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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
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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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The therapeutic regimen management in the Cardiac Rehabilitation Program
Session:
Painel 8 - Enfermagem em Cardiologia 1
Speaker:
IVO CLAUDIO MENDES LOPES
Congress:
CPC 2020
Topic:
M. Cardiovascular Nursing
Theme:
32. Cardiovascular Nursing
Subtheme:
32.3 Cardiovascular Nursing - Other
Session Type:
Posters
FP Number:
---
Authors:
Ivo Lopes; Andreia Teixeira; Bruno Miguel Delgado; Célia Neto; Fernanda Pereira; Luísa Carneiro; Sandra Pereira; Vera Vieira
Abstract
<p><strong>Introduction</strong></p> <p>Coronary artery disease (CAD) is the leading cause of death worldwide and a leading cause of decreased functional capacity and perceived quality of life (WHO, 2014). The Cardiac Rehabilitation program is an essential tool for the recovery of the cardiac patient, promoting the reduction of cardiovascular risk and facilitating the adoption of a healthy lifestyle.</p> <p>The central focus of this program is to provide the patient with a physical activity plan, accompanied by instruction and motivation to control the various cardiovascular risk factors and the therapeutic regimen management.</p> <p><strong>Objectives</strong></p> <p>To assess patients’ knowledge about the therapeutic regimen management throughout the Cardiac Rehabilitation program;</p> <p>Analyze the results, verify their evolution in the temporal context and adjust the nursing care planning towards the continuous improvement of care and reduction of the cardiovascular risk of the patients.</p> <p><strong>Methods</strong></p> <p>Data representing patients' knowledge of the therapeutic regimen management at various times were collected - discharge from hospital (Phase I), beginning and end of outpatient care at cardiovascular rehabilitation unit (Phase II) and maintenance phase (Phase III), which we evaluated in this case 6 months after the beginning of the outpatient phase.</p> <p><strong>Results</strong></p> <p>In a sample of 255 patients (year 2018), at the time of discharge, 8% of them showed knowledge of CAD, 6.7% had knowledge about healthy diet, 10% describe which physical activity habits to follow and 29 % reveal knowledge about the drug therapy. At the end of Phase II, these values increase respectively to 83% (CAD), 72.3% (healthy diet), 78.4% (physical activity) and 84.6% (drug therapy). In Phase III, the knowledge shown is respectively 76% (CAD), 73.9% (healthy diet), 73.9% (physical activity) and 80.4% (drug therapy).</p> <p><strong>Conclusion</strong></p> <p>There is a very low knowledge at the time of discharge, with a slight improvement at the time of admission to the cardiovascular rehabilitation unit. At the end of the phase II higher adherence values and demonstrated knowledge about the therapeutic regimen management are reached. At 6 months there is a slight decrease, probably due to the lower follow-up of the patient.</p>
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