Efetividade das intervenções de enfermagem em pacientes com insuficiência cardíaca e o diagnóstico de enfermagem “controle ineficaz da saúde”

• Ano de defesa: 2016
• Autor(a) principal: Oliveira, Ana Paula Dias de [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Health education; Effectiveness; Heart failure; Educação em saúde; Efetividade; Insuficiência cardíaca
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=4511020; http://repositorio.unifesp.br/handle/11600/46931

Objective: To assess the effectiveness of interventions of the Nursing Intervention Classification (NIC) ?Teaching: Disease Process?, ?Health Education? and ?Cardiac Care? in improving the outcomes of patients with HF and the nursing diagnosis (ND) ?Ineffective Health Maintenance?. Method: retrospective cohort study conducted in a nursing outpatient clinic providing health education in São Paulo, SP, Brazil. Fourteen patients with HF monitored over the course of one year who received six in-person consultations every two months intercalated by telephone consultations once a month, were included. An instrument based on NANDA international was applied in the first consultation to confirm the ND ?Ineffective Health Maintenance, after which the 12 indicators of the outcomes ?Self-management: Heart Failure? and ?Adherence Behavior? of the Nursing Outcome Classification (NOC) were assessed and NIC interventions were implemented: ?Teaching: Disease Process?, ?Health Education?, and ?Cardiac Care?. Patients were reassessed during in-person consultations and two expert nurses assessed the indicators. The effectiveness of interventions was verified by changing NOC scores using the Friedman non-parametric test and non-parametric repeated measures ANOVA; level of significance was 5%. Results: The ND ?Ineffective Health Maintenance? was prevalent in 100% of the patients. The selected interventions were implemented in all the consultations; only the activities varied. The scores of the two outcomes improved significantly through the fourth consultation (p<0.001) and the same profile was maintained up to the last consultation. Conclusions: The NIC interventions were effective and improved the NOC outcomes of patients with HF and the ND ?Ineffective Health Maintenance.? The results suggest that the selected interventions encourage self-management and health behaviors.