Adesão ao tratamento de pacientes com insuficiência cardíaca em um hospital universitário

Castro, Raquel Azevedo de; Aliti, Graziella Badin; Linhares, Joelza Chisté; Rabelo, Eneida Rejane

doi:10.1590/s1983-14472010000200004

Cited by 23 publications

(25 citation statements)

References 15 publications

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“…A descriptive study conducted at a hospital in Rio Grande do Sul with 252 volunteers showed that previous knowledge of non-pharmacological care and identification of the symptoms of congestion were correlated with adherence to treatment. This study further found that low adherence to pharmacological or non-pharmacological treatment was one of the main causes of decompensation of HF in 92% of the participants (19) . Therefore, by helping the patients acquire knowledge about HF and its treatment, the nurses play an important role because they promote adherence to healthy behaviors.…”

Section: Rev Esc Enfermsupporting

confidence: 56%

Insuficiência cardíaca: expressões do conhecimento das pessoas sobre a doença

Freitas

Püschel

2013

Rev. esc. enferm. USP

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RESUMO ABSTRACTThis qualitative study characterized individuals with heart failure (HF) according to their sociodemographic, health, and treatment profiles and analyzed their knowledge on the disease and its treatment. A total of 42 volunteers with HF were interviewed at a cardiology hospital in São Paulo using a semi-structured questionnaire; the data were subjected to content analysis. The sample comprised mostly males and individuals older than 45 years old; the sample was classified as functional class II with associated comorbidities and was subjected to pharmacological treatment. The type of knowledge exhibited by the sample was illustrative, diagnostic, and explanatory, and many different meanings were attributed to the disease. Most volunteers did not know the names, doses, or frequencies of use of their medications. Non-pharmacological treatment was identified as related to the information provided by the healthcare professionals about nutrition and salt and water intake. The results pave the road for systematic educational interventions that can improve the coping with and management of this disease. DESCRIPTORSHeart failure Knowledge Health education Nursing care RESUMENInvestigación de naturaleza cualitativa que tuvo como objetivos caracterizar personas con Insuficiencia Cardiaca (IC), según el perfil sociodemográfico, de salud y de tratamiento; así como, analizar el conocimiento sobre la enfermedad y el tratamiento. Fueron entrevistados 42 pacientes con IC, en un hospital de cardiología de Sao Paulo, se utilizó un cuestionario semiestructurado, cuyos datos fueron tratados por el análisis del contenido. Predominó el sexo masculino, edad mayor a 45 años, clase funcional II, con enfermedades asociadas y tratamiento farmacológico. Del análisis del contenido surgieron las categorías: conocimiento sobre la enfermedad y conocimiento sobre el tratamiento. El conocimiento es ilustrativo, diagnóstico y explicativo, atribuyéndose muchos significados a la enfermedad. La mayoría desconoce el nombre, la dosis y la frecuencia del uso de los medicamentos. El tratamiento no farmacológico se relaciona con las orientaciones de los profesionales de salud sobre alimentación, sal e ingestión hí-drica. Los resultados revelan perspectivas para intervenciones educativas sistematizadas que puedan contribuir a un mejor enfrentamiento y manejo de la enfermedad. DESCRIPTORES Insuficiencia cardiaca ConocimientoEducación en salud Atención de enfermería

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Section: Rev Esc Enfermsupporting

confidence: 56%

Insuficiência cardíaca: expressões do conhecimento das pessoas sobre a doença

Freitas

Püschel

2013

Rev. esc. enferm. USP

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“…Having been held by telephonic means, impersonality in this type of contact can cause the patient to not feel comfortable to expose their feelings or be less interested in contributing substantially to the research. The literature shows that the establishment of the professional-patient relationship is essential to help identify problems and develop mechanisms to overcome them; stimulating the patient and increasing contact with them can become good strategies to prevent poor adherence and succeed in treatment (29). Even if the telephone contact is recognized as a valid method for conducting research in food and nutrition, one phone contact was insufficient to increase the adherence to the dietary prescription in this study (35).…”

Section: (1607%) Reason 4 -Individual and Behavioral Characteristicsmentioning

confidence: 83%

“…High percentages of poor adherence were also found in another crosssectional study involving 252 patients aged over 18 years and who had decompensated heart failure. The results showed 11% of the sample had low adherence to drug treatment, while 82% reported low adherence to non-pharmacological treatment (29).…”

Section: (1607%) Reason 4 -Individual and Behavioral Characteristicsmentioning

confidence: 96%

Abandonment to therapeutic diet on patients at risk cardiovascular in a health care clinic

Galdino¹,

Lima²,

Souza³

et al. 2016

Nutr Hosp

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Pizzato Galdino T, Oliveira de Lima VC, Matias de Souza I, Fayh AP. Abandonment to therapeutic diet on patients at risk cardiovascular in a health care clinic. ResumenIntroducción: las enfermedades cardiovasculares son la causa principal de muerte entre los adultos y las medidas para revertir esta situación se aplican a través de cambios en el estilo de vida, entre ellos, adoptar una alimentación saludable a través de orientación profesional. Para hacer esto, necesitamos mantener al paciente comprometido con el tratamiento, ya que el abandono de dicho tratamiento es un factor de riesgo importante en esta población. Objetivos: evaluar el abandono al tratamiento con dieta de pacientes con riesgo cardiovascular tratados de manera ambulatoria e identifi car las razones del abandono del tratamiento. Métodos: los participantes eran pacientes entre 18 y 70 años de edad, de ambos sexos, que recibieron su primera consulta nutricional y poseían dos o más factores de riesgo cardiovascular. Un contacto telefónico se realizó aplicando un cuestionario al abandono sobre las razones para el tratamiento, y aconsejándolos que regresaran al servicio de salud comprobando si efectivamente regresaban a los tres meses del contacto telefónico. Resultados: de los 142 pacientes con riesgo cardiovascular, 61,26% no regresó al servicio posterior a la primera visita, un porcentaje similar al encontrado en otros estudios, y fueron contactados por teléfono 64,37% de ellos. En relación a la razón principal para el retiro o abandono, difi cultades siguiendo la dieta y características individuales/de comportamiento del paciente fueron los aspectos que contribuyeron al abandono (57,14%), corroborando los hallazgos que muestran la infl uencia de factores culturales y socioeconómicos en la adherencia al tratamiento. Aunque el 92,86% de los pacientes mostraron estar satisfechos con el servicio y 75% han reportado interés en retomar el tratamiento, solo 5.36% de los pacientes regresaron al servicio posterior al contacto telefónico. Conclusión: hubo un alto abandono del tratamiento nutricional, principalmente debido a la difi cultad de organización requerida para seguir la dieta. La intervención motivacional no fue sufi ciente para motivar un regreso al tratamiento. AbstractBackground: Cardiovascular diseases are the leading cause of death among adults and measures to reverse this situation go through changes in lifestyle, among them adopt healthy eating through professional counseling. To do this we need to keep the patient engaged in treatment, and the abandonment of treatment is an important risk factor in this population.Objectives: To assess abandonment to dietary treatment of patients with cardiovascular risk treated on an outpatient basis, and identify the reasons for the abandonment of treatment.Methods: Participants were patients between 18 and 70 years, of both sexes, who held their fi rst nutritional consultation and had two or more cardiovascular risk factors. A telephone contact was made by applying a questionnaire on the withdrawal of r...

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“…[26][27][28] Therefore, regarding the monitoring of heart failure patients the need for effective interventions able to improve adherence and self-care prevails. Due to the high occurrence of the disease in adults over 65 the presence of a caregiver often becomes necessary for greater treatment efficacy 3 , besides family involvement.…”

Section: Discussionmentioning

confidence: 99%

Desafios para o cuidado da insuficiência cardíaca: pesquisa exploratória com enfermeiras em Ontario Challenges for the heart failure care: exploratory research with nurses in Ontario

Correia

Mesquita

Singh

et al. 2016

R. pesq. cuid. fundam. online

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Desafios para o cuidado da insuficiência cardíaca: pesquisa exploratória com enfermeiras em OntarioChallenges for the heart failure care: exploratory research with nurses in Ontario Desafíos para el cuidado de la insuficiencia cardíaca: investigación exploratoria con las enfermeras en Ontario ABSTRACTObjectives: to observe the implementation of Canadian protocols for patients with heart failure, and identify with nurses, health education aspects. Method: exploratory research in the period from August to December 2013, where the data collection was carried out by observation during the Shadow Experience and interview of Canadian nurses. For data analysis, we used descriptive statistics. Results: 28 patients were observed in the Shadow Experience strategy at different levels of care, and 13 nurses interviewed. In health education, interpersonal contact was the most used strategy (69.23%), treatment was the priority share (76.92%), followed by prevention (30.77%). There are challenges with respect to harmful lifestyle habits, and self-care considered ineffective (38.46%). Conclusion: interpersonal interaction, which involved professionals and Canadian individuals at different levels of care, helped to identify in their implementation, basic actions and challenges for heart failure.Descriptors: nursing; heart failure; primary care; international educational exchange. RESUMENObjetivos: Observar la implementación de protocolos canadienses para los pacientes con insuficiencia cardíaca, y se identifican con las enfermeras, los aspectos de educación sanitaria. Método: investigación exploratoria en el período de agosto a diciembre de 2013, donde la recogida de datos se llevó a cabo mediante la observación durante la experiencia de la sombra y la entrevista de las enfermeras canadienses. Para el análisis de datos se utilizó la estadística descriptiva. Resultados: Se observaron 28 pacientes en la estrategia de la experiencia de la sombra a diferentes niveles de atención, y 13 enfermeras entrevistadas. En la educación sanitaria, el contacto interpersonal fue la estrategia más utilizada (69,23%), el tratamiento fue la cuota de prioridad (76,92%), seguido de la prevención (30,77%). Hay desafíos con respecto a los hábitos de vida nocivos, y el autocuidado considerados ineficaces (38,46%). Conclusión: la interacción interpersonal, que involucró a profesionales y particulares canadienses en diferentes niveles de atención, ayudó a identificar en su aplicación, las acciones básicas y los desafíos para la insuficiencia cardíaca. Descriptores: enfermería; insuficiencia cardíaca; atención primaria; intercambio educativo internacional.

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Adesão ao tratamento de pacientes com insuficiência cardíaca em um hospital universitário

Abstract: tratamento de pacientes com insuficiência cardíaca em um hospital universitário. Rev Gaúcha Enferm., Porto Alegre (RS) 2010 jun;31(2):225-31. ADESÃO AO TRATAMENTO DE PACIENTES COM INSUFICIÊNCIA CARDÍACA EM UM HOSPITAL UNIVERSITÁRIO

Cited by 23 publications

References 15 publications

Insuficiência cardíaca: expressões do conhecimento das pessoas sobre a doença

Insuficiência cardíaca: expressões do conhecimento das pessoas sobre a doença

Abandonment to therapeutic diet on patients at risk cardiovascular in a health care clinic

Desafios para o cuidado da insuficiência cardíaca: pesquisa exploratória com enfermeiras em Ontario Challenges for the heart failure care: exploratory research with nurses in Ontario

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