Patient-centered care is essential in high-quality health care, as it leads to beneficial outcomes for patients. The objective of this review is to systematize indicators for the care of patients with cardiometabolic diseases based on patient-centered care, extending from the stages of diagnostic evaluation and care planning to intervention. An integrative literature review was conducted by searching seven scientific databases, and a narrative analysis was performed. A total of 15 articles were included, and indicators related to diagnosis and care planning/intervention were extracted. In the planning of care centered on the person with cardiometabolic diseases, the individuality, dynamics of the processes, flexibility and the participation of all stakeholders should be taken into account. The needs of the person must be addressed through the identification of problems; establishment of individual goals; shared decision making; information and education; systematic feedback; case management; meeting the patient’s preferences and satisfaction with care; engagement of the family; and therapeutic management. The indicators for intervention planning extracted were behavioral interventions, therapeutic management programs, lifestyle promotion, shared decision making, education patient and information, interventions with the use of technology, promotion of self-management, program using technology, therapeutic relationship, therapeutic adherence programs and specialized intervention.

Obesity is the main risk factor for several sleep breathing disorders, including obstructive sleep apnea syndrome (OSAS), either alone or associated with chronic obstructive pulmonary disease (COPD), and alveolar obesity-hypoventilation syndrome (AOHS). In several of these conditions, the indicated treatment includes the use of non-invasive ventilation during sleep, such as the use of continuous positive airway pressure (continuous positive airway pressure or CPAP) and two-level pressure (BIPAP, bi-level positive airway pressure). In this chapter, a brief review is made of what the most recent studies say regarding the treatment of SOHA with non-invasive ventilation (NIV), comparing different ventilation modes and/or treatments.

Objetivos: Elaborar uma Norma de Orientação Clínica de abordagem ao doente cirúrgico com delirium, com base em Normas de Orientação Clínicas já existentes e avaliar se a aplicação de intervenções multicomponentes promovem a segurança dos doentes cirúrgicos com delirium, internados numa Unidade de Cuidados Cirúrgicos de um Hospital Central. Metodologia: Foi adaptada uma Norma de Orientação Clínica baseada em evidência científica atual, mediante a utilização do processo ADAPTE. Posteriormente foi avaliada a efetividade da aplicação da mesma, através de uma análise retrospetiva, referente ao mês de dezembro de 2016 e de 2017. Foi criado um instrumento de recolha de dados e efetuada a sua análise estatística recorrendo a folhas de cálculo em Excel. Resultados: Foi elaborada a Norma de Orientação Clínica "Abordagem do delirium no doente cirúrgico". Após a implementação da mesma verificou-se uma diminuição na incidência de delirium, tempo de internamento e de consequências associadas. Conclusão: A implementação de medidas multicomponentes, inseridas em Norma de Orientação Clínica baseadas em evidência, demonstram influenciar positivamente a qualidade dos cuidados prestados por enfermeiros, promovendo a segurança do doente e os ganhos em saúde. Descritores: Delirium; segurança do paciente; guias de prática clínica como assunto; avaliação de resultado de intervenções terapêuticas.

Objective: The aim of this study is to characterize the cardiometabolic risk of individuals who were infected with the SARS-CoV-2 virus and subsequently admitted to a hospital in a major city in mainland Portugal. Methods: This is a retrospective exploratory study using a sample of 102 patients, with data analysis including descriptive statistics, nonparametric measures of association between variables based on Spearman’s rank-order correlation, a logistic regression model for predicting the likelihood that an individual might eventually pass away, and a multiple linear regression model to predict a likely increase in the number of days an infected patient remained in the hospital. Results: About 62.7% of the individuals required intensive care on the second day of hospitalization, remaining 14.2 days in the intensive care unit (ICU) on average. The likelihood that an individual might eventually pass away due to SARS-CoV-2 virus infection increases for the older than younger ones and increases even more if he/she suffers from cardiometabolic disorders such as obesity, especially cardiovascular disease. Older individuals and those with obesity and hypertension remained more days in the ICU. Conclusions: A later age and the prevalence of cardiometabolic disorders severely affect the care pathway of individuals infected with the SARS-CoV-2 virus.