Consulta de enfermagem em pacientes portadores de insuficiência cardíaca: revisão integrativa

• Autor(a) principal: Gonçalves, Fabrício Gusmão
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11292
• topic: Nursing (subheading); Heart failure; Health education; Consulta de enfermagem; Insuficiência cardíaca; Educação em saúde; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

This is a bibliographical review on integrative modality, focusing on studies that address the topic related to nursing consltation involving educational actions in patients with heart failure (HF). It was delimited the research problem: What is the contribution of nursing consultation for the control and management of the signs and symptoms in patients with HF? The objectives of this study were to describe the characteristics of the found production that address the nursing consultation based on health education in patients with HF, and evaluate interventions by the strategies used in the consultation. The search was based on the Capes Portal in Lilacs, SciELO, Scopus, Pubmed, and Web of Science databases. The bibliographic survey covered national and international publications, from January, 1995, to July, 2012. Seven hundred and sixty-nine (769) articles were identified; from them, 739 were excluded for various reasons and 30 articles were included in the final study sample. Studies analysis permitted to identify that they were published more frequently by the international community (63.33%) and that publications had intensified since 2003. Regarding the identification of authors, 66.6% are nurses, 20.0% are physicians and nurses, and 13.3% are physicians. There was a predominance of quantitative studies (86.6%). The main identified teaching strategies and targeted to patients with HF were individual counseling, telephone monitoring, home visits, forms, group guidelines, and audiovisual resource. Among the main approaches involving health education and nursing actions in patients with HF, we emphasize education for disease knowledge, monitoring of signs and symptoms of decompensation, guidance for medication use, and education for adherence of non-pharmacological measures. It is concluded that nursing consultation involving educational actions in patients with HF increases treatment adherence, reduces the morbidity rates including rehospitalizations, decreases healthcare costs, and improves the quality of patients life.