Effect of an orientation group for patients with chronic heart failure: randomized controlled trial

Abstract

Objective:To evaluate the effect of the orientation group on therapeutic adherence and self-care among patients with chronic heart failure. Method:Randomized controlled trial with 27 patients with chronic heart failure. The intervention group received nursing consultations and participated in group meetings with the multi-professional team. The control group only received nursing consultations in a period of four months. Questionnaires validated for use in Brazil were applied in the beginning and in the end of the study to assess self-care outcomes and adherence to treatment. Categorical variables were expressed through frequency and percentage distributions and the continuous variables through mean and standard deviation. The comparison between the initial and final scores of the intervention and control groups was done through the Student’s t-test. Results:The mean adherence in the intervention group was 13.9 ± 3.6 before the study and 4.8 ± 2.3 after the study. In the control group it was 14.2 ± 3.4 before the study and 14.7 ± 3.5 after the study. The self-care confidence score was lower after the intervention (p=0.01). Conclusion:The orientation group does not improve adherence to treatment and self-care management and maintenance and it may reduce confidence in self-care. Registry REBEC RBR-7r9f2m.

Efeito da entrevista motivacional no autocuidado de pessoas com insuficiência cardíaca: ensaio clínico randomizado

“…In this regard, changing behavior or ability for self-care implies more than providing health education. Although studies indicate that the self-care of people with HF is inadequate (11)(12)(13)(14) and that self-management educational programs have better results in this ability (22) , the present study highlights the need to improve the self-care of patients through individualized care models. For this, MI is an important tool to insert them in the planning of self-care.…”

“…Studies carried out in the United States of America (USA), Brazil and Uruguay also obtained low scores for self-care maintenance, management and confidence (13)(14)(15) , demonstrating the complexity of this problem. Self-care is a process that starts with the monitoring of therapy, involvement and motivation to adhere to the care plan, search for well-being and health, attendance to consultations and greater control of therapeutic measures.…”

Investigando el autocuidado en una muestra de pacientes con insuficiencia cardiaca descompensada: un estudio transversal

“…En relación con la gestión del autocuidado, encontramos que era improbable o poco probable en una proporción significativa de pacientes que adoptaran medidas para mejorar su salud. Nuestros hallazgos están en consonancia con los expuestos por Jaarsma et al 26 , que llevaron a cabo un análisis de los comportamientos de autocuidado en 15 países Investigando el autocuidado en pacientes con insuficiencia cardíaca 7 15 , la clave para la toma de decisiones en pacientes con IC reside en su capacidad para reconocer sus propios síntomas, promovida mediante programas educativos y modelos de atención colaborativa [29][30][31] . Sin embargo, solo el 21% de nuestros pacientes dijeron que se sentían totalmente incapaces de reconocer sus síntomas de IC, o poco capaces de hacerlo rápidamente, lo que no explica la aparente falta de iniciativa en la autogestión de su enfermedad.…”

Orientações sobre transferências na redução da intensidade da dor lombar crônica de cuidadores familiares em um ambulatório de cuidados paliativos:

“…17 Realmente, seguir as orientações exige mudança de comportamento, logo é necessária a motivação e entendimento do porquê seria melhor realizar de outra maneira. 19 No entanto, mesmo com as orientações e entrega de cartilha e boa adesão alguns pacientes não tiveram redução satisfatória do nível de dor. Uma hipótese possível seria a sobrecarga dos cuidadores avaliados.…”