Raquel Azevedo de Castro

Adesão ao tratamento de pacientes com insuficiência cardíaca em um hospital universitário

Non-compliance in heart failure (HF) patients is one of the factors leading to hospital readmissions. Under this perspective, a study was carried out in a university hospital in Rio Grande do Sul, Brazil to describe the compliance with pharmacological and non-pharmacological treatments of patients admitted with decompensated HF, relating the compliance to the number of hospital admissions and readmissions during a years period. The pharmacological compliance was measured through Morisky scale and the non-pharmacological compliance was measured through a previously validated questionnaire. The sample was composed of 252 patients, median age 63 +/- 13, 151 (60%) male. For the pharmacological compliance, 118 (47%) patients demonstrated high compliance, and 45 (18%) adhered to non-pharmacological treatment. There was no relation found between treatment compliance (pharmacological or non-pharmacological) and readmissions. Patients who had been treated for HF, had knowledge about non-pharmacological care and were able to identify congestion symptoms demonstrated high compliance.A baixa adesao ao tratamento de pacientes com insuficiencia cardiaca (IC) e um dos fatores relacionado a reinternacoes. Nesta perspectiva, este estudo, conduzido em um hospital universitario no Rio Grande do Sul, buscou descrever a adesao ao tratamento farmacologico e nao farmacologico de pacientes admitidos com IC descompensada, relacionando-a com o numero de internacoes e re-internacoes hospitalares no periodo de um ano. A adesao farmacologica foi avaliada pela escala de Morisky, e a nao farmacologica por meio de um questionario previamente validado. Incluiram-se 252 pacientes, idade media 63±13 anos e 151 (60%) do sexo masculino. Quanto a adesao ao tratamento farmacologico, 118 (47%) referiram alta adesao e 45 (18%) eram aderentes ao tratamento nao farmacologico. Nao houve relacao entre adesao ao tratamento (farmacologico e nao farmacologico) e re-internacoes. Conhecimento previo dos cuidados nao farmacologicos, identificacao dos sintomas de congestao e aqueles que ja faziam tratamento para IC foram relacionados a adesao.

Cohort study to evaluate nursing team performance in a theoretical test after training in cardiopulmonary arrest

and assistants were included. A questionnaire was administered in the three periods, and 75% of correct answers was considered a satisfactory result. Results: Thirty-five nurses participated in the pre-test, and 34 in the immediate and 6-month tests. Among technicians and assistants, 232, 227, and 104 participated in the pretest, immediate, and 6-months tests, respectively. Among nurses, 62.9% achieved an adequate percentage of correct answers in the pre-test, 94.1% in the immediate, and 64.7% in the 6-months test; for nursing technicians and assistants, these values were 36.2%, 79.3%, and 62.5%, respectively. Conclusion: Training in CPA improved the nursing professionals’ knowledge immediately after its administration, with a reduction in the rate of correct answers after 6 months.

Prescribing and Conducting Non-Pharmacological Management of Patients With Decompensated Heart Failure Admitted to a University Hospital Emergency

E estudo transversal com o objetivo de descrever a prescricao de manejo nao farmacologico a pacientes com insuficiencia cardiaca descompensada, internados em emergencia, e a efetividade da realizacao. Incluiram-se 256 pacientes, idade media 63±13 anos, 153 (60%) sujeitos do sexo masculino. O cuidado nao farmacologico mais prescrito foi restricao de sodio, 240 (95%), seguido de controle de peso 135 (53%). Restricao hidrica e balanco hidrico foram menos prescritos, 95 (37%) e 72 (28%), respectivamente. Apenas 38 (54%) dos balancos, 89 (67%) dos controles de peso e 69 (57%) dos controles de diurese foram realizados. Quanto ao conhecimento previo dos pacientes sobre esses cuidados, 229 (90%) receberam orientacao para controle de sal e 163 (64%) para controle hidrico. Controle de peso foi o cuidado menos conhecido, com 117 (46%). A excecao do controle de sal, os demais foram prescritos em pouco mais da metade da amostra, alem de ser insatisfatoria a efetividade da sua realizacao.

Adherence of patients with heart failure to pharmacological and non-pharmacological treatment in a teaching hospital

Non-compliance in heart failure (HF) patients is one of the factors leading to hospital readmissions. Under this perspective, a study was carried out in a university hospital in Rio Grande do Sul, Brazil to describe the compliance with pharmacological and non-pharmacological treatments of patients admitted with decompensated HF, relating the compliance to the number of hospital admissions and readmissions during a years period. The pharmacological compliance was measured through Morisky scale and the non-pharmacological compliance was measured through a previously validated questionnaire. The sample was composed of 252 patients, median age 63 +/- 13, 151 (60%) male. For the pharmacological compliance, 118 (47%) patients demonstrated high compliance, and 45 (18%) adhered to non-pharmacological treatment. There was no relation found between treatment compliance (pharmacological or non-pharmacological) and readmissions. Patients who had been treated for HF, had knowledge about non-pharmacological care and were able to identify congestion symptoms demonstrated high compliance.A baixa adesao ao tratamento de pacientes com insuficiencia cardiaca (IC) e um dos fatores relacionado a reinternacoes. Nesta perspectiva, este estudo, conduzido em um hospital universitario no Rio Grande do Sul, buscou descrever a adesao ao tratamento farmacologico e nao farmacologico de pacientes admitidos com IC descompensada, relacionando-a com o numero de internacoes e re-internacoes hospitalares no periodo de um ano. A adesao farmacologica foi avaliada pela escala de Morisky, e a nao farmacologica por meio de um questionario previamente validado. Incluiram-se 252 pacientes, idade media 63±13 anos e 151 (60%) do sexo masculino. Quanto a adesao ao tratamento farmacologico, 118 (47%) referiram alta adesao e 45 (18%) eram aderentes ao tratamento nao farmacologico. Nao houve relacao entre adesao ao tratamento (farmacologico e nao farmacologico) e re-internacoes. Conhecimento previo dos cuidados nao farmacologicos, identificacao dos sintomas de congestao e aqueles que ja faziam tratamento para IC foram relacionados a adesao.

Estudo de coorte para avaliar o desempenho da equipe de enfermagem em teste teórico, após treinamento em parada cardiorrespiratória

and assistants were included. A questionnaire was administered in the three periods, and 75% of correct answers was considered a satisfactory result. Results: Thirty-five nurses participated in the pre-test, and 34 in the immediate and 6-month tests. Among technicians and assistants, 232, 227, and 104 participated in the pretest, immediate, and 6-months tests, respectively. Among nurses, 62.9% achieved an adequate percentage of correct answers in the pre-test, 94.1% in the immediate, and 64.7% in the 6-months test; for nursing technicians and assistants, these values were 36.2%, 79.3%, and 62.5%, respectively. Conclusion: Training in CPA improved the nursing professionals’ knowledge immediately after its administration, with a reduction in the rate of correct answers after 6 months.

Prescrição e realização do manejo não farmacológico para pacientes com insuficiência cardíaca descompensada, internados em emergência de hospital universitário

E estudo transversal com o objetivo de descrever a prescricao de manejo nao farmacologico a pacientes com insuficiencia cardiaca descompensada, internados em emergencia, e a efetividade da realizacao. Incluiram-se 256 pacientes, idade media 63±13 anos, 153 (60%) sujeitos do sexo masculino. O cuidado nao farmacologico mais prescrito foi restricao de sodio, 240 (95%), seguido de controle de peso 135 (53%). Restricao hidrica e balanco hidrico foram menos prescritos, 95 (37%) e 72 (28%), respectivamente. Apenas 38 (54%) dos balancos, 89 (67%) dos controles de peso e 69 (57%) dos controles de diurese foram realizados. Quanto ao conhecimento previo dos pacientes sobre esses cuidados, 229 (90%) receberam orientacao para controle de sal e 163 (64%) para controle hidrico. Controle de peso foi o cuidado menos conhecido, com 117 (46%). A excecao do controle de sal, os demais foram prescritos em pouco mais da metade da amostra, alem de ser insatisfatoria a efetividade da sua realizacao.

Prescripción y realización del manejo no-farmacológico para pacientes con insuficiencia cardíaca descompensada internados en la emergencia de hospital universitario

E estudo transversal com o objetivo de descrever a prescricao de manejo nao farmacologico a pacientes com insuficiencia cardiaca descompensada, internados em emergencia, e a efetividade da realizacao. Incluiram-se 256 pacientes, idade media 63±13 anos, 153 (60%) sujeitos do sexo masculino. O cuidado nao farmacologico mais prescrito foi restricao de sodio, 240 (95%), seguido de controle de peso 135 (53%). Restricao hidrica e balanco hidrico foram menos prescritos, 95 (37%) e 72 (28%), respectivamente. Apenas 38 (54%) dos balancos, 89 (67%) dos controles de peso e 69 (57%) dos controles de diurese foram realizados. Quanto ao conhecimento previo dos pacientes sobre esses cuidados, 229 (90%) receberam orientacao para controle de sal e 163 (64%) para controle hidrico. Controle de peso foi o cuidado menos conhecido, com 117 (46%). A excecao do controle de sal, os demais foram prescritos em pouco mais da metade da amostra, alem de ser insatisfatoria a efetividade da sua realizacao.

Adhesión al tratamiento farmacológico y no farmacológico de pacientes con insuficiencia cardíaca en hospital universitario

Non-compliance in heart failure (HF) patients is one of the factors leading to hospital readmissions. Under this perspective, a study was carried out in a university hospital in Rio Grande do Sul, Brazil to describe the compliance with pharmacological and non-pharmacological treatments of patients admitted with decompensated HF, relating the compliance to the number of hospital admissions and readmissions during a years period. The pharmacological compliance was measured through Morisky scale and the non-pharmacological compliance was measured through a previously validated questionnaire. The sample was composed of 252 patients, median age 63 +/- 13, 151 (60%) male. For the pharmacological compliance, 118 (47%) patients demonstrated high compliance, and 45 (18%) adhered to non-pharmacological treatment. There was no relation found between treatment compliance (pharmacological or non-pharmacological) and readmissions. Patients who had been treated for HF, had knowledge about non-pharmacological care and were able to identify congestion symptoms demonstrated high compliance.A baixa adesao ao tratamento de pacientes com insuficiencia cardiaca (IC) e um dos fatores relacionado a reinternacoes. Nesta perspectiva, este estudo, conduzido em um hospital universitario no Rio Grande do Sul, buscou descrever a adesao ao tratamento farmacologico e nao farmacologico de pacientes admitidos com IC descompensada, relacionando-a com o numero de internacoes e re-internacoes hospitalares no periodo de um ano. A adesao farmacologica foi avaliada pela escala de Morisky, e a nao farmacologica por meio de um questionario previamente validado. Incluiram-se 252 pacientes, idade media 63±13 anos e 151 (60%) do sexo masculino. Quanto a adesao ao tratamento farmacologico, 118 (47%) referiram alta adesao e 45 (18%) eram aderentes ao tratamento nao farmacologico. Nao houve relacao entre adesao ao tratamento (farmacologico e nao farmacologico) e re-internacoes. Conhecimento previo dos cuidados nao farmacologicos, identificacao dos sintomas de congestao e aqueles que ja faziam tratamento para IC foram relacionados a adesao.

Estudio de cohorte para evaluar el desempeño del equipo de enfermería en una prueba teórica, después de recibir entrenamiento en paro cardiorrespiratorio

and assistants were included. A questionnaire was administered in the three periods, and 75% of correct answers was considered a satisfactory result. Results: Thirty-five nurses participated in the pre-test, and 34 in the immediate and 6-month tests. Among technicians and assistants, 232, 227, and 104 participated in the pretest, immediate, and 6-months tests, respectively. Among nurses, 62.9% achieved an adequate percentage of correct answers in the pre-test, 94.1% in the immediate, and 64.7% in the 6-months test; for nursing technicians and assistants, these values were 36.2%, 79.3%, and 62.5%, respectively. Conclusion: Training in CPA improved the nursing professionals’ knowledge immediately after its administration, with a reduction in the rate of correct answers after 6 months.