scholarly journals Autocuidado e aptidão cardiorrespiratória na insuficiência cardíaca

2019 ◽  
Author(s):  
Laís Rodrigues de Oliveira ◽  
Marilia Estevam Cornelio
Keyword(s):  
Heart Failure ◽  
New York ◽  
Specific Activity ◽  
Self Care ◽  
Heart Association ◽  
Insuficiencia Cardiaca ◽  
New York Heart Association ◽  
Activity Questionnaire

A insuficiência cardíaca é uma doença crônica, de elevada prevalência no Brasil e no mundo, e apresenta importante impacto na realização de atividades de vida diária e na qualidade de vida. Desta forma, este trabalho tem como objetivo avaliar o autocuidado em pacientes com insuficiência cardíaca e testar a sua relação com a aptidão cardiorrespiratória. Trata-se de um estudo descritivo-exploratório, de corte transversal. Foram incluídos pacientes com insuficiência cardíaca das classes funcionais I, II e III da New York Heart Association, com idade entre 18 e 65 anos. Foram coletados dados sociodemográficos e clínicos; avaliado o autocuidado por meio do European Heart Failure Self-Care Behaviour Scale e a aptidão cardiorrespiratória pelo Veterans Specific Activity Questionnaire. Os dados foram analisados de forma descritiva, por meio de testes de correlação e comparação. Identificamos que os pacientes são em sua maioria eram do sexo masculino (63,1%), brancos (46,4%), casados (54,7%), aposentados (30,9%), tinham fração de ejeção reduzida (70%) e pertenciam a classe funcional 2 (50%). Os resultados deste estudo oferecerão subsídios para o desenvolvimento de intervenções voltadas à implementação de comportamentos de autocuidado por parte dos pacientes com IC.

Determinants of Self-Care in Patients With Heart Failure: Observations From a Developing Country in the Middle East

2019 ◽  
Vol 31 (3) ◽  
pp. 294-303 ◽  
Author(s):  
Angela Massouh ◽  
Huda Abu Saad Huijer ◽  
Paula Meek ◽  
Hadi Skouri
Keyword(s):  
Heart Failure ◽  
Social Support ◽  
New York ◽  
Care Management ◽  
Medical Center ◽  
Self Care ◽  
Heart Association ◽  
Caregiver Support ◽  
Patients With Heart Failure ◽  
New York Heart Association

Introduction: Self-care is recognized as a means for improving outcomes of heart failure (HF), yet studies have not addressed what predicts successful self-care in collectivist cultures like Lebanon. Methodology: Self-care was measured, using the Arabic Self-Care of HF index, in 100 participants with HF (76% males; mean age 67.59) recruited from a tertiary medical center. Results: Self-care was suboptimal, with mean scores of 67.26, 66.96, and 69.5 for self-care maintenance, management, and confidence. Better HF knowledge, social support, and self-care confidence and lower New York Heart Association score predicted better self-care maintenance. Better knowledge, social support, and self-care maintenance, no recent hospitalization, and being unemployed predicted better self-care confidence. Better self-care confidence, maintenance, and HF knowledge predicted better self-care management. Discussion: HF self-care in Lebanon is suboptimal. Nurses need to identify facilitators of and barriers to self-care particular to this population. Interventions targeting HF knowledge, confidence, and caregiver support are expected to improve self-care in Lebanese patients.

scholarly journals Correlação entre instrumentos de qualidade de vida relacionada à saúde e independência funcional em idosos com insuficiência cardíaca

2007 ◽  
Vol 23 (11) ◽  
pp. 2705-2715 ◽  
Author(s):  
Fátima Ayres de Araújo Scattolin ◽  
Maria José D'Elboux Diogo ◽  
Roberta Cunha Rodrigues Colombo
Keyword(s):  
Heart Failure ◽  
New York ◽  
Heart Association ◽  
Insuficiencia Cardiaca ◽  
Heart Failure Questionnaire ◽  
New York Heart Association

Este estudo teve como objetivo identificar a correlação entre as medidas de qualidade de vida relacionada à saúde e independência funcional em idosos com insuficiência cardíaca. Fizeram parte do estudo 146 idosos com insuficiência cardíaca em tratamento ambulatorial, que responderam ao Minnesota Living With Heart Failure Questionnaire (LHFQ) e à Medida de Independência Funcional (MIF). Foi utilizado o coeficiente de correlação de Spearman para verificar a correlação entre as medidas de qualidade de vida relacionada à saúde e MIF, e entre estas e a Classificação Funcional da New York Heart Association (CF-NYHA). Foram constatadas correlações significantes de moderada magnitude entre as dimensões física e emocional do LHFQ e as subescalas total e motora da MIF. Os resultados evidenciaram que a qualidade de vida relacionada à saúde e independência funcional são conceitos correlacionados e influenciados pela CF-NYHA. Os resultados sugerem que ações voltadas à promoção da independência funcional podem otimizar a qualidade de vida relacionada à saúde de idosos com insuficiência cardíaca, especialmente na dimensão física. São necessários novos estudos com ampliação da amostra, inclusão de pacientes de faixa etária mais elevada e com maior gravidade da doença, para verificar a reprodutibilidade destes achados.

Socio-clinical variables affecting the level of self-care in elderly patients with heart failure

2019 ◽  
Vol 18 (7) ◽  
pp. 628-636 ◽  
Author(s):  
Barbara Prochota ◽  
Katarzyna Szwamel ◽  
Izabella Uchmanowicz
Keyword(s):  
Heart Failure ◽  
New York ◽  
Elderly Patients ◽  
Self Care ◽  
Heart Association ◽  
York Heart Association Class ◽  
Patients With Heart Failure ◽  
New York Heart Association ◽  
Behavior Scale ◽  
Care Behavior

Background: Promoting self-care is the cornerstone of heart failure management. The number of hospitalizations and unscheduled visits could be reduced in elderly patients with heart failure by the patients’ active involvement in self-care. Aims: The aim of this study was to measure the level of self-care in elderly patients with heart failure, to examine the influence of socio-clinical variables on the level of self-care, and identify the socio-clinical variables that are predictors of self-care. Methods: The study included 100 heart failure patients (48 female, 52 male) aged between 60 and 88 years, treated at the Oleśno Health Care Center (Poland). The European Heart Failure Self-care Behavior Scale-9 and Mini-Mental State Examination were used. Results: The total classic European Heart Failure Self-care Behavior Scale-9 score was 22.76 points (standard deviation=8.49), and the standardised European Heart Failure Self-care Behavior Scale-9 score was 61.78 (standard deviation=23.59). Patients who were in a relationship, did not take digoxin or diuretics, were in New York Heart Association classes I and II, and had normal scores or cognitive impairment in the Mini-Mental State Examination, had significantly higher levels of self-care. Self-care was also correlated with patient age ( rs=−0.36, p<0.001) and left ventricle ejection fraction ( rs=0.23, p=0.019). Linear regression analysis demonstrated that only the New York Heart Association class has a significant impact on European Heart Failure Self-care Behavior Scale-9 scores. Compared to classes I and II, New York Heart Association class IV decreases the standardised European Heart Failure Self-care Behavior Scale-9 score by a mean of 23.60 points. Conclusions: Intensified self-care education should be provided to patients living alone, taking digoxin and diuretics, suffering from moderate dementia, and classified in New York Heart Association class IV. These patients may require specific educational strategies to gain the knowledge required for effective self-care.

scholarly journals EFEITOS FÍSICOS E PSICOSSOCIAIS DA INSUFICIÊNCIA CARDÍACA NA PERCEPÇÃO DA QUALIDADE DE VIDA

2017 ◽  
Vol 22 (2) ◽  
Author(s):  
Mailson Marques De Sousa ◽  
Jacira Dos Santos Oliveira ◽  
Maria Julia Guimarães Oliveira Soares ◽  
Simone Maria Muniz da Silva Bezerra ◽  
Simone Helena Dos Santos Oliveira
Keyword(s):  
Heart Failure ◽  
New York ◽  
Heart Association ◽  
Insuficiencia Cardiaca ◽  
Heart Failure Questionnaire ◽  
New York Heart Association

Estudo descritivo, de corte transversal, com abordagem quantitativa, com 84 pacientes com insuficiência cardíaca em seguimento ambulatorial. Objetivou-se analisar a qualidade de vida relacionada à saúde de pacientes com insuficiência cardíaca e apresentar proposta de intervenção para as variáveis que mais afetam a percepção da qualidade de vida. Aplicou-se o Minnesota Living Heart Failure Questionnaire. Dentre os participantes a maioria encontrava-se nas classes funcionais I e II da New York Heart Association. A média do escore total do Minnesota Living Heart Failure Questionnaire foi 33,13±19,66 revelando boa qualidade de vida. No entanto, os aspectos físicos e a dificuldade de adesão a dieta foram as variáveis com maior influência negativa na percepção da qualidade de vida. Sugere-se a proposição de estratégias terapêuticas, com foco multidisciplinar para os aspectos físicos e psicossociais mais afetados para minimizar o impacto da insuficiência cardíaca na qualidade de vida relacionada à saúde. 

scholarly journals Correlação entre força muscular respiratória, capacidade funcional e qualidade de vida na insuficiência cardíaca congestiva

2019 ◽  
Vol 18 (2) ◽  
pp. 249-254
Author(s):  
Ewerton Sérgio da Silva ◽  
Aldair Darlan Santos-de-Araújo ◽  
Tatiane Dos Santos Silva ◽  
Jéssyca Lane Fausto Lira ◽  
Ana Carolina Do Nascimento Calles ◽  
...  
Keyword(s):  
Heart Failure ◽  
New York ◽  
Heart Association ◽  
Insuficiencia Cardiaca ◽  
Heart Failure Questionnaire ◽  
New York Heart Association

Introdução: Insuficiência cardíaca congestiva (ICC) é considerada uma síndrome sistêmica caracterizada por fadiga e dispneia. Objetivo: Correlacionar a qualidade de vida, capacidade funcional e força muscular respiratória de pacientes com ICC. Métodos: Pacientes com ICC, internos em hospital referência, foram avaliados. Foram avaliadas a classificação funcional pela New York Heart Association (NYHA), qualidade de vida pelo o questionário Minnesota Living with Heart Failure Questionnaire (MLHFQ), e pressão inspiratória máxima (PImáx) e pressão expiratória máxima (PEmáx) pela manuvacuometria. Resultados: Quarenta e três pacientes foram incluídos, sendo 26 (60,5%) homens, com média de idade de 73,16 (±10,28) anos. A maioria dos pacientes (44,2%) estavam na classe NYHA 3. Correlação negativa foi encontrada para PImáx e PEmáx com NYHA (rs= -0,478, rs = -0,490, respectivamente), e MLHFQ com a PImáx (rs= -0,393). Conclusão: Conclui-se que a redução da força muscular respiratória leva a diminuição na qualidade de vida e piora na capacidade funcional.

scholarly journals Knowledge about self-care and associated factors among heart-failure patients in Ayder Referral Hospital, Ethiopia, 2018: A cross-sectional study

2020 ◽  
pp. 201010582096214
Author(s):  
Tsegu Hailu Gebru ◽  
Haftea Hagos Mekonen ◽  
Kbrom Gemechu Kiros
Keyword(s):  
Heart Failure ◽  
New York ◽  
Logistic Regression ◽  
Self Care ◽  
Heart Association ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge Age

Background: Good knowledge of self-care related to heart failure (HF) is key to improve patient outcomes. However, information regarding how much patients know about self-care is lacking in developing countries, particularly in the study setting. Objective: The objectives of this study were to assess HF patients’ knowledge about self-care and to explore predictors among HF patients in Ayder comprehensive specialised referral hospital, Tigray, Ethiopia. Methods: This hospital-based cross-sectional study design was undertaken in Ayder comprehensive specialised referral hospital, Tigray, Ethiopia. A total of 408 HF patients participated, and the study was done between February and April 2018. An interviewer-assisted structured questionnaire was used to collect data. Bivariate logistic regression and multivariable logistic regression were conducted to identify the predictors associated with knowledge about self-care. Results: The mean age of the participants was 45.4 years (standard deviation=19 years). Around 255 (62.5%) of the participants had poor self-care knowledge. Age, New York Heart Association classes, duration of the disease and previous hospitalisation were the factors associated with knowledge about self-care. Conclusion: More than half of all participants had poor knowledge about self-care. Improving existing prevention strategies and strengthening patients’ knowledge are recommended to address this knowledge deficit.

“I Can’t Go Far”: Perceptions and Experiences of Heart Failure Patients Regarding Physical Activity: A Qualitative Study Using Semistructured Face-to-Face Interviews

2021 ◽  
pp. 109019812110532
Author(s):  
Elodie Charuel ◽  
Martial Bernard ◽  
Hélène Vaillant Roussel ◽  
Benoit Cambon ◽  
Thibault Ménini ◽  
...  
Keyword(s):  
Physical Activity ◽  
Heart Failure ◽  
New York ◽  
General Practitioner ◽  
Qualitative Study ◽  
Heart Association ◽  
Enabling Factors ◽  
Face To Face ◽  
New York Heart Association

Background Participation in regular physical activity (RPA) is beneficial to the quality of life and life expectancy of patients with chronic heart failure (CHF). However, it is inadequate in many patients. Aims To determine the factors that influence the practice of RPA in patients with CHF managed in general practice. Method This was a qualitative study using semistructured, individual face-to-face interviews. Patients with CHF (New York Heart Association Stages 1–3) capable of participating in RPA were enrolled by their general practitioner. A longitudinal and transversal inductive thematic analysis was performed by two researchers. Results Five themes emerged from the 19 interviews that were conducted. Poor knowledge of the disease and the benefits of participating in RPA, as well as the lack of motivation or enjoyment, in particular due to the absence of previous participation, were considered significant obstacles. Fear associated with CHF or other comorbidities was also an obstacle. Attendance at a rehabilitation center, family and social circles, and having a pet all appeared to be beneficial. Family and friends were important for motivating the patient to participate in an activity but could also be an obstacle when they were overprotective. Conclusion This study helps highlight the difficulties for patients with CHF associated with participation in RPA. Despite the obstacles, there are enabling factors on which the general practitioner may rely to motivate their patients.

Abstract 2848: Medication Knowledge And Assistance In Older Chronic Heart Failure Patients.

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Robyn Gallagher ◽  
Judith Donoghue ◽  
Lynn Chenoweth ◽  
Jane Stein-Parbury
Keyword(s):  
Heart Failure ◽  
New York ◽  
Chronic Heart Failure ◽  
Self Efficacy ◽  
Heart Association ◽  
Post Discharge ◽  
Medication Knowledge ◽  
Moderate Heart Failure ◽  
Association Class ◽  
New York Heart Association

Medication knowledge and assistance in older chronic heart failure (CHF) patients. Medication adherence is central to the optimal management of CHF. Little is known about older patients’ knowledge of their medications or the factors that contribute to this knowledge. Aim: To describe and identify the predictors of medication knowledge in older CHF patients. Method: Subjects ( n = 62) aged over 55 years with moderate heart failure (New York Heart Association Class II and III) who identified as self-managing were recruited from hospital or rehabilitation. Interviews occurred at home four weeks post-discharge using a medication checklist and the Self-Efficacy in Chronic Illness Scale (Lorig et al, 2001). Multiple regression analysis determined the predictors of medication knowledge. Results: Patients were aged mean 78.4 years (sd 8.54 years), mostly male (57%) and had an average 8 (median, range 3–22) medications to take daily, of which 6 (median, range 3–14) were for CHF. Most managed their own medications (54%) but more than a quarter (28%) were assisted by reminding, dispensing and supervision. Compliance with medications was high (84%), although only half (53%) knew the name, main purpose and side effect of their medications. Patients with better self-efficacy (β = 2.88) and no help with medication (β = -21.05) had better medication knowledge (model F = 13.6, p = .000, R = .61, r 2 = .37). Conclusion: Older CHF patients have poor knowledge of their medications, which may be improved by promoting overall self-efficacy for disease management. Less knowledgeable patients received appropriate assistance with medications, but the consequence may be less knowledge and thus warrants further investigation.

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