Associação entre autocuidado e reinternação hospitalar de pacientes com insuficiência cardíaca

Abstract

Association between self-care and hospital readmissions of patients with heart failure ABSTRACT Objective: to assess the association between self-care and the number of hospital readmissions of patients with heart failure (ADHF) and test the applicability of two self-care assessment tools. longitudinal study, performed in a cardiology reference hospital in southern Brazil. Method: it included 82 patients with a mean age of 61.85±12.33 years, 57.3% male. The mean score of self-care assessment found the scales European Heart Failure Self-care Behavior Scale and Self-care Scale for Patients with Heart Failure was unsatisfactory. Results: it was observed an average of 2.57±1.66 rehospitalization last year for decompensated heart failure. There was a correlation between self-care scores with the number of hospital readmissions for decompensated HF. Education and age were associated to selfcare of HF patients. Conclusion: both scales assess self-care in a relevant way, and correlated their indexes. Descriptors: Heart Failure; Self-Care; Hospitalization; Nursing; Chronic Disease. RESUMO Objetivo: verifi car associação entre o autocuidado e o número de reinternações hospitalares de pacientes com diagnóstico de insufi ciência cardíaca (IC) descompensada, bem como testar a aplicabilidade de dois instrumentos de avaliação de autocuidado. Estudo longitudinal, realizado em um hospital de referência cardiológica do sul do Brasil. Método: foram incluídos 82 pacientes, com idade média de 61,85±12,33 anos, 57,3% do sexo masculino. O escore médio da avaliação de autocuidado encontrado pelas escalas European Heart Failure Self-care Behavior Scale e a Escala de Autocuidado para Pacientes com Insufi ciência Cardíaca foi insatisfatório. Resultados: foi verifi cada uma média de 2,57±1,66 reinternações hospitalares no último ano por descompensação da IC. Houve correlação entre os escores de autocuidado com número de reinternações hospitalares por IC descompensada. Escolaridade e idade mostraram-se associadas ao autocuidado dos pacientes com IC. Conclusão: ambas as escalas avaliam o autocuidado de forma relevante, sendo correlacionados os seus índices. Descritores: Insufi ciência Cardíaca; Autocuidado; Hospitalização; Enfermagem; Doença Crônica. RESUMEN Objetivo: evaluar la asociación entre el autocuidado y el número de reingresos hospitalarios de pacientes con insufi ciencia cardíaca (ICAD) y probar la aplicabilidad de los dos instrumentos de evaluación de autocuidado. estudio longitudinal, realizado en un hospital de referencia de cardiología en el sur de Brasil. Método: se incluyó a 82 pacientes con una edad media de 61,85±12,33 años, el 57,3% hombres. La media de puntuación de la evaluación de autocuidado encontró el escalas insufi ciencia cardiaca Self-care Escala de Conducta Europeo y de la Escala sobre el cuidado personal para pacientes con insufi ciencia cardíaca fue insatisfactoria. Resultados: se observó un promedio de 2,57±1,66 rehospitalización año pasado para la insufi ciencia cardíaca descompensada. Hubo una correlación en...

Rehospitalisation rates and associated factors within 6 months after hospital discharge for patients with chronic heart failure: A longitudinal observational study

“…It is associated with impaired quality of life and increased mortality in HF patients (Howlett, 2011). Moreover, rehospitalisation creates a great psychological and financial burden for HF patients (Desai & Stevenson, 2012;Linn, Azollin, & Souza, 2016).…”

“…Many factors are associated with hospital admission, but at least half of these admissions of HF patients are preventable if the risk factors can be identified (Linn et al, 2016). The literature on this subject has identified several nonclinical factors (e.g., age, race, gender, living alone and village area), clinical factors (e.g., blood pressure, heart rate, blood glucose, blood urea nitrogen and comorbidities) and psychological factors (e.g., depression and anxiety) that are closely depressive symptoms and not living with family members are key determinants that influence rehospitalisation for this population.…”

“…HF is a chronic condition that requires a substantial amount of self-care (Navidian et al, 2017;Riegel et al, 2011). A study of HF in patients showed that the main reason for hospitalisation was nonadherence to therapeutic regimens, and admission was particularly related to patients' self-care deficit (Linn et al, 2016). However, few studies explored the impact of self-care on rehospitalisation among Chinese HF patients.…”

Avaliação Do Autocuidado Nos Portadores De Insuficiência Cardíaca

“…O resultado corrobora com uma pesquisa realizada no Rio Grande do Sul, pacientes com maior escolaridade apresentaram maiores escores de autocuidado (14) . Assim como em nosso estudo, quanto maior a escolaridade do paciente, maior a facilidade deste para compreender sua patologia, sinais/sintomas e maior facilidade na tomada de decisões para a promoção, recuperação e proteção da sua saúde.…”

Predictors for self‐management in older adults with type 2 diabetic nephropathy

“…Regarding the relationship between re-hospitalisation and self-management, De Vito,D'Addario, Lascio, Villari and Damiani (2013) found that re-admission is associated with self-administration of interventions. Another study found that the number of re-admissions in the past year is related to self-care behaviour (Linn, Azzolin, & Souza, 2016 Kurnia et al (2017) found that treatment, perceived self-efficacy, social support and situational influences are predictors of self-management in patients with type 2 diabetes. Improving self-efficacy and receiving good social and environmental support promote good self-management for adults with type 2 diabetes.…”