NURSING DIAGNOSIS APPLIED TO PATIENTS WITH DECOMPENSATED HEART FAILUREABSTRACT: The present study aimed to identify the priority nursing diagnoses for patients with decompensated heart failure. Quantitative study conducted in a cardiac emergency service of a university of Pernambuco, between October 2014 and February 2015. The study sample was composed of 62 patients admitted for the treatment of acute decompensated heart failure, emergency inpatients and patients from any functional class. The main nursing diagnoses were Decreased Cardiac Output (87.3%), Activity Intolerance (79.4%) and Ineffective Breathing Pattern (38.1%). The signs and symptoms of decompensation caused by systemic or pulmonary congestion provided the basis for the recognition of defining characteristics that made it possible to formulate priority nursing diagnoses for these patients. DESCRIPTORS: Cardiovascular Nursing; Heart Failure; Nursing Diagnosis; Nursing Processes. ). Las señales y síntomas de la descompensación, que vienen de la congestión sistémica o pulmonar, fueron utilizadas como base para el reconocimiento de las características determinantes, las cuales posibilitaron la elaboración de los diagnósticos de enfermería prioritarios para eses pacientes.

Objective: to characterize the patients' anxiety in the preoperative period of heart surgery. Method: We conducted a cross-sectional study in which 106 patients, between one and fi ve days from the date of surgery, were interviewed using a socio-demographic questionnaire and the Beck Anxiety Inventory. Results: The evaluated patients accounted for 59.4% (63) in minimal anxiety and 19.8% (21) in the range considered severe, and the sample had a mean in the mild anxiety level (15.8±19.79). The women had scores (22.13±23.41) signifi cantly (p=0.003) higher than men (10.76±14.71); as well as patients who had undergone previous heart surgery (24.4±28.05 X 13.14±15.74). There was no signifi cant difference between older adults and younger patients, nor in terms of weight variations, presence of diabetes, or alcoholism. Conclusion: We reinforces the importance of nurses in recognizing the preoperative anxiety and intervene through strategies of health education and nursing visits. Key words: Anxiety; Heart Surgery; Health Education; Nursing; Preoperative Period. RESUMO Objetivo: caracterizar a ansiedade dos pacientes no pré-operatório de cirurgia cardíaca. Método: Foi realizado um estudo de corte transversal no qual 106 pacientes, entre um e cinco dias da data da cirurgia, foram entrevistados utilizando-se um questionário sócio-demográfi co próprio e o Inventário de Ansiedade de Beck. Resultados: Os pacientes avaliados se apresentaram em 59,4% (63) na ansiedade mínima e 19,8% (21) na faixa considerada grave, tendo a amostra uma média no nível de ansiedade leve (15,8±19,79). As mulheres tiveram escores (22,13±23,41) signifi cativamente (p=0,003) maiores que os homens (10,76±14,71); assim como os pacientes que já haviam sido submetidos a cirurgia cardíaca prévia (24,4±28,05 X 13,14±15,74). Não houve diferença signifi cativa entre idosos e pacientes adultos mais jovens, nem no tocante as variações de peso, presença de diabetes ou etilismo. Conclusão: Reforça-se a importância do enfermeiro reconhecer a ansiedade pré-operatória e intervir através de estratégias de educação em saúde e visita de enfermagem. Descritores: Ansiedade; Cirurgia Cardíaca; Educação em Saúde; Enfermagem; Período Pré-Operatório. RESUMEN Objetivo: caracterizar la ansiedad de los pacientes en el preoperatorio de cirugía cardíaca. Método: se realizó un estudio de corte transversal en el cual 106 pacientes, entre uno y cinco días de la data de la cirugía, han sido entrevistados mediante un cuestionario sociodemográfi co propio y el Inventario de Ansiedad de Beck. Resultados: los pacientes evaluados se presentaron en el 59,4% (63) en la ansiedad mínima y el 19,8% (21) en la franja considerada grave, teniendo la muestra una media en el nivel de ansiedad leve (15,8±19,79). Las mujeres tuvieron scores (22,13±23,41) signifi cativamente (p=0,003) mayores que los hombres (10,76±14,71), así como los pacientes que ya habían sido sometidos a cirugía cardíaca previa (24,4±28,05 X 13,14±15,74). No hubo diferencia signifi cativa entre personas mayores y paci...

Objective: to evaluate the quality of life of patients who underwent revascularization surgery. Method: a descriptive, crosssectional study, with quantitative approach carried out with 75 patients. The questionnaire WHOQOL-Bref was used to evaluate the quality of life (QOL). Results: patients' QOL evaluation presented a moderate result, with need of improvement of all domains. Low income patients had the worst evaluation of QOL in the domain environment (p=0,021), and the ones from Recife/metropolitan area, in the domain social relationship (p=0,021). Smoker (p=0,047), diabetic (p=0,002) and alcohol consumption (p=0,035) patients presented the worst evaluation of the physical domain. Renal patients presented the worst evaluation of QOL in the physical (P=0,037), psychological (p=0,008), social relationship (p=0,006) domains and total score (p=0,009). Conclusion: the improvement of QOL depends on the individual's process of behavioral change and the participation of health professionals is essential to formulate strategies to approach these patients, especially concerning health education. Descriptors: Quality of Life; Thoracic Surgery, Coronary Heart Disease; Chronic Disease; Nursing. RESUMO Objetivo: avaliar a qualidade de vida de pacientes submetidos à cirurgia de revascularização. Método: estudo descritivo, transversal, com abordagem quantitativa realizado com 75 pacientes. Foi utilizado o questionário WHOQOL-Bref para avaliação da qualidade de vida (QV). Resultados: Pacientes apresentaram avaliação da QV regular, com necessidade de melhora em todos os domínios. Pacientes de baixa renda tiveram pior avaliação da QV no domínio meio ambiente (p=0,021), e os procedentes de Recife/região metropolitana, no domínio relações sociais (p=0,021). Pacientes tabagistas (p=0,047), diabéticos (p=0,002) e etilistas (p=0,035) apresentaram pior avaliação da QV no domínio físico. Pacientes renais apresentaram pior avaliação da QV nos domínios físico (P=0,037), psicológico (p=0,008), relações sociais (p=0,006) e no escore total (p=0,009). Conclusão: a melhoria da QV depende de um processo de mudança de comportamento individual e a participação dos profi ssionais de saúde é essencial para elaborar estratégias de abordagem desses pacientes, principalmente no tocante à educação em saúde. Quality of life of patients who undergone myocardial revascularization surgery Araújo HVS, et al.

Pesquisa bibliométrica, com o objetivo de investigar a produção científica no campo da enfermagem relacionada à utilização do instrumento WHOQOL para avaliar a qualidade de vida. Foram selecionados 48 artigos por meio da busca on-line no site da Biblioteca Virtual de Saúde, utilizando-se os termos Enfermagem, WHOQOL e WHOQOL-BREF associados, disponíveis nos idiomas português, inglês e espanhol, nos últimos 10 anos. Os resultados apontaram que a Revista da Escola de Enfermagem da USP foi o periódico com maior quantitativo de produções dentre a seleção, apresentando 10 publicações. Na amostra selecionada, houve a predominância de artigos publicados no idioma português (78,2%) e na base de dados MEDLINE (31,5%). Quanto ao instrumento, 91,7% dos estudos utilizou o WHOQOL-BREF. Concluiu-se que são fundamentais as pesquisas para avaliar a qualidade de vida dos indivíduos com a utilização do instrumento WHOQOL, não estando saturados os estudos voltados a esta temática.

Objective: To assess the knowledge of patients receiving outpatient treatment on oral anticoagulant therapy. Method: Cross-sectional study with a quantitative approach, performed at the Emergency Hospital of Pernambuco (PROCAPE) with 100 individuals. We used specific instrument of 10 questions. Answers to scores assigned subsequently classified as insufficient knowledge, regular and adequate knowledge knowledge after cutoff. The study was approved by the Research Ethics Committee, CAAE nº30622114.2.0000.5192. Results: Only 39% of subjects had adequate knowledge about treatment. There was statistical significance in pools of knowledge with sex (p = 0.042), age (p = 0.015), years of education (p = 0.021) and average time of outpatient follow-up (p = 0.010). Conclusion: The prevalence of inadequate knowledge (61%) demonstrate the need to implement educational strategies that promote the understanding of the treatment, stimulating drug adherence and reducing possible complications

Objectives: to evaluate the factors associated to the adherence to the non-pharmacological treatment of hypertension in primary health care. Methods: cross-sectional study with 421 participants. The adherence was evaluated using the components: weight control, abdominal circumference, physical activity, and alcohol consumption. The chi-squared and Mann-Whitney’s tests were used for analysis. Results: the adherence to the control of the abdominal circumference was associated to smoking, sex, and stress. Smoking, age, and profession were associated to weight control. The adherence to a physical activity varied between the sexes and between people who used beta blockers and those who did not. Moderate alcohol consumption was associated to sex, age, profession, income, comorbidities, time using antihypertensive drugs, and using other medication. Conclusions: socioeconomic and clinical factors were associated to the adherence to the anti-hypertensive treatment. Innovative techniques, such as the transtheoretical model of change, motivational interviews, and supported self-care can help in behavioral changes.

Objective: to evaluate the quality of life of hypertensive elderly women in the Family Health Strategy. Method: cross-sectional, descriptive and quantitative study that evaluated 60 hypertensive older women using the tool World Health Organization Quality of Life with 26 items divided into four domains: social relations, psychological, physical and environment. Results: regarding the quality of life in all domains, except the psychological domain, the quality of life was considered regular. The psychological domain demonstrated a quality of life that needs to improve. Some questions are presented as unsatisfactory, such as the items: pain and discomfort, dependence on antihypertensive medications, negative feelings, lack of health care and recreation. Conclusion: understanding the health profile and the quality of life of hypertensive elderly women allows better knowledge about them and their adaptation to the condition imposed by the disease, offering support for planning care strategies and health education interventions.

Objetivo: investigar la adherencia farmacológica y el conocimiento de pacientes en tratamiento con anticoagulantes orales con acompañamiento en ambulatorio. Método: estudio transversal con enfoque cuantitativo. Resultados: se evaluaron 222 pacientes; de ellos el 60,8 % se clasificaron como no adherentes, y el 63,1 % poseían conocimiento inadecuado sobre la anticoagulación oral. La no adhesión estaba relacionada con un tratamiento más prolongado (p < 0,001) y con los pacientes con valores da International Normalized Ratio (inr) fuera del rango terapéutico (p = 0,022). El conocimiento no adecuado se asoció al menor nivel educativo (p < 0,001), al sedentarismo (p = 0,027), al menor tiempo de acompañamiento en ambulatorio (p < 0,001) y a los pacientes con valores de inr fuera del rango terapéutico (p = 0,012 ). Conclusión: con base en los resultados se evidencia la necesidad de estrategias de educación en salud que atiendan a ese público, teniendo en cuenta la comprensión individual y la adhesión farmacológica como algo crucial en la terapia.