Objective: to evaluate in the literature the effectiveness of the health education interventions in self-care and adherence to treatment of patients with Chronic Heart Failure. Method: a systematic review with meta-analysis. Studies were selected that compared health education interventions with the usual care to assess the outcomes of adherence and self-care. The quality of the methodological evidence was assessed by the Grading of Recommendations, Assessment, Development and Evaluation system. Results: the educational interventions were more effective in relation to the usual care in the outcome of adherence (fixed effect=0-3841; p-value <0.001). There was no statistical difference in the outcome of self-care (fixed effect=0.0063; p-value=0.898). Conclusion: the educational interventions improved the outcome of adherence, though not self-care in the patient with Heart Failure.

Objective: To analyze sociodemographic and clinical characteristics, depressive symptoms and quality of life of patients with heart failure and associate quality of life with depressive symptoms. Method: A cross-sectional study conducted with outpatients and inpatients. Sociodemographic data were collected and questionnaires were applied to assess quality of life (Minnesota Living with Heart Failure Questionnaire) and depressive symptoms (Beck Depression Inventory). Results: The sample consisted of 113 patients. Outpatients were retired (p=0.004), with better education (p=0.034) and higher ventricular ejection fraction (p=0.001). The inpatient group had greater depressive symptoms (18.1±10 vs 14.6±1.3; p=0.036) and lower quality of life (74.1±18.7 vs 40.5±3.4; p<0.001) than the outpatient group. Outpatients with depressive symptom scores from 18 points had worse quality of life scores in 17 of the 21 questions. Conclusion: Inpatients had worse depressive symptoms and quality of life, which was more affected in the physical dimension in those with moderate/severe depressive symptoms. Outpatients with more severe depressive symptoms had worse quality of life in all dimensions.

Heart failure (HF) is a disabling illness with significant morbidity and mortality, affecting at least 26 million people worldwide, and is increasing in prevalence. 1 In spite of optimal medical treatment, many patients continue to show a high prevalence of symptoms, 2-6 including dyspnea, fatigue, edema, 7 as well as psychosocial distress. [8][9][10][11] This burden of symptoms contributes to a high morbidity and poor health-related quality of life -HRQoL. 7,12,13 The HF patient's quality of life itself is associated with prognosis, hospitalizations, and mortality. 14,15 Mindfulness is described as the ability to pay attention in a particular way: on purpose, at the present moment, and non-judgmentally. 16 Mindfulness-based intervention (MBI) includes meditative exercises, using focused breathing as a tool, and has been effective in reducing stress, anxiety, and depressive symptoms, 17,18 as well as in improving physical functioning 17,19,20 and decreasing cardiovascular sympathetic activity in randomized controlled trials-RCTs. 19,20 Over the past decade, many RCT's have presented evidence on the effectiveness of MBI in several chronic conditions, such as cancer, depression, chronic pain,

RESUMO Objetivo Mapear os termos registrados em prontuários de pacientes com insuficiência cardíaca descompensada para diagnósticos e intervenções de enfermagem da NANDA Internacional e Classificação de Intervenções de Enfermagem. Método Pesquisa exploratória, descritiva, realizada através do mapeamento cruzado. Os dados foram coletados em 107 prontuários de um hospital do município do Rio de Janeiro/RJ, no período entre outubro de 2017 e fevereiro de 2019. Os diagnósticos e intervenções mapeados foram avaliados por quatro peritos. A análise dos dados foi realizada pelo índice de validação de conteúdo e o Kappa de Fleiss. Resultados Os diagnósticos de enfermagem mais frequentes foram: risco de infecção (74,8%), débito cardíaco diminuído (55,1%) e volume de líquidos excessivo (49,5%). As intervenções foram: monitoração de sinais vitais (79,4%), monitoração hídrica (72,9%) e posicionamento (52,3%). Conclusão A pesquisa mapeou 32 títulos de diagnósticos de enfermagem da NANDA-I e 21 intervenções de enfermagem da NIC. Os diagnósticos e intervenções mapeados irão contribuir para a qualidade do registro de enfermeiros e segurança do paciente.

The management of surgical drains is a common practice in perioperative nursing care, so it is necessary to analyze the interventions of these professionals and their approximation with standardized language systems that help in a more effective practice. Objective:To analyze which nursing interventions are performed in the perioperative period regarding the management of drains. Method:Integrative review that searched the CINAHL, PuBMed, LILACS and Scopus databases, publications that answered the question: What are the nursing interventions in the management of drains in the perioperative period? Results:Ninety (90) publications were collected, but only eight (08) met the eligibility criteria. Among them, the following interventions were highlighted: cleaning and dressing change; coverage assessment carefully with materials and techniques; emotional support; physical exam; Health education; patient positioning; pain control; signs of infection; secretion control and removal of the device. Conclusion:It is noted that there is a distance between assistance and the interventions proposed by the NIC. Thus, Nursing must still walk in order to solve this gap.