ginjal kronis yang menjalani hemodialisa di RSUD Tugurejo. Jurnal Keperawatan dan Kebidanan (JIKK),1–9.

Bots, C., Brand, H., Veerman, E., Korevaar, J., Valentijn-Benz, M. & Al., E. (2005). Chewing gum and a saliva substitute alleviate thirst and xerostomia in patients on haemodialysis. Nephrology Dialysis Transplantation,20,578–584.

Brunstrom, J. M. (2002). Effects of mouth dryness on drinking behavior and beverage acceptability. Physiol Behav, 76,423–429.

Brunstrom, J. M., & Macrae, A. W. (1997). Effects of Temperature and Volume on Measures of Mouth Dryness, Thirst and Stomach Fullness in Males and Females,31–42.

Eccles, R. (2000). Role of cold receptors and menthol in thirst, the drive to breathe and arousal. Appetite,34,29–35.

Greenleaf, J. (1992). Problem: Thirst, drinking behavior, and involuntary dehydration. Medicine and Science in Sports and Exercise,24(6),645–656.

Lindholm, M., Holst, M., Stro, A., & Willenheimer, R. (2008). Liberal versus restricted fluid prescription in stabilised patients with chronic heart failure: Result of a randomised cross-over study of the effects on health-related quality of life, physical capacity, thirst and morbidity,316–323.

Obika, LFO., Idu, FK., George, GO, Ajayi, OI., & Mowoe, RS. (2009). Thirst perception and drinking in euhydrate and dehydrate human subjects. Nigerian Journal of Physiological Sciences, 24(1), 25–32.

Puntillo, K., Arai, SR., Cooper, BA., Stotts, NA., & Nelson, JE. (2014). A randomized clinical trial of an intervention to relieve thirst and dry mouth in intensive care unit patients. Intensive Care Medicine,40(9),1295–1302.

Sacrias, G., Rathinasamy, ES,E., & P,A. (2015). Effect of nursing interventions on thirst and interdialytic weight gain of patients with chronic kidney disease subjected to hemodialysis. Brunei Darussalam Journal of Health,6(1),13–19.

The Joanna Briggs Institute. (2011). Joanna briggs institute reviewers manual. In The Joanna Briggs Institute (Edition Ad).

Waldreus, N., Van Der Wal, MHL., Hahn, RG., Van Veldhuisen, DJ., & Jaarsma, T. (2014). Thirst trajectory and factors associated with persistent thirst in patients with heart failure. Journal of Cardiac Failure, 20(9),689–695.



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