ABSTRACT
Objetivo: Construir um modelo de consulta de enfermagem para o ambulatório de cardiologia. Método: Pesquisa qualitativa, a qual utilizou a metodologia da Pesquisa Convergente Assistencial, com participação de 10 enfermeiros de um ambulatório de cardiologia. Coleta de dados mediante entrevistas individuais presenciais e discussões online a partir do aplicativo demensagens Whatsapp. Definiu-se com a equipe de enfermagem do ambulatório os principais elementos que deveriam estar presentes na consulta de enfermagem para os pacientes do serviço. Resultados: Como produtos deste estudo foram construídos instrumentos direcionados para as consultas de enfermagem ambulatoriais em cardiologia. Considerações finais: A construção coletiva dos instrumentos para a consulta de enfermagem trouxe reflexões sobre a ciência e a prática assistencial, destacando as dificuldades existentes e as perspectivas de melhorias.
Objective: To build a nursing consultation model for the cardiology outpatient clinic. Method: Qualitative research, which used the methodology of the Convergent Care Survey, with participation of 10 nurses from a cardiology outpatient clinic. Data collection through individual face-to-face interviews and online discussions from the Whatsapp messaging app. The main elements that should be present in the nursing consultation were defined with the outpatient nursing team. Results: As a product of this study, instruments were constructed for outpatient nursing consultations in cardiology. Final considerations: The collective constructionof the instruments for the nursing consultation brought reflections on science and care practice, highlighting the existing difficulties and the prospects for improvement.
Objetivo: Construir un modelo de consulta de enfermería para el ambulatorio de cardiología. Método: Investigación cualitativa, la cual utilizó la metodología de la Investigación Convergente Asistencial, con participación de 10 enfermeros de un ambulatorio de cardiología. Recopilación de datos mediante entrevistas individuales presenciales y discusiones online desde la aplicación de mensajería Whatsapp. Se definió con el equipo de enfermería del ambulatorio los principales elementos que deberían estar presentes en la consulta de enfermería para los pacientes del servicio. Resultados: Como productos de este estudio fueron construidos instrumentos dirigidos para las consultas de enfermería ambulatorias en cardiología. Consideraciones finales: La construcción colectiva de los instrumentos para la consulta de enfermería trajo reflexiones sobre la ciencia y la práctica asistencial, destacando las dificultades existentes y las perspectivas de mejoras.
Subject(s)
Humans , Male , Female , Cardiology , Office Nursing , Ambulatory CareABSTRACT
The latest Brazilian Guidelines on ambulatory blood pressure monitoring (ABPM) consider an exam as a useful tool during pregnancy, especially during the first half of pregnancy. They also indicate that white coat hypertension as well as masked hypertension may occur in up to one-third of pregnancies. As white coat hypertension has a more favorable diagnosis than gestational hypertension, it remains associated with 50% of pregnancies and is not associated with complications. Elsewhere, 40% of pregnant women develop gestational hypertension. As per the guidelines, the guidance values should be the same for the general population. The aim of this study was to verify the blood pressure behavior after birth in pregnant women who underwent ABPM and whether ABPM in pregnant women may serve as a predictor of preeclampsia and abnormalities in newborns. Between 01 January 2017 and 31 December 2019, 117 ABPM routines in pregnant women were performed at Unicordis. Among them, 40 were requested for the diagnosis of hypertension, and 77 were requested for antihypertensive therapeutic assessment. The study population comprised pregnant women who underwent ABPM for the diagnosis of hypertension. We assessed a population that comprised 31 subjects who underwent ABPM, 17 of whom had normal results and 14 of whom had abnormal results. Of the 14 pregnant women with abnormal blood pressure behavior, only three (21%) had a physiological drop in blood pressure, seven had attenuated descent, and four did not have blood arterial descent. The age of the pregnant women ranged from 21 to 42 years. The gestational age at the beginning of ABPM ranged from 6 to 37 weeks. In the group with normal ABPM, two pregnant women (11.7%) developed preeclampsia during pregnancy. Additionally, in the group with abnormal ABPM, seven pregnant women (50%) developed preeclampsia during pregnancy. In the group with normal ABPM, three newborns had abnormalities (17.6%); in the group with abnormal ABPM, four newborns had abnormalities (28.5%). In the group with normal ABPM, two subjects developed hypertension after birth (11.7%). In the group with abnormal ABPM, ten subjects (71%) remained hypertensive following birth (Table 1). Conclusions: (1) the results show that the proportion of patients who presented with preeclampsia was higher among individuals with abnormal ABPM than that among individuals with normal ABPM. (2) The proportion of subjects with hypertension following birth was higher among individuals with abnormal ABPM than that among individuals with normal ABPM.
Subject(s)
Hypertension, Pregnancy-Induced , Hypertension , Masked Hypertension , White Coat Hypertension , Adult , Blood Pressure , Blood Pressure Monitoring, Ambulatory , Female , Humans , Hypertension/diagnosis , Hypertension, Pregnancy-Induced/diagnosis , Infant , Infant, Newborn , Pregnancy , Pregnant Women , White Coat Hypertension/diagnosis , Young AdultABSTRACT
Objetivo: analisar as evidências científicas acerca da Consulta de Enfermagem ambulatorial em cardiologia. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa, ao consultar as bases de dados MEDLINE, LILACS, Web of Science, CINAHL, SCOPUS e nas bibliotecas virtuais BVS e SciELO. Utilizou-se a técnica de Análise de Conteúdo para análise da produção dos dados, na modalidade Análise de Categorias Temáticas. Resultados: analisarem-se 12 artigos, dos quais emergiram três categorias temáticas: 1 - Programas de atenção à saúde em cardiologia gerenciados por enfermeiros; 2 - Importância da atuação do enfermeiro na melhoria do autocuidado no ambulatório de cardiologia e 3. Diagnósticos e intervenções de Enfermagem no ambulatório de cardiologia. Conclusão: constatou-se que a Consulta de Enfermagem proporciona resultados positivos e proporciona o cuidado de qualidade. Aponta-se a escassez na descrição desse processo, o que pode indicar falhas na sua realização e a não priorização dessas ações na rotina profissional.(AU)
Objetivo: analizar la evidencia científica sobre la Consulta de Enfermería ambulatoria en cardiología. Método: se trata de un estudio bibliográfico, tipo revisión integradora, al consultar las bases de datos MEDLINE, LILACS, Web of Science, CINAHL, SCOPUS y en las bibliotecas virtuales BVS y SciELO. La técnica de Análisis de Contenido se utilizó para analizar la producción de datos, en la modalidad de Análisis de Categorías Temáticas. Resultados: se analizaron 12 artículos, de los cuales surgieron tres categorías temáticas: 1 - Programas de atención de salud en cardiología administrados por enfermeros; 2 Importancia del papel del enfermero en la mejora del autocuidado en la clínica ambulatoria de cardiología y 3. Diagnósticos e intervenciones de Enfermería en la clínica ambulatoria de cardiología. Conclusión: se encontró que la Consulta de Enfermería brinda resultados positivos y brinda atención de calidad. Se señala la escasez en la descripción de este proceso, lo que puede indicar fallas en su desempeño y la falta de priorización de estas acciones en la rutina profesional.(AU)
Objective: to analyze the scientific evidence about the outpatient nursing consultation in cardiology. Method: this is a bibliographic study, type integrative review, when consulting the databases MEDLINE, LILACS, Web of Science, CINAHL, SCOPUS and in the virtual libraries VHL and SciELO. The Content Analysis technique was used to analyze the data production, in the Thematic Categories Analysis modality. Results: 12 articles were analyzed, from which three thematic categories emerged: 1 - Health care programs in cardiology managed by nurses; 2 - Importance of the nurse's role in improving self-care in the cardiology outpatient clinic and 3. Nursing diagnoses and interventions in the cardiology outpatient clinic. Conclusion: it was found that the Nursing Consultation provides positive results and provides quality care. The scarcity in the description of this process is pointed out, which may indicate flaws in its performance and the failure to prioritize these actions in the professional routine.(AU)
