RESUMEN
INTRODUÇÃO: A terapia com anticoagulantes orais é o esquema terapêutico complexo para a prevenção de eventos tromboembólicos. Atualmente, com todas as exigências para melhoria da qualidade assistencial e diminuição de custos na atual demanda de desenvolvimento de pesquisa, faz necessário intervenções multiprofissionais com componentes educativos para auxiliar no manejo da TACO. No âmbito da contribuição da enfermagem, a utilização de linguagem padronizada pode auxiliar enfermeiros de diferentes contextos e nacionalidades para que assim possam atuar respaldados em evidências. OBJETIVOS: identificar na literatura as intervenções em saúde dentro da terapia e estratificá-las com nível de evidência e mapear as ações de enfermagem encontradas na literatura as intervenções/atividades propostas pela Nursing Interventions Classification. MÉTODOS: Trata-se de um estudo de revisão integrativa, seguido de mapeamento cruzado, através da Biblioteca Virtual em Saúde, que trará artigos do IBECS, LILACS, BDENF e MEDLINE. Para realização do mapeamento cruzado foram utilizadas as regras adaptadas, baseadas em Lucena e Barros (2005). RESULTADOS: Foram selecionados 16 artigos conforme fluxograma PRISMA, com dados sociodemográficos e nível de evidência. As intervenções para adesão foram agrupadas em grupos: educação, autogestão e tratamento diretamente observados, com o mapeamento realizado de acordo com o Nursing Interventions Classification. CONCLUSÃO: As intervenções incluem questões educacionais, de autogerenciamento e tratamento diretamente observado a fim de promover a adesão do paciente dentro da terapia, para isso as evidências apontam para o tratamento em centros especializados que por sua vez despendem da utilização de mhealth, pill boxes, recursos áudio visuais, cartilhas, consultas voltadas para as particularidades do paciente.
Asunto(s)
Cumplimiento de la Medicación , Atención de Enfermería , Educación en Salud , AnticoagulantesRESUMEN
BACKGROUND: In Brazil, there are no instruments available to measure the presence, frequency, severity and distress related to heart failure (HF) symptoms. AIMS: To adapt the Symptom Status Questionnaire - HF (SSQ-HF) into Brazilian Portuguese and to examine the content validity of the adapted version. METHODS: The instrument was translated, back-translated and evaluated by an expert committee for semantic, idiomatic, cultural, and conceptual equivalences. An agreement ≥80% was considered adequate. The adapted version was evaluated by both an expert committee (n = 9) for clarity, theoretical relevance and practical relevance (acceptable content validity coefficient (CVC): ≥0.70), and by a patient committee regarding understanding (n = 40). RESULTS: The adapted version obtained 100% agreement regarding the equivalences. The total instrument CVC was 0.99. All patients understood the items. CONCLUSION: The SSQ-HF-Brazilian version has satisfactory evidence of equivalence and content validity. Additional psychometric tests are deemed to confirm that the instrument can be used in Brazil.
Asunto(s)
Comparación Transcultural , Insuficiencia Cardíaca , Brasil , Insuficiencia Cardíaca/diagnóstico , Humanos , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , TraduccionesRESUMEN
OBJECTIVE: to describe self-care behavior and its associated factors in a sample of heart failure Brazilian patients. METHOD: descriptive cross-sectional study with non-probabilistic sample of 116 ambulatory patients undergoing heart failure treatment. Self-care was evaluated using the Self-Care of Heart Failure Index, (scores ≥70 points=appropriate self-care). Association tests were applied, considering a descriptive level of 0.05. RESULTS: the mean age of participants was 57.7 (SD =11.3) years; 54.3% were male; the mean schooling was 5.5 (SD = 4.0) years; and 74.1% had functional class II-III. The mean scores on the subscales of the Self-Care of Heart Failure Index indicated inappropriate self-care (self-care maintenance: 53.2 (SD =14.3), selfcare management: 50.0 (SD = 20.3) and self-care confidence: 52.6 (SD=22.7)) and it was found low frequencies of participants with appropriate self-care (self-care maintenance, 6.9%), self-care management (14.7%) and self-care confidence (19%). Higher scores of the Self-Care of Heart Failure Index were associated with: reduced left ventricular ejection fraction (p=0.001), longer time of experience with the disease (p=0.05) and joint monitoring by physician and nurse (p=0.007). CONCLUSION: investments are needed to improve the self-care behavior and the nursing can play a relevant role in this improvement.