Impacto do monitoramento telefônico na avaliação do conhecimento e autocuidado de pacientes com insuficiência cardíaca

• Autor(a) principal: Oliveira, Josiana Araujo de
• Data de Publicação: 2016
• 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/1/11397
• topic: Heart failure; Telephone Intervention; Nurse; Insuficiência cardíaca; Intervenção Telefônica; Enfermeiro; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Introduction: The multidisciplinary clinical follow-up of patients with chronic HF improves self-care, knowledge about the disease, as well as beneficial effects on treatment adherence, reducing the number of hospital stay and hospital costs, being the nurse, a crucial role in health education the patient/family and the continuous monitoring of these actions. Objectives: To analyze self-care and knowledge of the HF in the conventional outpatient monitoring compared to the same strategy associated with a telephone approach for nursing; Compare the scores of knowledge about HF and self-care in HF; To assess the association of knowledge variables with HF patients. Method: Randomized Clinical Trial. The sample consisted of 36 participants allocated to the control group (CG) or the intervention group (IG). Both groups were monitored in clinical HF/HUPE for 4 months (time 0, 2, 4 months), performing conventional treatment. However, treatment was associated with IG telephone monitoring a total of from 7 to 10 links throughout the period. To evaluate the proposed outcomes, two nurses participated in data collection, using questionnaires adapted and validated for use in Brazil, knowledge (Knowledge Questionnaire HF) and self-care (Questionnaire EHFScBS), getting your total scores for data analysis. Results: In IG 19 participants completed the study while at the CG, 17. It was shown in the characterization of the sample, in both groups, NYHA (I, II and III) and LVEF (≤50%). Comparing IG vs. CG: age 60,5±12,3 vs. 60±10,9; male 52,6% vs. 47,4%. No significant differences in sample characteristics (sociodemographic, anthropometric and cardiovascular hemodynamic) (P>0,05); was no significant difference in knowledge (12,7±1,7 vs. 10,8±2,2; P=0,009) and self-care (25,4±6,6 vs. 29,5±4,8; P=0,04) in the 4th month. In addition, we observed a significant negative correlation between knowledge and self-care in HF in the IG in the 2nd month (r=-0,48; P=0,03) and a similar trend in the 4th month (r=-0,37; P=0,11), this was not observed in the control group. Conclusion: Health education in clinical HF/HUPE through the telephone approach, carried out by nurses, is an effective strategy: (a) for knowledge and self-care of patients with chronic HF evidenced by the significant difference in knowledge and self-care in the 4th month monitoring; (b) by the significant negative correlation between knowledge and self-care in IG in the 2nd month with a similar trend in the 4th month.