Objective: Identifying Nursing Diagnoses of fatigue, activity intolerance and decreased cardiac output in hospitalized patients with heart failure and verifying the association between the defining characteristics and the Nursing Diagnoses. Method: A longitudinal and prospective study that followed hospitalized patients with heart failure for three weeks. The data collected through interviews and physical examinations were sent to expert nurses for diagnostic inference. Descriptive and inferential statistical analyses were carried out. Results: Of the 72 patients, 68.0% were male and presented the nursing diagnosis of decreased cardiac output (62.5%) in the first week, reducing to 52.8% and 38% in the second and third weeks, respectively. Fatigue only appeared in one patient. Activity intolerance was the diagnosis that had the greatest discrepancy among the experts. Decreased cardiac output was associated to the defining characteristics: dyspnea, edema, jugular venous distension and reduced ejection fraction during all three weeks of evaluation. Conclusion: Decreased cardiac output was more prevalent in hospitalized patients with heart failure, and the associated defining characteristics were determining factors for this nursing diagnosis.
Objectives: to analyze treatment adherence in heart failure (HF) patients followed up by the
nursing staff at specialized clinics and its association with patients'
characteristics such as number of previous appointments, family structure, and
comorbidities. Methods: a cross-sectional study was conducted at two reference clinics for the treatment
of HF patients (center 1 and center 2). Data were obtained using a 10-item
questionnaire with scores ranging from 0 to 26 points; adherence was considered
adequate if the score was ≥ 18 points, or 70% of adherence. Results: a total of 340 patients were included. Mean adherence score was 16 (±4) points.
Additionally, 124 (36.5%) patients showed an adherence rate ≥ 70%. It was
demonstrated that patients who lived with their family had higher adherence
scores, that three or more previous nursing appointments was significantly
associated with higher adherence (p<0.001), and that hypertension was
associated with low adherence (p=0.023). Conclusions: treatment adherence was considered satisfactory in less than a half of the
patients followed up at the two clinics specialized in HF. Living with the family
and attending to a great number of nursing appointments improved adherence, while
the presence of hypertension led to worse adherence.
Objective:To evaluate the effect of the orientation group on therapeutic adherence and
self-care among patients with chronic heart failure. Method:Randomized controlled trial with 27 patients with chronic heart failure. The
intervention group received nursing consultations and participated in group
meetings with the multi-professional team. The control group only received nursing
consultations in a period of four months. Questionnaires validated for use in
Brazil were applied in the beginning and in the end of the study to assess
self-care outcomes and adherence to treatment. Categorical variables were
expressed through frequency and percentage distributions and the continuous
variables through mean and standard deviation. The comparison between the initial
and final scores of the intervention and control groups was done through the
Student’s t-test. Results:The mean adherence in the intervention group was 13.9 ± 3.6 before the study and
4.8 ± 2.3 after the study. In the control group it was 14.2 ± 3.4 before the study
and 14.7 ± 3.5 after the study. The self-care confidence score was lower after the
intervention (p=0.01). Conclusion:The orientation group does not improve adherence to treatment and self-care
management and maintenance and it may reduce confidence in self-care. Registry
REBEC RBR-7r9f2m.
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