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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
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L. Cardiovascular Pharmacology
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
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Evaluation of Self-Care Improvement after admission in a Heart Failure Clinic
Session:
Posters 1 - Écran 8 - Enfermagem/Técnicos
Speaker:
Ana Ferreira
Congress:
CPC 2019
Topic:
M. Cardiovascular Nursing
Theme:
32. Cardiovascular Nursing
Subtheme:
32.2 Chronic Nursing Care
Session Type:
Posters
FP Number:
---
Authors:
Ana Ferreira; Ana Leal Neto; Daniel Seabra De Carvalho; Inês Pereira Oliveira; Patrícia Silva; Magda Soares; Sandra Poiares; Sónia Apolinário; Madalena Meira; Aurora Andrade
Abstract
<p><strong>Introduction</strong>: Heart failure (HF) is a highly prevalent syndrome with significant morbimortality and great impact on patients (pts) and their family’s quality of life. HF-related self-care behaviour reflects the actions that an HF patient undertakes to maintain life, healthy functioning, and well-being. The European Heart Failure Self-Care Behaviour Scale (EHFScB scale)is a validated scale considered easy to administer and practical to use. The scale is based on international guidelines for HF management and has been found to measure change in behaviour over time.</p> <p><strong>Purpose:</strong> To evaluate the self-care capacity and its improvement over time in pts with chronic HF and reduced ejection fraction (HFrEF) in a HF Clinic (HFC). </p> <p><strong>Methods</strong>: Unicentric, retrospective analysis of pts followed in a HFC since 3/2011. Included pts with reduced ejection fraction (EF) (<50%) and previous diagnosis of HF for at least 6 months, who had completed the EHFScB scale in two different moments: the first moment (T1) before the nursing teaching session and the other (T2) 6 to 12 months after this intervention. This 12-item scale measures self-care behaviors on a 5-point likert scale ranging from 1 (strongly agree) to 5 (strongly disagree). A total score is calculated by summing responses from each item and lower score indicates better self-care.</p> <p><strong>Results</strong>: The sample consists of 58 pts with mean age of 63±12,4 years and male predominance (74%). 65% had ischemic etiology with median EF of 29.9±6,3% at admission in HFC. 62% had a prior HF hospitalization. Mean EHFScB scores in T1 and T2 was 37±11 and 19±5,8, respectively. All behaviours had a positive evolution in self-care capacity. The largest improvement was in the "asking for help" factor with a mean decrease of 1.8 points. The factor with the lowest evolution was "‘adapting activities" with a mean increase of 1 point.</p> <p><strong>Conclusion</strong>: In this cohort, we concluded that pts adopts non-pharmacological measures in an easier way and follow the guidelines given by the professionals when properly instructed. The EHFScB scale can be used to assess self-care behaviours and as a baseline for the mutual decision between the patient and nurse or physician regarding self-care. It can also be used to improve patient compliance and empower nursing education sessions to address specific problems of heart failure patients.</p>
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