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ORIGINAL ARTICLE
Sleep quality of patients with heart failure and associated factors
Revista Brasileira de Enfermagem. 2024;77(6):e20240244
12-16-2024
Resumo
ORIGINAL ARTICLESleep quality of patients with heart failure and associated factors
Revista Brasileira de Enfermagem. 2024;77(6):e20240244
12-16-2024DOI 10.1590/0034-7167-2024-0244
Visualizações0Ver maisABSTRACT
Objectives:
to assess sleep quality of patients with heart failure and associated sociodemographic and clinical characteristics.
Methods:
a cross-sectional study, developed with 88 patients. Sleep quality was assessed by the Pittsburgh Sleep Quality Index. The data were analyzed using descriptive and inferential statistics.
Results:
the mean sleep quality score was 8.59 ± 3.60 points. 83% of participants were classified as poor sleepers. The number of hours of sleep was 5.99 ± 1.48. Family income of up to one minimum wage and functional class were significantly associated with poor sleepers. There was a positive correlation between functional class and poor sleep quality.
Conclusions:
a high frequency of poor sleepers was identified. Worse scores were associated with family income and symptomatic functional class. Health interventions are necessary to control sleep quality, especially in relation to health functionality.
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ORIGINAL ARTICLE
Contribution of informal caregivers to self-care in individuals with heart failure
Revista Brasileira de Enfermagem. 2024;77(3):e20230492
07-29-2024
Resumo
ORIGINAL ARTICLEContribution of informal caregivers to self-care in individuals with heart failure
Revista Brasileira de Enfermagem. 2024;77(3):e20230492
07-29-2024DOI 10.1590/0034-7167-2023-0492
Visualizações0Ver maisABSTRACT
Objectives:
to evaluate the contribution of informal caregivers to the self-care of individuals with heart failure.
Methods:
a cross-sectional study was conducted with 87 caregivers from March to October 2022 in the city of João Pessoa/PB. The caregivers’ contribution was assessed using the Caregiver Contribution to Self-Care of Heart Failure Index instrument. Scores ≥ 70 points indicate adequate contribution. Data were analyzed using descriptive statistics and Spearman’s correlation.
Results:
the sample consisted of 81.6% female caregivers. Median scores obtained for the self-care contribution scales were: 63.3 for maintenance; 55.5 for management; and 66.6 for confidence. Caregivers never or rarely recommended monitoring body weight, regular physical exercise, extra use of diuretics, and fluid restriction.
Conclusions:
informal caregivers showed inadequate contribution in the areas of maintenance, management, and confidence in self-care of individuals with heart failure.
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REVIEW
Nursing diagnoses for people hospitalized with heart failure: an integrative review
Revista Brasileira de Enfermagem. 2024;77(3):e20230471
07-29-2024
Resumo
REVIEWNursing diagnoses for people hospitalized with heart failure: an integrative review
Revista Brasileira de Enfermagem. 2024;77(3):e20230471
07-29-2024DOI 10.1590/0034-7167-2023-0471
Visualizações0Ver maisABSTRACT
Objectives:
to identify in the literature the main nursing diagnoses according to the NANDA-I diagnostic classification for people hospitalized with heart failure.
Methods:
an integrative literature review, carried out in February 2019 and updated in July 2023, in the MEDLINE via PubMed, LILACS, SciELO and CINAHL databases. Given the use of acronym PEO, studies without a time cut in Portuguese, English and Spanish were included. Descriptive analysis was carried out to present the identified information.
Results:
analysis of 27 articles identified 24 nursing diagnoses, with emphasis on Decreased Cardiac Output, Excessive Fluid Volume, Decreased Activity Tolerance and Fatigue.
Final Considerations:
evidence can contribute to better diagnostic decisions centered on people with heart failure in search of more assertive health results and have the potential to support future studies on a possible syndromic pattern in this population.
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ORIGINAL ARTICLE
Requirements for building educational and care technology on heart failure
Revista Brasileira de Enfermagem. 2022;75(4):e20210465
05-18-2022
Resumo
ORIGINAL ARTICLERequirements for building educational and care technology on heart failure
Revista Brasileira de Enfermagem. 2022;75(4):e20210465
05-18-2022DOI 10.1590/0034-7167-2021-0465
Visualizações0Ver maisABSTRACT
Objectives:
to investigate the requirements for building an educational and care application about heart failure.
Methods:
exploratory study, carried out with 15 people with heart failure and 19 family members/caregivers, assisted in a tertiary unit in the Brazilian Northeast. Individual semi-structured interviews were carried out between November and December 2020. Hannah Arendt’s theoretical framework was adopted.
Results:
two units of meaning emerged: “The plurality of care in heart failure” and “Expectations on the construction and use of educational and care technology for heart failure”. The requirements involved the need to know the disease and its nuances, as well as the health network, through an application that can minimize individual and social precariousness; and highlighted the importance of the participation of the multidisciplinary team in the development and dissemination of the application.
Conclusions:
requirements on educational and care technology were identified and will support the creation of an application that promotes care, aiming to obtain positive health outcomes.
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ORIGINAL ARTICLE
Impaired knowledge in individuals with heart failure: a middle range nursing theory
Revista Brasileira de Enfermagem. 2022;75(2):e20200855
10-18-2022
Resumo
ORIGINAL ARTICLEImpaired knowledge in individuals with heart failure: a middle range nursing theory
Revista Brasileira de Enfermagem. 2022;75(2):e20200855
10-18-2022DOI 10.1590/0034-7167-2020-0855
Visualizações0Ver maisABSTRACT
Objective:
To develop a middle range nursing theory of impaired knowledge in individuals with heart failure.
Methods:
Descriptive study of the cross type developed through the theoretical-causal validity method, which used six steps for theory building: Definition of the construction approach; Definition of theoretical-conceptual models; Definition of main concepts; Development of a pictorial scheme; Construction of propositions; and Establishment of causal relations and evidence for practice.
Results:
Twenty-four articles were found, which identified two attributes, eight antecedents, and seven consequences, which gave rise to the pictogram, which schematized the concepts by relating them to cardiac physiology. Finally, 11 propositions and four causal relationships were created.
Conclusion:
The constructed theory enables a targeted driving of nurses’ clinical judgment regarding impaired knowledge in individuals with heart failure, culminating in individualized interventions to improve quality of life.
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ORIGINAL ARTICLE
ICNP® terminology subset for the care of people with heart failure
Revista Brasileira de Enfermagem. 2022;75(2):e20210196
10-01-2022
Resumo
ORIGINAL ARTICLEICNP® terminology subset for the care of people with heart failure
Revista Brasileira de Enfermagem. 2022;75(2):e20210196
10-01-2022DOI 10.1590/0034-7167-2021-0196
Visualizações0ABSTRACT
Objective:
to develop an ICNP® terminology subset for the care of people with heart failure.
Methods:
this is a methodological study, which used the theoretical framework of the Mid-Range Nursing Theory for Cardiovascular Rehabilitation, with the steps: Construction of nursing diagnoses/outcomes and interventions statements and Cross-mapping of statements constructed.
Results:
forty-two diagnosis/outcome statements and 179 nursing intervention statements were constructed, organized based on five theory concepts, with a higher prevalence of statements related to “Rehabilitative care”, “Psychosocial support for patients and families” and “Supervised cardiovascular rehabilitation program”.
Final considerations:
it was possible to build nursing diagnosis/outcome and intervention statements for developing a terminology subset for the care of people with heart failure, based on the chosen theory.
Palavras-chave: Cardiac RehabilitationCardiovascular NursingHeart FailureNursing CareStandardized Nursing TerminologyVer mais -
REVIEW
Benchmarking of mobile apps on heart failure
Revista Brasileira de Enfermagem. 2022;75(1):e20201093
10-01-2022
Resumo
REVIEWBenchmarking of mobile apps on heart failure
Revista Brasileira de Enfermagem. 2022;75(1):e20201093
10-01-2022DOI 10.1590/0034-7167-2020-1093
Visualizações0INTRODUCTION Heart failure (HF) is an emerging global threat, with a current prevalence of 64.34 million cases on the planet (8.52 per 1,000 inhabitants), representing 9.91 million years lost due to disability and spending of US$346.17 billion(), with a prospect of an increase despite therapeutic advances. These data alert to the prioritization of preventive actions […]Ver mais -
TECHNOLOGICAL INNOVATION
Transitional care from the hospital to the home in heart failure: implementation of best practices
Revista Brasileira de Enfermagem. 2022;75(1):e20210123
09-24-2022
Resumo
TECHNOLOGICAL INNOVATIONTransitional care from the hospital to the home in heart failure: implementation of best practices
Revista Brasileira de Enfermagem. 2022;75(1):e20210123
09-24-2022DOI 10.1590/0034-7167-2021-0123
Visualizações0Ver maisABSTRACT
Objectives:
Assess the compliance of the implementation of better evidence in the transitional care of the person with heart failure from the hospital to the home.
Methods:
Evidence implementation project according to the JBI methodology in a cardiology hospital in São Paulo. Six criteria were audited before and after implementing strategies to increase compliance with best practices. 14 nurses and 22 patients participated in the audits.
Results:
In the baseline audit, compliance was null with five of the six criteria. Strategies: training of nurses; reformulation of the hospital discharge form and guidance on self-care in care contexts; and making telephone contact on the 7th, 14th and 21st days after discharge. In the follow-up audit, there was 100% compliance with five of the six criteria.
Conclusion:
The project made it possible to increase the compliance of transitional care practices in people with heart failure with the recommendations based on the best evidence.