Manejo não farmacológico de pacientes com insuficiência cardíaca descompensada: estudo multicêntrico - EMBRACE

Rabelo, Eneida Rejane; Aliti, Graziella Badin; Linch, Graciele Fernanda da Costa; Sauer, Jaquelini Messer; Mello, Ana Maria Figueira Saraiva de; Martins, Sílvia Marinho; Biolo, Andréia

doi:10.1590/s0103-21002012000500003

Cited by 6 publications

(10 citation statements)

References 12 publications

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“…[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. [4,7,8] Despite recurring efforts by healthcare providers to advise patients of the risks of elevated sodium intake, poor treatment adherence or nonadherence has been identified as one of the leading precipitating factors of HF decompensation. [7,[9][10][11] Data from the literature indicating that nonadherence is among the major precipitating factors of decompensation.…”

Section: Introductionmentioning

confidence: 99%

“…[4,7,8] Despite recurring efforts by healthcare providers to advise patients of the risks of elevated sodium intake, poor treatment adherence or nonadherence has been identified as one of the leading precipitating factors of HF decompensation. [7,[9][10][11] Data from the literature indicating that nonadherence is among the major precipitating factors of decompensation. In a US registry which identified the etiology of decompensation in more than 50,000 patients, nonadherence was the third leading cause.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

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

View full text Add to dashboard Cite

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“…It is important to highlight that ADHF requires a careful evaluation in the first hours after admission and this evaluation is often carried out by nurses in emergency services (3) . This evaluation should address the signs of congestion or low output in order to rapidly impose measures that can reverse this acute condition and improve clinical in-hospital outcomes (6,12) .…”

Section: Discussionmentioning

confidence: 99%

“…In many reference centers, patient triaging in the emergency services or units is performed by nurses (3,6) . Therefore, it would be interesting if nurses were allowed to combine this score with their clinical assessment to support clinical reasoning and make a more accurate nursing diagnoses (ND).…”

Section: Introductionmentioning

confidence: 99%

Predição de risco e acurácia diagnóstica em pacientes internados com insuficiência cardíaca descompensada: estudo de coorte

Ernandes

Bernardes

Mantovani

et al. 2019

Rev. Gaúcha Enferm.

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Resumo OBJETIVOS Analisar a acurácia diagnóstica de enfermagem em pacientes com predição de risco de piora clínica durante internação por insuficiência cardíaca agudamente descompensada. MÉTODO Estudo de coorte com coleta de dados em prontuário de acordo com o Acute Decompensated Heart Failure National Registry risk model. Após a definição dos pacientes em risco, aplicou-se a Escala de Acurácia de Diagnósticos de Enfermagem versão 2. A escala classifica a acurácia em nula, baixa, moderada ou alta. RESULTADOS Dos 43 pacientes com risco de piora, 22(51%) não pioraram e 21(49%) pioraram; em ambos, a acurácia diagnóstica apresentou-se na categoria Moderada/Alta em 22(89%) e 16(88%), respectivamente. Apenas Débito cardíaco diminuído e Volume de líquidos excessivo foram pontuados com 100% na categoria Alta. CONCLUSÕES Pacientes agudamente descompensados e com risco de piora clínica durante a internação foram identificados com acurácia diagnóstica Moderada ou Alta pelos enfermeiros.

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“…Em relação à proporção das respostas das variáveis que compõem o escore de adesão ao tratamento, identificou-se que o controle do peso corporal e a ingestão de líquidos foram as recomendações menos aderentes. Esses dados corroboram o estudo multicêntrico brasileiro que evidenciou, entre as medidas não farmacológicas, que a restrição de líquido foi a menos executada (15) . Sabe-se que o paciente com IC deve ser orientado a restringir a quantidade diária de líquidos em torno de 1.000 a 1.500 ml.…”

Section: Pesquisa Em Doenças Crônicas Da Universidadeunclassified

Adesão De Pacientes Com Insuficiência Cardíaca À Terapêutica Instituída

Sousa

Campos²,

Oliveira

et al. 2019

Rev. baiana enferm.

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Como citar este artigo: Sousa MM, Campos RP, Oliveira JS, Oliveira SHS. Adesão de pacientes com insuficiência cardíaca à terapêutica instituída. Rev baiana enferm. 2019;33:e30442.Objetivo: analisar a associação entre as variáveis sociodemográficas e clínicas e a adesão de pacientes com insuficiência cardíaca ao tratamento, e avaliar a adesão desses pacientes ao tratamento. Método: estudo transversal realizado com 50 pacientes em seguimento ambulatorial. Utilizou-se um questionário composto por 10 itens para avaliar a adesão à terapêutica. Aplicou-se estatística descritiva, teste t de Student e ANOVA one way. Resultados: a média do escore de adesão ao tratamento foi de 13,36 ± 2,07 pontos, sendo insatisfatória. Observou-se que as questões referentes à frequência do peso corporal e o controle na ingestão de líquidos apresentaram as menores proporções de respostas no escore de adesão. Conclusão: a análise da associação entre as variáveis sociodemográficas e clínicas e a adesão dos participantes com insuficiência cardíaca mostrou baixa adesão à terapêutica instituída.Descritores: Insuficiência Cardíaca. Terapêutica. Cooperação do Paciente. Cooperação e Adesão ao tratamento. Enfermagem.Objective: to analyze the relation between the socio-demographic and clinical variables and the adherence of patients with heart failure to the treatment, and to evaluate this adherence. Method: a cross-sectional study conducted with 50 outpatients. A 10-item questionnaire was used to assess adherence to therapy. Descriptive statistics, Student's t-test and one way ANOVA were used. Results: The mean adherence score was 13.36 ± 2.07 points, being unsatisfactory. It was observed that the questions regarding the frequency of body weight and the control of fluid intake had the lowest number of answers in the adherence score. Conclusion: the analysis of the relation between the socio-demographic and clinical variables and the adherence of the participants with heart failure showed low adherence to the established therapy.Descriptors : Heart Failure. Therapy. Patient Cooperation. Cooperation and Adherence to Treatment. Nursing. Objetivo: analizar la asociación entre las variables sociodemográficas y las clínicas y la adhesión al tratamiento de pacientes con insuficiencia cardíaca, además de evaluar dicha adhesión. Método: estudio transversal realizado con 50 pacientes en seguimiento ambulatorio. Se utilizó un cuestionario compuesto por 10 puntos para evaluar la adhesión a la terapia. Se aplicó estadística descriptiva, la prueba t de Student y ANOVA one way. Resultados: la 1

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Manejo não farmacológico de pacientes com insuficiência cardíaca descompensada: estudo multicêntrico - EMBRACE

Cited by 6 publications

References 12 publications

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

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

Predição de risco e acurácia diagnóstica em pacientes internados com insuficiência cardíaca descompensada: estudo de coorte

Adesão De Pacientes Com Insuficiência Cardíaca À Terapêutica Instituída

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