Insuficiência cardíaca descompensada na unidade de emergência de hospital especializado em cardiologia

Mangini, Sandrigo; Silveira, Fábio Serra; Silva, Christiano Pereira; Grativvol, Petherson Suzano; Seguro, Luis Fernando Bernal da Costa; Ayub‐Ferreira, Silvia Moreira; Mocelin, Amílcar Oshiro; Cardoso, Luiz Francisco; Bacal, Fernando; Bocchi, Edimar Alcides

doi:10.1590/s0066-782x2008000600008

Cited by 33 publications

(29 citation statements)

References 21 publications

(19 reference statements)

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“…The severity and characteristics of the patients in group B reinforce previous observations that patients with signs of cardiogenic shock, renal failure and Chagas disease with extensive myocardial damage, and those who are poorly oriented, have poorer progress in the group. (12,14,16) Although negative results for adherence to treatment were not found, the length of hospitalization for compensation of heart failure patients in this study was higher than that reported in the literature, a mean of nine days for severely ill patients. (15) It is known that the length of hospitalization for compensation of patients is an important aspect, since it implies costs of treatment.…”

Section: Discussioncontrasting

confidence: 77%

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Ações de autocuidado em portadores de insuficiência cardíaca

Nascimento

Püschel

2013

Acta paul. enferm.

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Objective: Identify self-care actions of patients with heart failure in two settings: the emergency and outpatient care units, and to identify the main precipitating factors of heart decompensation. Methods: Cross-sectional study including 120 patients with heart failure in two settings, emergency and outpatient care units. Three validated instruments were used. Results: There was no statistically significant difference between the self-care groups, with low scores on weight control, vaccination and communication. Most of the study population was elderly, retired, with Chagas disease, and patients from the emergency care unit had the worst levels of urea, creatinine and hemoglobin. Conclusion: The patients practice self-care when they perceive aggravation in their clinical conditions and communication, weight control and vaccination, with no difference between the groups. Heart failure in emergency room patients may be associated with sociodemographic factors and characteristics of severity, including hemodynamic profile related to prolonged hospitalization and high mortality. ResumoObjetivo: Identificar as ações de autocuidado em portadores de insuficiência cardíaca em dois cenários: no pronto socorro e no ambulatório e identificar os principais fatores precipitantes de descompensação. Métodos: Estudo transversal no qual foram incluídos 120 portadores de insuficiência cardíaca em dois cenários: ambulatório e pronto socorro. Foram utilizados três instrumentos validados. Resultados: Não houve diferença estatisticamente significativa do autocuidado entre os grupos, com baixa pontuação sobre o controle de peso, vacinação e comunicação. A maioria da população de estudo era de idosos, aposentados, com doença de Chagas e, no grupo do pronto socorro tivemos os piores níveis de ureia, creatinina e hemoglobina. Conclusão: Os pacientes praticam o autocuidado na percepção de piora clínica e comunicação; controle de peso e vacinação, sem diferença entre os grupos. A descompensação nos pacientes do pronto socorro pode estar associada a fatores sociodemográficos e características de gravidade, incluindo o perfil hemodinâmico, relacionado à prolongada internação e alta letalidade.

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Section: Discussioncontrasting

confidence: 77%

“…(14,19) Our study frequently found the combination of congestion and low output, in addition to isolated low output. Therefore, the need for vasoactive drugs and mortality were very common, in addition to prolonged hospitalization.…”

Section: Discussionmentioning

confidence: 79%

Ações de autocuidado em portadores de insuficiência cardíaca

Nascimento

Püschel

2013

Acta paul. enferm.

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“…At hospital admission, these patients predominantly exhibit congestive manifestations, [3,4] with hypervolemia accounting for 80.7% of hospitalizations due to decompensated HF. [5] Almost 50% of patients hospitalized with HF are readmitted within 90 days after hospital discharge and mortality rates increase with each readmission of these patients. [6] In view of the association between excessive sodium intake and fluid retention, restricted salt intake is the nonpharmacological self-care measure most commonly prescribed to patients with HF.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, barriers and attitudes toward dietary sodium in patients with decompensated heart failure

Barilli

d’Almeida²,

Trojahn³

et al. 2017

JNEP

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Background and objective: Nonadherence to sodium restriction is one of the main precipitating factors of heart failure (HF) decompensation. The three-subscale Dietary Sodium Restriction Questionnaire (DSRQ) enables evaluation of factors that can interfere with adherence. The objective of this study was to assess knowledge, barriers, and attitudes of patients with decompensated HF toward dietary sodium, by comparing those hospitalized for decompensation due to dietary nonadherence (alone or with medication nonadherence) versus those admitted for decompensation due to other causes. Methods: Cross-sectional study carried out at the emergency departments of two public hospitals in Southern Brazil between 2013 and 2014. The sample included patients admitted for decompensated HF. Patients were divided into two groups: decompensation due to nonadherence to diet (alone or with medication nonadherence) and other causes. Results: A total of 225 patients were included (mean age 66 ± 12 years). Patients exhibited a high degree of knowledge about sodium restriction (up to 50% achieved 40 of 45 points). The opinions of family and health professionals influenced adherence. The main barriers to adherence concerned palatability and dietary preferences. When compared to patients admitted for other causes, those decompensated due to nonadherence had lower ejection fraction (p = .004) and higher Perceived Behavioral Control subscale scores (p = .009). Conclusions: Patients have a high level of knowledge about sodium restriction. The opinion of significant others affects adherence. Nonadherent patients appeared to be more severely ill and endorsed a greater number of barriers that prevent adequate behavior. Some factors-particularly the taste of foods and patients' dietary preferences -may justify the high prevalence of nonadherence.

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“…Among them, those that refer to the treatment adherence, one of the main reasons for decompensated HF, are related in several studies (16) . The results of this study showed the selected ND of Readiness for Enhanced Self health Management, Ineffective Self health Management, Ineffective Family Therapeutic Regiment Management, which are aimed to the identify the responses of individuals and family about health problems related to HF.…”

Section: Discussionmentioning

confidence: 99%

Consenso de diagnósticos, resultados e intervenções de enfermagem para pacientes com insuficiência cardíaca em domicílio

Azzolin

Souza

Ruschel

et al. 2012

Rev. Gaúcha Enferm.

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This was a consensus study with six cardiology nurses with the objective of selecting nursing diagnoses, outcomes and interventions described by NANDA International (NANDA-I), Nursing Outcomes Classification (NOC), Nursing Intervention Classification (NIC), for home care of patients with heart failure (HF). Eight nursing diagnoses (NDs) were pre-selected and a consensus was achieved in three stages, during which interventions/activities and outcomes/ indicators of each NDs were validated, and those considered valid obtained 70% to 100% consensus. From the eight pre-selected NDs, two were excluded due to the lack of consensus on appropriate interventions for the clinical home care scenario. Eleven interventions were selected from a total of 96 pre-selected ones and seven outcomes were validated out of 71. The practice of consensus among expert nurses provides assistance to the qualifications of the care process and deepens the knowledge about the use of taxonomies in nursing clinical practice.Descriptors: Home visit. Nursing Process/classification. Heart Failure. RESUMO Estudo de consenso realizado entre seis enfermeiras especialistas da área de cardiologia, com o objetivo de selecionar diagnósticos, intervenções e resultados de enfermagem descritos pela NANDA Internacional (NANDA-I), Nursing Outcomes Classification 57Versão on-line em Português/Inglês: http://www.scielo.br/ scielo.php?script=sci_serial&pid=1983-1447&lng=pt&nrm=iso Azzolin K, Souza EN, Ruscel KB, Mussi CM, Lucena AF, Rabelo ER. Consensus on nursing diagnoses, interventions and outcomes for home care of patients with heart failure. Rev Gaúcha Enferm. 2012;33(4):56-63. RESUMEN

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Insuficiência cardíaca descompensada na unidade de emergência de hospital especializado em cardiologia

Abstract: SummaryBackground: National studies on decompensated heart failure (DHF) are key to the understanding of this condition in our midst.

Cited by 33 publications

References 21 publications

Ações de autocuidado em portadores de insuficiência cardíaca

Ações de autocuidado em portadores de insuficiência cardíaca

Knowledge, barriers and attitudes toward dietary sodium in patients with decompensated heart failure

Consenso de diagnósticos, resultados e intervenções de enfermagem para pacientes com insuficiência cardíaca em domicílio

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