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ABSTRACT: The aim of this study is to identify the signs and symptoms of patients admitted for decompensated heart failure (HF) in order to infer the priority nursing diagnoses (ND). This is a cross-sectional study undertaken in a university hospital. The data were collected by nurses trained to deal with HF and registered in a file containing identification items, and demographic and clinical variables. We included 303 patients. Most patients were in emergency departments (95.7%) with functional class III (65.7%). The signs and symptoms identified at the time of admission were dyspnea (91.4%), paroxysmal nocturnal dyspnea (87.5%), fatigue (67.3%), edema (63.7%), orthopnea (55.4 %) and jugular vein distention (28.7%). From the signs and symptoms raised, that became the set of relevant clues and consistent as an indicator for ND, we conclude that Decreased Cardiac Output and Fluid Volume Excess diagnoses were the priorities for this population.
Revista gaúcha de enfermagem / EENFUFRGS 09/2011; 32(3):590-5.
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ABSTRACT: The aim of this prospective and experimental study was to evaluate the impact of nursing systematic education on disease knowledge and self-care at a Heart Failure Clinic in Brazil. Prior to the nurse’s appointment, all patients answered a structured questionnaire concerning the knowledge of the disease and self-care. After 4 appointments, the same patients answered the same questionnaire. This present study suggests that systematic education with nurses increase the knowledge about the disease and self-care. This approach together with others strategies could decrease decompensation episodes and consequently improve quality of life for heart failure patients.
Online Brazilian Journal of Nursing. 01/2007;
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ABSTRACT: The aim of this prospective and experimental study was to evaluate the impact of nursing systematic education on disease knowledge and self-care at a Heart Failure Clinic in Brazil. Prior to the nurse’s appointment, all patients answered a structured questionnaire concerning the knowledge of the disease and self-care. After 4 appointments, the same patients answered the same questionnaire. This present study suggests that systematic education with nurses increase the knowledge about the disease and self-care. This approach together with others strategies could decrease decompensation episodes and consequently improve quality of life for heart failure patients.
Online Brazilian Journal of Nursing. 01/2007;
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ABSTRACT: The most important objective of heart failure (HF) treatment is to reach and preserve patients' clinical stability. Several studies have shown that programs aimed at systematic education, developed by multidisciplinary teams, are positive strategies to work with these patients. Nurses active in HF clinics play a fundamental role in the educational process and continuity of patient care. The objectives of these processes are to teach, reinforce, improve and constantly evaluate patients' self-care abilities, which include weight monitoring, sodium and fluid restrictions, physical activities, regular medication use, monitoring signs and symptoms of disease worsening and early search for medical care. Therefore, education to understand HF and the development of self-care abilities are considered key points to improve adherence, avoid decompensation crises and, consequently, to maintain patients clinically stable. This article presents a careful review of the aspects involved in the patient education process by nurses in the context of HF clinics.
Revista Latino-Americana de Enfermagem 15(1):165-70. · 0.63 Impact Factor