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Rev Infirm ; 70(269): 26-27, 2021 Mar.
Artigo em Francês | MEDLINE | ID: mdl-33742588


At the Jean-Minjoz regional University Hospital Center in Besançon (25), the therapeutic education of patients with heart failure is carried out by a multidisciplinary team. The education nurse conducts the individual interview. The COVID-19 epidemic has changed the organization of care. Tele-monitoring is becoming the norm, the service nurse contacts patients by telephone and registers them on one of the platforms after they have given their agreement.

Insuficiência Cardíaca , Educação de Pacientes como Assunto , Telemedicina , /epidemiologia , França/epidemiologia , Insuficiência Cardíaca/enfermagem , Hospitais Universitários , Humanos
Medicine (Baltimore) ; 100(7): e24599, 2021 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-33607793


BACKGROUND: The European Society of Cardiology guidelines recommend the implementation of nurse-led heart failure programs to achieve optimal management of patients with congestive heart failure (CHF). In this analysis, we aimed to systematically show the impact of nurse-led interventions (NLI) on re-admission and mortality in patients with CHF (reduced ejection fraction). METHODS: Publications reporting the impact of NLI on readmission and mortality in patients with CHF were carefully searched from electronic databases. Rehospitalization and mortality were the endpoints. For this analysis, the latest version of the RevMan software was used. Risk ratios (RR) with 95% confidence intervals (CI) were used to represent data following analysis. RESULTS: A total number of 3282 participants with CHF were included in this analysis. A total of 1571 patients were assigned to the nurse-led intervention group whereas 1711 patients were assigned to the usual care group. The patients had a mean age ranging from 50.8 to 80.3 years. Male patients varied from 27.3% to 73.8%. Comorbidities including hypertension (24.6%-80.0%) and diabetes mellitus (16.7%-59.7%) were also reported. Patients had a mean left ventricular ejection fraction varying from 29.0% to 61.0%. Results of this current analysis showed that rehospitalization (RR: 0.81, 95% CI: 0.74-0.88; P = .00001) and mortality (RR: 0.69, 95% CI: 0.56-0.86; P = .0009) were significantly lower among CHF patients who were assigned to the nurse-led intervention. Whether during a shorter (3-6 months) or a longer (1-2 years) follow up time period, rehospitalization for shorter [(RR: 0.73, 95% CI: 0.65-0.82; P = .00001) vs for longer (RR: 0.81, 95% CI: 0.72-0.91; P = .0003) respectively] and mortality for shorter [(RR: 0.55, 95% CI: 0.38-0.80; P = .002) vs longer follow up time period (RR: 0.76, 95% CI: 0.58-0.99; P = .04) respectively] were significantly lower and in favor of the nurse-led interventional compared to the normal care group. CONCLUSIONS: This systematic review and meta-analysis of randomized controlled trials showed that NLI had significant impacts in reducing the risk of rehospitalization and mortality in these patients with CHF (reduced ejection fraction). Hence, we believe that nurse-led clinics and other interventional programs would be beneficial to patients with heart failure and this practice should, in the future be implemented to the health care system.

Insuficiência Cardíaca/mortalidade , Insuficiência Cardíaca/enfermagem , Readmissão do Paciente/estatística & dados numéricos , Humanos
Esc. Anna Nery Rev. Enferm ; 25(2): e20200306, 2021. tab
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1149294


Resumo Objetivo Construir uma terminologia especializada de enfermagem para o cuidado à pessoa com insuficiência cardíaca crônica. Método Estudo metodológico, realizado em duas etapas: identificação dos conceitos relevantes em artigos científicos relacionados à prioridade de saúde eleita e mapeamento cruzado dos conceitos identificados com os conceitos da CIPE®. Resultados Extraíram-se 333 conceitos únicos úteis ao cuidado de enfermagem relacionado à afecção em questão, logo submetidos à etapa do mapeamento cruzado com os conceitos da CIPE® 2019-2020. Foram classificados 201 conceitos como constantes e 132 não constantes. Na análise de similaridade e abrangência, 85% foram classificados como iguais e 15% similares. Os conceitos não constantes caracterizaram-se 44% como mais abrangentes, 11% mais restritos e 45% sem concordância. Quanto à classificação dos conceitos nos sete Eixos da CIPE®, caracterizou-se por Eixo Foco (50%), Eixo Julgamento (13%), Eixo Meio (12%), Eixo Ação (10%), Eixo Localização (9%), Eixo Tempo (4%) e Eixo Cliente (2%). Conclusões e implicações para a prática Foi possível construir terminologia especializada de enfermagem com base na CIPE® para o cuidado à pessoa com insuficiência cardíaca crônica, em que 40% dos conceitos que compõem a terminologia não estão constantes na versão 2019-2020 da classificação, sendo passíveis de inserção em versão posterior.

Resumen Objetivo Construir una terminología de enfermería especializada para el cuidado de personas con insuficiencia cardíaca crónica. Método Estudio metodológico, realizado en dos etapas: identificación de conceptos relevantes en artículos científicos relacionados con la prioridad de salud elegida y mapeo cruzado de los conceptos identificados con los conceptos de ICNP®. Resultados Se extrajeron 333 conceptos únicos útiles para la atención de enfermería relacionados con la afección en cuestión, que luego se sometieron a la etapa de mapeo cruzado con los conceptos de CIPE® 2019-2020. 201 conceptos se clasificaron como constantes y 132 como no constantes. En el análisis de similitud y exhaustividad, el 85% se clasificó como iguales y el 15%, como similares. Los conceptos no constantes se caracterizaron en un 44% como más completos, 11% más restringidos y 45% sin acuerdo. En cuanto a la clasificación de conceptos en los siete Ejes CIPE®, se caracterizó por el eje de Enfoque (50%), el Eje de Juicio (13%), el Eje Medio (12%), el Eje de Acción (10%), el Eje de Ubicación (9%), Eje de Tiempo (4%) y Eje de Cliente (2%). Conclusiones y contribuciones a la práctica fue posible construir una terminología de enfermería especializada basada en CIPE® para el cuidado de personas con insuficiencia cardíaca crónica, en la cual el 40% de los conceptos que componen la terminología no están incluidos en la versión 2019-2020 de la clasificación, estando sujetos a inserción en una versión posterior.

Abstract Objective To build specialized Nursing terminology for the care of people with chronic heart failure. Method Methodological study, carried out in two stages: identification of relevant concepts in scientific articles related to the elected health priority and cross-mapping of the concepts identified with the ICNP® concepts. Results A total of 333 unique concepts useful for Nursing care related to the condition in question were extracted, soon submitted to the cross-mapping stage with the concepts of ICNP® 2019-2020. 201 concepts were classified as constant and 132 as non-constant. In the analysis of similarity and comprehensiveness, 85% were classified as equal and 15% as similar. The non-constant concepts were characterized by 44% as more comprehensive, 11% more restricted and 45% without agreement. As for the classification of concepts in the seven ICNP® Axes, it was characterized by the Focus Axis (50%), Judgment Axis (13%), Middle Axis (12%), Action Axis (10%), Location Axis (9%), Time Axis (4%) and Customer Axis (2%). Conclusions and contributions to the practice It was possible to build specialized Nursing terminology based on the ICNP® for the care of people with chronic heart failure, in which 40% of the concepts that make up the terminology are not included in the 2019-2020 version of the classification, being subjected to insertion in a later version.

Humanos , Terminologia Padronizada em Enfermagem , Insuficiência Cardíaca/enfermagem , Cuidados de Enfermagem
Rech Soins Infirm ; (141): 38-48, 2020 06.
Artigo em Francês | MEDLINE | ID: mdl-32988188


Heart failure is one of the most common reasons for hospitalization in older people, and the hospital-to-home transition can be unsuccessful for these patients. Existing care programs focus primarily on the physiological aspects of the disease and are rarely based on theory. Using Roy's adaptation model (1), the aim of this study was to develop a thorough understanding of the adaptation difficulties and factors that influence how well elderly patients with chronic heart failure cope with the hospital-to-home transition, in order to develop a nursing interventions program. Based on the process proposed by Sidani and Braden (2011), this qualitative descriptive study adopted a deductive approach, with the use of intermediary theories and empirical data, as well as an inductive approach, where older people with chronic heart failure (n=7), caregivers (n=6), and healthcare professionals (n=14) participated in semi-structured individual interviews. The triangulation of data highlights the difficulties and factors influencing adaptation at the physical, psychological, and social levels. Gaining a better understanding of the experience of older people with heart failure when it comes to their transition from hospital to home, and doing so with a holistic vision, provides information for interventions that can contribute to better management of chronic disease and a better quality of life for these elderly patients.

Adaptação Psicológica , Insuficiência Cardíaca/enfermagem , Insuficiência Cardíaca/psicologia , Transferência de Pacientes , Idoso , Doença Crônica , Humanos , Teoria Psicológica
Medicine (Baltimore) ; 99(33): e21746, 2020 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-32872064


Current study was to evaluate the effectiveness of nurse-led program in improving mental health status (MHS) and quality of life (QOL) in chronic heart failure (CHF) patients after an acute exacerbation. CHF patients were enrolled after informed consent was obtained and were assigned into the control and treatment group. Patients in the control group received standard care. In the treatment group, patients received standard care plus telehealth intervention including inquiring patients medical condition, providing feedbacks, counseling patients, and having positive and emotional talk with patients. At the third and sixth month after discharge, participants were called by registered nurses to assess Mental Health Inventory-5 (MHI-5) and Kansas City Cardiomyopathy Questionnaire (KCCQ) scores. Compared to the treatment group, patients in the control group were less likely to have educational attainment ≥ high school degree and have a married status, but were more likely to have diabetes. No significant differences in MHI-5 (68.5 ±â€Š12.7 vs 66.9 ±â€Š10.4) and KCCQ (70.6 ±â€Š12.2 vs 68.7 ±â€Š10.9) scores at baseline between the control and treatment groups were observed. There were significantly differences in MHI-5 (72.7 ±â€Š15.6 vs 65.2 ±â€Š11.4) and KCCQ score (74.2 ±â€Š14.9 vs 66.4 ±â€Š12.1) at 3 months follow-up between control and treatment groups. Nonetheless, at 6 months follow-up, although MHI-5 and KCCQ scores remained higher in the treatment group, there were no statistically significant differences (MHI-5: 65.4 ±â€Š12.8 vs 61.4 ±â€Š10.0; KCCQ: 65.1 ±â€Š12.3 vs 61.9 ±â€Š10.3). After multivariate regression analysis, not receiving nurse-led program were significantly associated with reduced MHI-5 (odds ratio [OR] 1.25% and 95% confidence interval [CI]: 1.14-1.60) and KCCQ (OR: 1.20% and 95% CI:1.11-1.54) scores. Nurse-led program is helpful to improve MHS and QOL in CHF patients after an acute exacerbation. However, these achievements are attenuated quickly after the nurse-led intervention discontinuation.

Insuficiência Cardíaca/enfermagem , Serviços de Saúde Mental/estatística & dados numéricos , Adulto , Idoso , Doença Crônica , Progressão da Doença , Feminino , Insuficiência Cardíaca/psicologia , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Qualidade de Vida
Medicine (Baltimore) ; 99(23): e20355, 2020 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-32501979


BACKGROUND: This study will appraise the effect and safety of advanced nursing care (ANC) on psychological condition (PC) in patients with chronic heart failure (CHF). METHODS: The following databases will be sought from the beginning up to the February 29, 2020: MEDLINE, EMBASE, Cochrane Library, Web of Science, Scopus, the Cumulative Index to Nursing and Allied Health Literature, the Allied and Complementary Medicine Database, the Chinese Scientific Journal Database, and China National Knowledge Infrastructure. There are not language and publication status limitations related to any electronic databases. In addition, we will also identify conference proceedings, reference lists of included studies, and websites of clinical trials registry. Two reviewers will separately carry out study selection, data extraction, and study quality evaluation. Any inconsistencies will be solved by a third reviewer through discussion. RevMan 5.3 software will be utilized to carry out statistical analysis. RESULTS: This study will comprehensively summarize all potential evidence to systematically address the effects and safety of ANC on PC in patients with CHF. CONCLUSION: The findings of the present study will help to determine whether ANC is effective or not on PC in patients with CHF. STUDY REGISTRATION NUMBER: INPLASY202040077.

Insuficiência Cardíaca/epidemiologia , Insuficiência Cardíaca/enfermagem , Transtornos Mentais/epidemiologia , Transtornos Mentais/enfermagem , Doença Crônica , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa
Rev Gaucha Enferm ; 41(spe): e20190095, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32294683


AIM: To analyze the behavior of B-type natriuretic peptide (BNP) in the presence of defining characteristics (DCs) of the nursing diagnosis Excess fluid volume (00026) in patients hospitalized for acute decompensated heart failure. METHODS: Cohort study of patients admitted with acute decompensated heart failure (September 2015 to September 2016) defined by Boston Criteria. Patients hospitalized for up to 36 h with BNP values ≥ 100 pg/ml were included; BNP values at baseline-final assessment were compared by Wilcoxon test, the number of DCs at baseline-final assessment was compared by paired t-test. RESULTS: Sixty-four patients were included; there was a significant positive correlation between delta of BNP and the number of DCs present at initial clinical assessment. CONCLUSIONS: The behavior of BNP was correlated to the DCs indicating congestion. With clinical compensation, DCs and BNP decreased. The use of this biomarker may provide additional precision to the nursing assessment.

Insuficiência Cardíaca/sangue , Peptídeo Natriurético Encefálico/sangue , Diagnóstico de Enfermagem , Desequilíbrio Hidroeletrolítico/diagnóstico , Idoso , Biomarcadores/sangue , Estudos de Coortes , Serviços Médicos de Emergência , Feminino , Insuficiência Cardíaca/enfermagem , Insuficiência Cardíaca/fisiopatologia , Humanos , Masculino , Tamanho da Amostra , Volume Sistólico , Desequilíbrio Hidroeletrolítico/sangue
Br J Community Nurs ; 25(4): 206, 2020 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-32267763
Int J Qual Stud Health Well-being ; 15(1): 1735768, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32114970


Purpose: Chronic heart failure patients are often rehospitalized because they fail to seek appropriate, timely care. However, both patients and nurses experience difficulties in detecting signs of heart failure exacerbation. We aimed to qualitatively investigate how visiting nurses detect symptoms of disease progression in chronic heart failure patients in their homes.Methods: Participants were three experienced home-visit chronic heart failure nurses who completed one-to-one interviews. Data were analysed using the qualitative synthesis method (KJ method).Results: Six themes were identified that reflected detection of disease exacerbation and nursing support to prevent disease progression: difficulty of judging deterioration in patients with comorbidities; ascertaining conditions needing immediate intervention; detection of illness progression from changes in the patient's appearance; inferring instability in physical condition from patients' concerns and questions; arranging to ensure continued management of the patient post discharge; and instructing patients to ensure they never return to their old habits.Conclusions: The findings indicate that nurses experience challenges in detecting illness progression and judging when outpatient or hospital care is needed. However, nurses use a range of signs and symptoms to determine deterioration. Home-visit nurses thus play a crucial role in the post-hospital care of chronic heart failure patients.

Progressão da Doença , Insuficiência Cardíaca/enfermagem , Enfermeiros de Saúde Comunitária/psicologia , Avaliação de Sintomas/enfermagem , Adulto , Doença Crônica/enfermagem , Feminino , Serviços de Assistência Domiciliar , Humanos , Japão/epidemiologia , Julgamento , Pessoa de Meia-Idade , Pesquisa Qualitativa
Crit Care Nurse ; 40(1): e1-e11, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-32006040


TOPIC: The growing use of acute mechanical circulatory support devices to provide hemodynamic support that has accompanied the increasing prevalence of heart failure and cardiogenic shock, despite significant improvement in the treatment of acute myocardial infarction. CLINICAL RELEVANCE: The critical care nurse plays a crucial role in managing patients receiving acute mechanical circulatory support devices and monitoring for potential complications. PURPOSE: To review the anatomical placement and mechanics of each type of device so that nurses can anticipate patients' hemodynamic responses and avoid complications whenever possible, thereby improving patients' clinical outcomes. CONTENT COVERED: Nursing considerations regarding the intra-aortic balloon pump, the TandemHeart, the Impella, and extracorporeal membrane oxygenation.

Enfermagem de Cuidados Críticos/normas , Oxigenação por Membrana Extracorpórea/instrumentação , Oxigenação por Membrana Extracorpórea/normas , Insuficiência Cardíaca/enfermagem , Balão Intra-Aórtico/instrumentação , Balão Intra-Aórtico/normas , Choque Cardiogênico/enfermagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Oxigenação por Membrana Extracorpórea/métodos , Feminino , Humanos , Balão Intra-Aórtico/métodos , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto
Dimens Crit Care Nurs ; 39(2): 75-80, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32000238


In recent years, more young patients are being admitted to hospitals with the diagnosis of heart failure secondary to myocarditis; many of these patients will progress to needing a heart transplant. Research shows that heart failure is increasing in prevalence and incidence and is expected to have 46% increases in prevalence by 2030, with hypertension, diabetes, and obesity pointed as risk factors (Cardiac Fail Rev. 2017;3(1):7-11). Nurses need to be aware of and educated on the infectious processes responsible for heart failure, presumable pathogens, new and emerging diagnostic tests, and possible treatments. This article explores the viral pathogens commonly found to cause myocardial inflammation, their sequelae, and treatment.

Insuficiência Cardíaca/enfermagem , Insuficiência Cardíaca/virologia , Miocardite/enfermagem , Miocardite/virologia , Diagnóstico Diferencial , Progressão da Doença , Insuficiência Cardíaca/diagnóstico , Humanos , Miocardite/diagnóstico , Fatores de Risco
Home Healthc Now ; 38(1): 40-47, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31895896


Heart failure is a serious and complex chronic illness and family caregivers often assist these individuals in performing self-care. Unsurprisingly, caregivers often are overwhelmed by daily activities associated with heart failure management and frequently have depressive symptoms. This study examined predictors (i.e., sociodemographic and clinical characteristics, social support, social problem-solving, family functioning, and objective and subjective burden) of depressive symptoms in 530 informal caregivers of individuals with heart failure in a large cross-sectional, descriptive study in the community. Younger caregivers who provided care for longer periods of time, lived in rural areas, and had less social support and lower problem-solving skills were more likely to have depressive symptoms. These findings emphasize the need for further studies to develop dynamic and innovative approaches that incorporate multiple components to lessen caregiving challenges. Social support and problem-solving skills training may be useful components to lessen depressive symptoms in these younger, rural caregivers.

Cuidadores/psicologia , Depressão/psicologia , Insuficiência Cardíaca/enfermagem , Qualidade de Vida/psicologia , Atividades Cotidianas , Adaptação Psicológica , Adulto , Idoso , Estudos Transversais , Depressão/etiologia , Feminino , Insuficiência Cardíaca/psicologia , Humanos , Pessoa de Meia-Idade , Estresse Psicológico/psicologia
Enferm. glob ; 19(57): 479-492, ene. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193659


INTRODUCCIÓN: Una estrategia que ha mostrado ser efectiva para promover el autocuidado en los pacientes con falla cardiaca es la formación de diadas y grupos que brinden apoyo de pares para favorecer el logro de metas individuales. OBJETIVO GENERAL: Determinar el efecto de un programa de paciente experto en falla cardiaca en los conocimientos relacionados con la adherencia al tratamiento y en la satisfacción. MÉTODO: Se realizó un estudio piloto descriptivo de corte transversal en pacientes con diagnósticos de falla cardiaca en una institución de cuarto nivel. El tamaño de la muestra correspondió a toda la población con los criterios de restricción (N: 20 sujetos). Se implementó un programa de paciente experto durante 6 meses y se midieron los desenlaces de nivel de conocimientos y satisfacción. Para la recolección de la información se utilizó un test de conocimientos sobre adherencia al tratamiento y una encuesta de satisfacción. La información se procesó a través del programa IBM SPSS Statistics 23.0, y se realizó un análisis descriptivo con distribución de frecuencias absolutas y relativas. RESULTADOS: Más del 95% de los pacientes mostró mejoría significativa en el nivel de conocimientos y el 85% refirió el nivel de satisfacción global más alto (muy satisfechos), reflejado en la dimensión de fidelización y efectividad. CONCLUSIONES: El programa del paciente experto en insuficiencia cardiaca se constituye en una intervención costo-efectiva que proporciona capacidades para ayudar a otros pacientes a adquirir autoconfianza y habilidades en el manejo de su condición de salud

INTRODUCTION: One of the strategies that has shown improvement in self-care for patients with heart failure is the formation of dyads and groups to provide peer support and achieve individual goals. GENERAL OBJECTIVE: To determine the effect of an expert patient program on heart failure related to the knowledge about adherence to treatment and satisfaction. METHOD: A sectional-descriptive pilot study was conducted in patients with heart failure diagnoses in a fourth-level institution. The sample size represents the entire population with the restriction criteria (N: 20 subjects). An expert patient program was implemented for 6 months and the measured outcomes were level of knowledge and satisfaction. Data was gathered from a knowledge test on adherence to treatment and a satisfaction poll. Information was processed with IBM SPSS Statistics 23.0. The distribution of absolute and relative frequencies was performed by descriptive analysis. RESULTS: More than 95% of patients showed improvement in the level of knowledge and 85% reported a high global level of satisfaction (very satisfied), reflected in the dimension of loyalty and effectiveness. CONCLUSIONS: The expert patient in heart failure program is a cost-effective intervention, which provides capabilities to help other patients gain self-confidence and skills to manage their health condition

Humanos , Insuficiência Cardíaca/enfermagem , Autocuidado/métodos , Educação de Pacientes como Assunto/métodos , Estudos Transversais , Avaliação de Eficácia-Efetividade de Intervenções , Análise Custo-Benefício , Cooperação e Adesão ao Tratamento/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Satisfação do Paciente/estatística & dados numéricos
J Clin Nurs ; 29(3-4): 645-652, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31770472


BACKGROUND: The Self-Care of Heart Failure Index is an empirically tested instrument to measure self-care of heart failure patients across different populations and cultures. AIMS: To develop and evaluate the psychometric properties of the Nepali Self-Care of Heart Failure Index. DESIGN: This psychometric study used a cross-sectional, observational, study design to collect data. The study was guided and reported following the Strengthening the Reporting of Observational Studies in Epidemiology guideline. METHODS: To develop and culturally validate Nepali Self-Care of Heart Failure Index, a combination of the recommended methods for cross-cultural validation studies were applied such as translation, back translation, expert committee review of the translated version and validity/reliability testing. Face and content validity were ensured using expert review. Construct validity was examined using exploratory factor analysis and confirmatory factor analysis. Composite reliability scores were calculated for each sub-scale of the Nepali Self-Care of Heart Failure Index. RESULTS: A total of 221 heart failure patients in Nepal were enrolled in the study. Adequate face and content validity were ensured through expert review. Exploratory factor analysis and confirmatory factor analysis supported the original three-factor model. Although the three factors explained only 41% of the variance, confirmatory factor analysis fit indexes and error measures were found reasonable. The composite reliability coefficients for self-care maintenance, management and confidence scale were 0.6, 0.7 and 0.8, respectively. CONCLUSIONS: The Nepali Self-Care of Heart Failure Index is a theoretically based, culturally acceptable and appropriate instrument for use among Nepali heart failure patients. However, further studies are needed to refine its psychometric properties. RELEVANCE TO CLINICAL PRACTICE: Access to reliable, valid and culturally appropriate instruments is crucial in describing the state of the problem as well as for developing and evaluating tailored and targeted self-care practice interventions for Nepali patients living with heart failure.

Indicadores Básicos de Saúde , Insuficiência Cardíaca/diagnóstico , Autocuidado/normas , Inquéritos e Questionários/normas , Adulto , Comparação Transcultural , Estudos Transversais , Análise Fatorial , Feminino , Insuficiência Cardíaca/enfermagem , Humanos , Masculino , Pessoa de Meia-Idade , Nepal , Psicometria , Reprodutibilidade dos Testes , Traduções
Rev. gaúch. enferm ; 41(spe): e20190095, 2020. graf
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1093864


ABSTRACT Aim: To analyze the behavior of B-type natriuretic peptide (BNP) in the presence of defining characteristics (DCs) of the nursing diagnosis Excess fluid volume (00026) in patients hospitalized for acute decompensated heart failure. Methods: Cohort study of patients admitted with acute decompensated heart failure (September 2015 to September 2016) defined by Boston Criteria. Patients hospitalized for up to 36 h with BNP values ≥ 100 pg/ml were included; BNP values at baseline-final assessment were compared by Wilcoxon test, the number of DCs at baseline-final assessment was compared by paired t-test. Results: Sixty-four patients were included; there was a significant positive correlation between delta of BNP and the number of DCs present at initial clinical assessment. Conclusions: The behavior of BNP was correlated to the DCs indicating congestion. With clinical compensation, DCs and BNP decreased. The use of this biomarker may provide additional precision to the nursing assessment.

RESUMEN Objetivo: Analizar el comportamiento del péptido natriurético tipo B (BNP) en presencia de características definitorias (CD) del diagnóstico de enfermería Exceso de volumen de líquidos (00026) en pacientes hospitalizados por insuficiencia cardíaca aguda descompensada (ICAD). Métodos: Estudio de cohorte de pacientes ingresados ​​con ICAD (septiembre/2015 a septiembre/2016).Se incluyeron pacientes hospitalizados hasta 36 h con valores de BNP ≥ 100 pg / ml; Los valores de BNP en la evaluación inicial basal se compararon mediante la prueba de Wilcoxon, el número de CD en la evaluación inicial basal se comparó mediante el Test-T apareado. Resultados: Se incluyeron 64 pacientes; hubo una correlación positiva significativa entre el delta del BNP y las CD presentes en la evaluación clínica inicial. Conclusiones: El comportamiento del BNP se correlacionó con las CD que indican congestión. Con compensación clínica, las CD y el BNP disminuyeron. El uso del BNP puede proporcionar precisión adicional a la evaluación de enfermería.

RESUMO Objetivo: Analisar o comportamento do peptídeo natriurético tipo B (BNP) na presença de características definidoras (CDs) do diagnóstico de enfermagem Excesso de volume de líquidos (00026) em pacientes hospitalizados por insuficiência cardíaca descompensada. Métodos: Estudo de coorte com pacientes internados com insuficiência cardíaca descompensada (setembro-2015 a setembro-2016), definida pelos Critérios de Boston. Pacientes hospitalizados por mais de 36 horas, valor de BNP ≥ 100 pg/ml foram incluídos; valores de BNP basal-final foram comparados pelo teste Wilcoxon; as CDs no basal-final foram comparadas pelo teste t pareado. Resultados: Sessenta e quatro pacientes foram incluídos; houve correlação positiva significativa entre o delta de BNP com o número de CDs presentes na avaliação clínica inicial. Conclusões: O comportamento do BNP foi correlacionado com as CDs, indicando congestão. Com a compensação clínica, as CDs e a concentração de BNP diminuíram. O uso deste biomarcador pode fornecer precisão adicional à avaliação de enfermagem.

Humanos , Masculino , Feminino , Idoso , Desequilíbrio Hidroeletrolítico/diagnóstico , Diagnóstico de Enfermagem , Peptídeo Natriurético Encefálico/sangue , Insuficiência Cardíaca/sangue , Volume Sistólico , Desequilíbrio Hidroeletrolítico/sangue , Biomarcadores/sangue , Estudos de Coortes , Tamanho da Amostra , Serviços Médicos de Emergência , Insuficiência Cardíaca/enfermagem , Insuficiência Cardíaca/fisiopatologia
Cult. cuid ; 23(55): 243-25, sept.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-190674


OBJETIVO: Determinar la confiabilidad y validez de la versión en español de la escala para medir la contribución del cuidador al autocuidado del paciente con falla cardiaca (CC-SCHFI). METODOLOGÍA: Estudio metodológico que incluyó pruebas psicométricas, aplicadas a cuidadores familiares de personas con insuficiencia cardiaca. Se siguieron las recomendaciones metodológicas de la International Test Commission para la adaptación cultural de la prueba traducción - retrotraducción, adecuación semántica, validez facial y de contenido, confiabilidad mediante la consistencia interna y validez de constructo). RESULTADOS: Se obtuvo un acuerdo entre expertos según el Kappa de Fleiss de 0,44 en la dimensión de relevancia, 0,41 en la dimensión de pertinente y una validez de contenido por método normalizado de CVI de 0,68. La consistencia interna del instrumento resultó óptima con un coeficiente de Alpha de Cronbach = 0,950. La exploración del constructo arrojó una estructura de 6 componentes. CONCLUSIONES: Se obtuvo una escala en español disponible para abordar el fenómeno de la contribución del cuidador al autocuidado del paciente con falla cardiaca, con un análisis factorial que mostró que los ítems del instrumento tienden a agruparse en dos dominios (de mantenimiento y gestión del autocuidado) y no tres, como lo propone el instrumento original

OBJETIVO: Determinar a confiabilidade e a validade da versão em espanhol da escala para medir a contribuição do cuidador ao autocuidado de pacientes com insuficiência cardíaca (CC-SCHFI). METODOLOGIA: Estudo metodológico, com abordagem quantitativa; que incluiu testes psicométricos, aplicados a familiares cuidadores de pessoas com insuficiencia cardíaca. As recomendações metodológicas da International Test Commission foram seguidas para a adaptação cultural do teste (tradução-retroversão, adequação semântica, validade facial e de conteúdo, confiabilidade por consistência interna e validade de constructo). RESULTADOS: Houve concordância entre os especialistas segundo o Fleiss Kappa de 0,44 na dimensão de relevância, 0,41 na dimensão relevante e validade de conteúdo pelo método CVI padronizado de 0,68. A consistência interna do instrumento foi ótima com um coeficiente alfa de Cronbach = 0,950. A exploração do construto produziu uma estrutura de 6 componentes. CONCLUSÕES: Foi disponibilizada uma escala de espanhol para abordar o fenômeno da contribuição do cuidador para o autocuidado de pacientes com insuficiência cardíaca, com uma análise fatorial que mostrou que os itens do instrumento tendem a ser agrupados em dois domínios (manutenção e manejo dos pacientes). autocuidado) e não três, como proposto pelo instrumento original

OBJECTIVE: To determine the reliability and validity of the Spanish version of the scale to measure the caregiver's contribution to self-care of patients with heart failure (CC-SCHFI). METHODOLOGY: Methodological study, with quantitative approach; which included psychometric tests, applied to family caregivers of people with heart failure. The methodological recommendations of the International Test Commission were followed for the cultural adaptation of the translation-back-translation test, semantic adequacy, facial and content validity, reliability through internal consistency and construct validity). RESULTS: An agreement was reached between experts according to the Fleiss Kappa of 0.44 in the relevance dimension, 0.41 in the relevant dimension and a content validity by standardized CVI method of 0.68. The internal consistency of the instrument was optimal with a Cronbach's Alpha coefficient = 0.950. The exploration of the construct yielded a structure of 6 components. CONCLUSIONS: A Spanish scale was available to address the phenomenon of the caregiver's contribution to the self-care of patients with heart failure, with a factorial analysis that showed that the items of the instrument tend to be grouped into two domains (maintenance and management of self-care) and not three, as proposed by the original instrument

Humanos , Insuficiência Cardíaca/enfermagem , Inquéritos e Questionários , Cuidadores , Autocuidado , Reprodutibilidade dos Testes , Características Culturais , Psicometria , Tradução
Nurs Older People ; 31(6): 28-32, 2019 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-31778064


The role of the community matron in supporting patients with long-term conditions through holistic case management is well established, as is learning through critical reflection and using case studies for continuing professional development. This article draws on a case study to provide a critical analysis of the community matron service, which offers intervention and case management for a patient who had been diagnosed with heart failure.

Administração de Caso/organização & administração , Enfermagem em Saúde Comunitária , Insuficiência Cardíaca/enfermagem , Papel do Profissional de Enfermagem , Idoso , Humanos , Masculino