Ineffective Health Management in People With Heart Failure: A Pilot Study

Abstract

OBJETIVO

Investigar a aplicabilidade clínica das definiçõs conceituais e operacionais das características definidoras (CD) e fatores relacionados (FR) de Controle ineficaz da saúde em pessoas com insuficiência cardíaca.

MÉTHODS

Estudo piloto transversal. A presença das CD e FRfoi investigada com base nas definiçõses conceituais e operacionais. As frequênciasforam utilizadas para análise.

RESULTADOS

Dos 33 participantes, 32 (97%) tinham Controle ineficaz da saúde.A principal CD foi Escolhas na vida diária ineficazes para atingir as meta de saúde, e oprincipal FR foi Impotência

CONCLUSÂO

As definições conceituais e operacionais foram aplicáveis à prática clínica, com exceçâo de Benefício percebido, Suscetibilidade percebida e Gravidade da condiçâo percebida, as quais devem ser modificadas.

Keywords

Heart failure nursing assessment nursing diagnosis nursing process self-care

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References

Artinian

N. T.

Fletcher

G. F.

Mozaffarian

Kris-Etherton

vanHorn

Lichtenstein

A. H.

… Burke

L. E.

; on behalf of the American Heart Association Prevention Committee of the Council on Cardiovascular Nursing . (2010). Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: A scientific statement from the American Heart Association. Circulation, 122(4), 406–441.

Austin

Williams

W. R.

Ross

Hutchison

(2008). Five-year follow-up findings from a randomized controlled trial of cardiac rehabilitation for heart failure. European Journal of Cardiovascular Prevention & Rehabilitation, 15(2), 162–167.

Bocchi

E. A.

Braga

F. G. M.

Ferreira

S. M. A.

Rohde

L. E. P.

Oliveira

W. A. D.

Almeida

D. R. D.

, … Montera

M. W.

; Sociedade Brasileira de Cardiologia . (2009). [III Brazilian guidelines on heart failure]. Arquivos Brasileiros de Cardiologia, 93(1 Suppl. 1), 1–71. (Portuguese)

Bocchi

Marcondes-Braga

F. G.

Bacal

Ferraz

A. S.

Albuquerque

Rodrigues

, … Issa

V. S.

(2012). [Update of the Brazilian guidelines on chronic heart failure - 2012]. Arquivos Brasileiros de Cardiologia, 98(1 Suppl. 1), 1–33. (Portuguese)

Bonin

C. D. B.

dos Santos

R. Z.

Ghisi

G. L. D. M.

Vieira

A. M.

Amboni

Benetti

(2014). Construction and validation of a questionnaire about heart failure patients' knowledge of their disease. Arquivos Brasileiros de Cardiologia, 102(4), 364–373.

Braga

Cruz

D. A. L. M.

(2009). Powerlessness assessment tool for adult patients. Revista da Escola de Enfermagem da USP, 43(Esp), 1063–1070.

Brunori

E. H. F. R.

Cavalcante

A. M. R. Z.

Lopes

C. T.

Lopes

J. L.

Barros

A. L. B. L.

(2014). Smoking, alcohol consumption and physical activity: Associations in acute coronary syndrome. Acta Paulista de Enfermagem, 27(2), 165–172.

Carneiro

C. S.

Lopes

C. T.

Lopes

J. L.

Santos

V. B.

Bachion

M. M.

Barros

A. L. B. L.

(2015). Conceptual and operational definitions of the defining characteristics and related factors of the diagnosis ineffective health management in people with heart failure. International Journal of Nursing Knowledge, 26(4), 1–12.

Carpenter

C. J.

(2010). A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Communication, 25(8), 661–669.

10.

Chandler

R. F.

Monnat

S. M.

(2015). Racial/ethnic differences in use of health care services for diabetes management. Health Education & Behavior, 42(6), 783–792. doi:10.1177/1090198115579416

11.

Clark

A. M.

Freydberg

C. N.

McAlister

F. A.

Tsuyuki

R. T.

Armstrong

P. W.

Strain

L. A.

(2009). Patient and informal caregivers’ knowledge of heart failure: Necessary but insufficient for effective self-care. European Journal of Heart Failure, 11(6), 617–621.

12.

D'Almeida

K. S. M.

Souza

G. C.

Rabelo

E. R.

(2012). Cross-cultural adaptation into Brazilian Portuguese of the Dietary Sodium Restriction Questionnaire (DSRQ). Arquivos Brasileiros de Cardiologia, 98(1), 70–75. (Portuguese).

13.

Datasus . (2015). [SUS hospital morbidity]. Retrieved from http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/miuf.def

14.

Davis

K. K.

Mintzer

Himmelfarb

C. R. D.

Hayat

M. J.

Rotman

Allen

(2012). Targeted intervention improves knowledge but not self-care or readmissions in heart failure patients with mild cognitive impairment. European Journal of Heart Failure, 14(9), 1041–1049.

15.

Dickson

V. V.

Melkus

G. D. E.

Katz

Levine-Wong

Dillworth

Cleland

C. M.

Riegel

(2014). Building skill in heart failure self-care among community dwelling older adults: Results of a pilot study. Patient Education and Counseling, 96(2), 188–196.

16.

Favero

Pagliuca

L. M. F.

Lacerda

M. R.

(2013). Transpersonal caring in nursing: An analysis grounded in a conceptual model. Revista da Escola de Enfermagem da USP, 47(2), 500–505.

17.

Freitas

M. T. S.

Püschel

V. A. A.

(2013). Heart failure: Expressions of personal knowledge about the disease. Revista da Escola de Enfermagem da USP, 47(4), 922–929.

18.

Herdman

T. H.

Kamitsuru

(2014). NANDA International nursing diagnoses: Definitions and classification, 2015–2017. Oxford: Wiley-Blackwell.

19.

Janz

N. K.

Marshall

H. B.

(1984). The Health Belief Model: A decade later. Health Education Behavior, 11(1), 1–47.

20.

Landis

Koch

(1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.

21.

Lee

C. S.

Gelow

J. M.

Mudd

J. O.

Green

J. K.

Hiatt

S. O.

Chien

Riegel

(2015). Profiles of self-care management versus consulting behaviors in adults with heart failure. European Journal of Cardiovascular Nursing, 14(1), 63–72.

22.

Rabelo

Aliti

Domingues

Ruschel

Brun

(2007). What to teach to patients with heart failure and why: The role of nurses in heart failure clinics. Revista Latino-Americana de Enfermagem, 15(1), 165–170.

23.

Rabelo

Mantovani

Aliti

Domingues

(2011). Cross-cultural adaptation and validation of a disease knowledge and self-care questionnaire for a brazilian sample of heart failure patients. Revista Latino-Americana de Enfermagem, 19(2), 277–284.

24.

Riegel

Jaarsma

Strombery

(2012). A middle-range theory of self-care of chronic iiiness. Advances in Nursing Science, 35(3), 94–204.

25.

Rocha

Fleck

(2011). Evaluation of quality of life and importance given to spirituality/religiousness/ personal beliefs (SRPB) in adults with and without chronic health conditions. Revista de Psiquiatria Clínica, 38(1), 19–23.

26.

Roger

V. L.

A. S.

Lloyd-Jones

D. M.

Benjamin

E. J.

Berry

J. D.

Borden

W. B.

Turner

M. B.

(2012). Heart disease and stroke statistics—2012 update: A report from the American Heart Association. Circulation, 125(1), e2–e220.

27.

Rosenstock

(1974). Historical origins of the Health Belief Model. Health Education Behavior, 2(4), 328–335.

28.

Sahebi

Mohammad-Aliha

Ansari-Ramandi

Naderi

(2015). Investigation the relationship between self-care and readmission in patients with chronic heart failure. Research in Cardiovascular Medicine, 4(1), e25472. doi:10.5812/cardiovascmed.25472

29.

Soares

Toledo

Santos

Lima

Galdeano

(2008). Quality of life in older adults with heart failure: Assessment with a specific instrument. Acta Paulista de Enfermagem, 21(2), 243–248.

30.

Yancy

C. W.

Jessup

Bozkurt

Butler

Casey

D. E.

Drazner

M. H.

Wilkoff

B. L.

(2013). 2013 ACCF/AHA guideline for the management of heart failure: Executive summary: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation, 128(16), 1810–1852.