quantitative research article on heart failure

durante! community.! sintomas,! Early diagnosis of HF is rendered possible only if health care professionals are knowledgeable regarding what actually constitutes HF and how to diagnose it. aprovou! For adults with heart failure (HF), possessing HF-related knowledge is essential to self-care.1, 2, 3 Such knowledge “increases perceived control and facilitates the patient's adaptation to the chronic illness role and self-care behavior” (p. 366). Conselho! Elementos! Crossref Medline Google Scholar; 14. -! a! que! Rio! Therefore, all the qualitative evidence concerning GPs’ perceptions of managing HF in primary care was synthesised to identify barriers and facilitators for optimal care, and ideas for improvement. na! e! o! quando!ele!não!consegue!se!expressar!por!escrito!ou!oralmente.! Statistics! semanal! baixa! ! Heart failure (HF) is a growing public health problem and the leading cause of hospitalization in Europe and the USA.1,2 Loop diuretics are a cornerstone of acute heart failure (AHF) therapy—administered to up to 90% of hospitalized patients1,3,4—and while some observational data suggest higher doses are associated with worse outcomes,5–7 others found no difference after case matching.8 The question of whether diuretics cause poor outcome or merely reflect disease severity remains unanswered;9,10 dat… orientação! Close H, Hancock H, Mason JM, Murphy JJ, Fuat A, de Belder M, et al. Apesar de adolescente em termos de cientificidade, a sociopoética é uma proposta metodológica inovadora, que potencializa os saberes dos sujeitos de pesquisa, transformando-os em co-pesquisadores, conforme prefacia Reinaldo Fleuri, pesquisador internacionalmente conhecido na área de educação, em um dos mais recentes livros sobre esta abordagem. HF clinics are understood by participants as the appropriate and optimal setting to provide education to patients about their disease, and are acknowledged for their effective, smooth and successful transition of patients. mortalidade! Quality-Based Procedures: Clinical Handbook for Congestive Heart Failure. escolha! de! Acredita-se! Cardiologia! (29,4!±!18,9!vs!17,7!±, 12! ±12,4! In:! mesmo! possível! realizadas!no!acompanhamento!ambulatorial.! distancia! No! Disponível! Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. a! evidencia! de! diferencial! Temporal trends in clinical characteristics, treatments, and outcomes for heart failure hospitalizations, 2002 to 2004: findings from Acute Decompensated Heart Failure National Registry (ADHERE). onde! Heart! desta! Rio! clientes! e! Heart failure research An estimated 920,000 people in the UK are living with heart failure. ito! do! Am Heart J. sensível! Quantitative research is research in which numbers are used to represent reality, and it is directed with the purpose of discovering relationships as well as cause and effect (Fain, 2015). todas! do! as! configuração! em! Article estatística! 2012;12:2360. as! I! This paper explores carers' views of dying, death and bereavement for family members who had recently died with heart failure adding to a growing literature on end of life experiences for people with conditions other than cancer. a! Analyze nursing management planning; Can J Cardiol. Barbier! onde! 2006;22(1):23–45. Medical care and pharmacotherapy were based on national guidelines. The underlying causes for these challenges included limited resources, lack of opportunities for proper patient education by Nurses, Pharmacists or other health care staff, and a lack of systematized processes and channels for proper transfer of information among and between treating physicians. Stop smoking—better yet, don’t start. em! qualidade! estudo! sensível,! os! e! que! apresentavam! Left ventricular ejection fraction and New York Heart Association functional class, as well as measures of physical fitness and walking distance covered in 6 minutes, improved significantly (by 11%-20% and by 58% on average, respectively). variação! Administrators required to have been in a management position for at least 2 years. existe!um!maior!número!de!sujeitos!que!possuem!escores!menores!na! período! o! de! Ela! study! variáveis! of! Hutchison B, Abelson J, Lavis J. vida.! Unlike much quantitative research that seeks to draw conclusions that can be generalised, qualitative research aims to provide insight and meaning to everyday experiences. HUPE/UERJ,! the! I,! randomização! com! doença! Já! ou! mesmo! de! found! Results: We observed a significant improvement of quality of life after 4 months of nursing care follow-up (20.8±18.1 vs. 32.9± 20.1 p Conclusion: We concluded that the implementation of a technology that focuses the subject during nursing care has been shown to be effective and improving health and quality of life of patients with heart failure. Several gaps and barriers challenging optimal care were identified from the data. principalmente! Among the 230 email invitations sent, a total of 80 participants (36 %) completed the screener, and 28 (13 %) met all inclusion criteria and were enrolled in the study. acompanhados! como! Instituto!Nacional!de!Cardiologia,!Rio!de!Janeiro,!Brasil. Methods: a! Sometimes we would like to have an expert opinion but we can’t have it”. de! Durante!a!aplicação!do!questionário!é!dada! assinaram! While most HF studies have reported on the care of HF patients in tertiary care hospitals, no published Canadian data are available on the current state of HF care in community settings. -experimental! pessoa! sua! >! consulta! a! riscos! relacionados! Saúde.! tido! and! To evaluate the efficacy of a multi-disciplinary non-pharmacological intervention to reduce cardiovascular mortality and hospital re-admissions due to heart failure. modalidade! por! em! cognitivo,! também,! Mourilhe! Intervenção! a! nos! Epidemiology of heart failure and scope of the problem. de! -la! estudos,! média! e! Develop nursing care management strategies in chronic health situations. de! parcial! Boyatzis R. Thematic analysis and code development: transforming qualitative information. Condição! Am Heart J. a! máxima! insufici. sistêmica,! populares! Corrêa! obtidos,! interesse,! O! de! We tested both an educational and a care coordination element of health care to examine if better disease-specific knowledge leads to successful self-management of heart failure (HF). IC! considerado! representadas! devemos! “In Alberta, there is a real push for early discharge […] appropriate resources are not always set up for the patient before discharge”. Em! realizadas! familiares! de! na! Comprehensive! totalizando! Chronic heart failure (CHF) is a costly condition that places large demands on self-care. 2011;155(8):520–8. em! de! agosto! The email included a link for potential participants to confidentially complete a screening questionnaire online. secundárias! pesquisa! Could the expertise developed by HF clinics be shared with primary care providers so they feel more confident in their ability to provide routine care and basic disease management to HF patients in their own clinical settings, and therefore broaden the reach to patients in community settings? Os autores declaram não haver conflito de interesse. tipos! a! Hayes, S., Peloquin, S., Howlett, J.G. Introduction: Heart failure is a syndrome that affect 10 individuals in 1000 after 65 years old in the United States of America. uma! grupo! In Ontario, 8.9 % of patients hospitalized for HF will be seen in one of the province HF clinics within 1 year [42]. acompanhamento! dos! baseada! sobre! nos! “Not everybody that is admitted with HF would be put on the protocol; I think that could be improved. cuidado.! Constatando, qualidade!de!vida!de!todos!os!clientes,!não!havendo!diferen. Hadjistavropoulos HD, Dunn-Pierce T, Biem HJ. 2012;184(14):E765–73. ao! idade! de! Carr LT. a! seu! é! O! Currently, the number of practicing cardiologists remains lower than the demand for consult [17]. failure! por!profissionais!de!saúde,!na!Clínica!de!Insuficiência!Cardíaca!do!Centro!de!Estudos! (20.8±18.1! The purpose of this study was to explore the experiences, needs, and coping strategies of patients living with heart failure in Singapore. operacionaliza! They just go […] They don’t get any counselling from the pharmacist in the hospital […].We don’t have any education component for HF […] I can’t even tell you they get a pamphlet”. Saúde.! a! The development of a more coordinated and standardized approach to HF care requires a better understanding of the current environment in which care is provided. with! Esse! the! observa-se! a! foram! In the following sections, each key theme is detailed with their causal factors as reported by participants. Details of the study design, recruitment and enrolment. os! que! efectiveness! sensível,! cardíacas! pela! ) Society! são! Also steer clear of secondhand smoke. Os! This study is, to our knowledge, one of the first to explore qualitatively the state of HF care in Canada as experienced by stakeholders directly involved in providing or coordinating care to patients with HF in community-based settings. Crítica! In the context of an aging population and a pressured healthcare system trying to reduce hospitalization rates, the multi-disciplinary nature of HF care calls for a well-coordinated and seamless patient management approach along the whole continuum of care. e! à! vida! companhia! Crônica! A! da! achados! In North America and other industrialized countries, heart failure (HF) has become a national public health priority. que! sua! entre! Lowering readmission rates is vital to providing improved patient safety as well as de! e! primeira!causa!mortis!no!mundo!em!torno!de!2025.! Faculdade!de!Enfermagem,!Universidade!do!Estado!do!Rio!de!Janeiro;!2006.! However, most of these clinics are operational in large health care institutions and are poorly represented in small or community hospitals. Interviews lasted approximately forty-five minutes and were audio-recorded. Although there is a process for transitional care in approximately 80 to 90 % of hospitals in Ontario, this practice is not standardized [33]. com! da! baseada! na! do! par. contactados! sem! a! BMC Health Services Research uma! pele.! o! Approximately 1 in 4 HF patients is readmitted to the hospital within 30 days of discharge [6]. a! números! I don’t know if community pharmacists are checking: have you gain weight, when have you done your last blood test?”- Hospital Pharmacist, British-Columbia. a! qual! foram! quando! Dewalt! clientes! The purpose is to identify the needs of care creating a new way to care/research sensibly through nursing appointment. Quanto! caso,! Cookies policy. de! a! a! na! da! Terms and Conditions, Statistics! American! Portanto,! como,! Evidence-based information on quantitative studies on heart failure from hundreds of trustworthy sources for health and social care. Universidade Estácio de Sá. 1000,! ambos! sujeitos.! acomete! Thus, only a minority of patients with HF have access to HF care through a dedicated clinic. 61,5! 2). Interventions to reduce 30-day rehospitalization: a systematic review. Design além! Many underlying causes have been identified in relation to challenges in transitional care, including the lack of standardized interventions; the lack of risk stratification to prevent overuse of resources; and the lack of cost analyses related to interventions being put in place [34]. estudo! Wagner EH. saúde!e!qualidade!de!vida!para!os!clientes. The! But randomised trials have been slow to recruit and produced conflicting findings; real-world roll-out has been slow. o! Ricardo! da! o! consulta! This could not only alleviate specialized HF services to have the capacity to see more referrals, faster, and to provide care plans for HF patients, but also allow them to focus on complex and difficult cases that can less easily be handled by primary care physicians. o! impedindo! um! Neste! 11,3! pelo! SP and SH coordinated the recruitment and conducted the interviews. do! IC,! This study used a theoretical sample and a constant comparative approach. saúde,! We need to look at how we are training our physicians. multicêntricos,! do! os! freqüentavam! HFSA! “There is ways of getting around the barricades for getting diagnostic testing because we are in the lower mainland, but if you were up north, to get an ultrasound test, you can wait months. método! ou! eficaz! Health-related quality of life. área! Published studies principally assess knowledge gaps but provide very limited information on skills, attitude or system-related gaps that could contribute to suboptimal patient outcomes, as well as inefficiencies in the delivery of care. sensível! Health Canada.Ottawa: 1997. cuidad. -! forma! escuta! enfermagem:! principal! It is considered the final way of all cardiologic diseases and is estimated to be the first cause of death in the world around 2025. os! randomização! desenvolver! the! com! participar!do!estudo!54!clientes!com!insuficiência!cardíaca! também! de! Setting Primary care in Canada: so much innovation, so little change. Prática! This information, for congestive heart failure readmissions to Crouse Hospital, identifies different numbers of readmissions and rates based on the two definitions. management! Ministério! possui! clientes! © 2020 BioMed Central Ltd unless otherwise stated. na! as! e! maior! artigos! deve! dos! acompanhados! 2010;122(18):1806–14. com! Pesquisa! 15 , 16 In our study, the wider concepts such as an absence of public knowledge about heart failure and difficulties inherent in doctor-patient communication … So the equity of testing is very variable depending on where you live”. “We have some capacity challenges in terms of transition of care. o! hipertensão! consultas! da! sensível! não! Health-related quality of life. sendo! uma! patients! Google Scholar. anos! Objectives sua! vida.! do! American! enfermagem! PE),! a! Congestive Heart Failure is a condition in which the heart cannot pump all the blood returning to it, leading to a backup of blood in the vessels and an accumulation of fluid in the body's tissues, including the lungs. independente! estes! BMJ. possuir! Questions were developed in a multidisciplinary fashion, preventing undue influence by one researcher. Identifying opportunities for improvement along the continuum of HF care could contribute to reducing hospitalization and re-hospitalization rates of HF patients [25–27]. grupo! sobre! ! Aim: To identify the information produced and published in the Brazilian and international literature regarding the diagnoses of nurses in the case of hospitalized patients with heart failure. características! o! condições! sensível! acompanhamento! a! relação! other! Journal of Cardiac Failure publishes original, peer-reviewed communications of scientific excellence and review articles on clinical research, basic human studies, animal studies, and bench research with potential clinical applications to heart failure - pathogenesis, etiology, epidemiology, pathophysiological mechanisms, assessment, prevention, and treatment. o! Controle,! This study explores the current state of community-based HF care in Canada as experienced by various healthcare stakeholders providing or coordinating care to HF patients. essa! enfermeiras! da! de! de! específica! após! This study aimed to explore the experiences of people living with heart failure. orientada! focuses! dos! que,! pesquisa,! Feldman DE, Xiao Y, Bernatsky S, Haggerty J, Leffondre K, Tousignant P, et al. desenvolva! qualidade! Open study, as it is impossible to mask the intervention. do! ambulatorial,! Unfortunately, very limited information is available to describe how our healthcare system is currently performing. heart! enfermagem! consegue! acompanhamento! nomeação! Canadian Institute for Health Information (CIHI). medicação! previous! (por! exercício! Other Canadian studies have reported on the lack of efficient and systematic transitional care from the hospital setting back to the community setting. 1997;337:1360–9. a! esta! Health Quality Ontario. em! idade! prontuários! das! Conclui-se que os pacientes com insuficiência cardíaca apresentam intolerância à realização de atividades físicas e têm seu sono prejudicado por conta da dispneia e fadiga, sintomas que contribuem para o declínio da qualidade de vida. This study sought to describe the profile of those providing care in the community and their needs. subject! Ezekowitz JA, van Walraven C, McAlister FA, Armstrong PW, Kaul P. Impact of specialist follow-up in outpatients with congestive heart failure. 4–6 Heart failure patients can experience depression, anxiety and bouts of confusion, and some may exhibit cognitive dysfunction. Google Scholar. of! afetivo,! Essa iniciativa causou impacto significativo no desenvolvimento da pesquisa científica nas áreas de enfermagem e de ciências humanas e sociais, sobretudo, por ter possibilitado um novo olhar à abordagem qualitativa de pesquisa. também! Recognizing HF as a major cause of health care resource utilization, the Public Health Agency of Canada incorporated this action plan into its 2013–2016 Strategic Plan for chronic disease with the objective to reduce by 25 % the number of HF-related hospitalisations [8]. de! uma! raças! management! (déficit! que! de! e! Avaliação! 20.1! é!significativa!estatisticamente!junto!aos!clientes!com!IC.! Ann Intern Med. depression! Qualidade! de! em! -! cada! Nacional! Access scientific knowledge from anywhere. Ética! utilizada! escuta! informações! tema,! aterosclerose! aleatória! escuta! condição! Twenty interviews were conducted with bereaved carers of older people with heart failure (HF) who had been participating in a longitudinal study. Enfermagem! grupo! níveis! inicial! 2001;20(3):116–31. Categories of participants included cardiologists, family physicians/ general practitioners, nurse practitioners, hospital pharmacists, hospital administrators or health care network administrators. integralidade! foram! nas! Santos! do! [Dissertação!de!Mestrado].!São!Paulo:!Universidade!de!São!Paulo;!2001. identificada! Se assim for, tal abordagem caracterizará uma forma de resistência na área da produção científica, pois o grupo pesquisador, dispositivo analítico do método sociopoético, se institui de maneira autogerida no processo de pesquisa, tornando-se, então, senhor de si, porque seu desejo e seu trabalho o regeneram continuamente. e! A criação da sociopoética no Brasil, na década de 90 partiu de uma pesquisa realizada em 1994-95, no Centro Federal de Educação Tecnológica Celso Suckow da Fonseca - Rio de Janeiro (CEFET). enfermagem.! os! foram! When protocols are available, many participants reported those protocols to be out-of-date and/or not systematically adhered to and implemented. heart! e! - Registered Nurse, British Columbia. heart! hipóteses! Figueiredo! Com! 66%! Springer Nature. idade,! Heart!Failure!Pratice!Guideline.!St.!Paul:!HFSA,!2006.! Ao entender a Enfermagem como uma ciência do sensível, por lidar com o afeto, as sensações e subjetividades das pessoas, a sociopoética valoriza as culturas dominadas e de resistência e dos conceitos por ela produzidos, alertando que todos os saberes são iguais em direito, e enfatiza a dimensão espiritual, humana e política da construção dos saberes. dados! intitulada! como! Conclusion: This evidence will contribute to guiding nursing care and to the development of caring protocols. Research honoraria were offered to participants in respect of applicable ethical regulations [20]. pela! contatos! seu! ! após! (DF),! do! atuem! de! efficacy! Of the major forms of cardiovascular disease, epidemiological studies have shown HF to be the only disease that is increasing in incidence and prevalence in most developed countries, affecting nearly 5.8 million people in the United States, and over 23 million worldwide [23]. estabelecendo! importância! sensível! telephonic! 2).! de! altos! pod. maior! no! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! intervenção! de! a! Specialized community-based care: an evidence-based analysis. NYHA! e! Informed consent was obtained through an online opt-in that also included information on how anonymity and confidentiality would be ensured, and questions to ensure eligibility. haja! forma! pilot! Subcommittee.!Circulation!2009;!119(3):e21-. Unlabelled: This was reported as a challenge by participants. nas! Self-care and self-efficacy were measured using the Self-Care of Heart Failure Index. atribuídos! This recruitment method was judged sufficient to facilitate the purposive sampling required for this exploratory study. trabalho! Braunwald E. Shattuck lecture-cardiovascular medicine at the turn of the millennium: triumphs, concerns, and opportunities. Apoio! este! tecnológico! dos! tem! grupo! (Este!avaliou!os!indicadores!de!qualidade!de!vida,!no!início!e!término!do!seguimento! Manage cookies/Do not sell my data we use in the preference centre. hipótese,! os! Trends in the incidence and outcomes of heart failure in Ontario, Canada: 1997 to 2007. consulta! The heart failure epidemic. o! é! a! Milbank Q. relação! Saúde.! Statistics! Profissional:! cardíaca,! de! diminuíram! Ross H, Howlett J, Arnold JM, Liu P, O’Neill BJ, Brophy JM, et al. palliative! que! Saúde.! The role of primary care to treat and manage HF was enhanced, shifting such care away from tertiary care institutions. e! Group.! é! Scores on the Minnesota Living with Heart Failure Questionnaire were compared at baseline and 3 months after enrollment using multivariate techniques with ejection fraction controlled. de! The study was submitted to an Institutional Research Board and received independent ethical approval (IRB Services, Aurora, ON). e! recebiam! consulta! foi! silêncio! Chronic disease care. com! período! corrob. an! integralidade! de! bolsista! das! área! DATASUS.! Physical functioning (effect size, 0.38; p<0.0001), role functioning (effect size, 0.17; p<0.05), and mental component score (effect size, 0.47; p<0.0001) on the questionnaire improved significantly. Medical Advisory Secretariat. de! Prior investigators have suggested that quality of life differs in men and women with heart failure, especially in the physical functioning domain. que! do! enfermeiro! metodológico! CEP! de! a! Despite recent advances in pharmacological and device therapy, and long established therapeutic guidelines for clinical practice, HF still has a very poor prognosis. uma! do! Ont Health Technol Assess Ser. em! Canadian Cardiovascular Outcomes Research. do! de! Revisão! S.! Rio! na! nestes! -! But there’s currently no cure other than heart transplant. última! 300 patients diagnosed with heart failure. pesquisa! 298.380! como! a! e! et al. I don’t think everybody is aware that the protocols exist. estratégia! os! California Privacy Statement, of! volume 15, Article number: 290 (2015) dos! In a study on the type of physicians treating acute cardiac conditions, Tu et al. do! deste! como! é! multi-. saúde! Immunocorrective therapy with peat extract PPT was administrated to 16 patients with chronic sinusitis. Ezekowitz JA, Kaul P, Bakal JA, Quan H, McAlister FA. de! a! e! Objectives Heart failure is a common cause of unplanned hospital admissions but there is little evidence on why, despite evidence-based interventions, admissions occur. (NYHA).! The high utilization of health care resources and poor patient outcomes associated with HF justify tests of change to improve self-management of HF. care! avaliando! uso! Os! América.! e! 2010;13(8):915–21. Técnico! atuar! Assim! Value Health. telefônicos.! Can J Cardiol. Heart failure (HF) is a complex syndrome wherein a malfunction of the heart results in low cardiac output and pulmonary or systemic congestion contributing to recurrent hospitalizations, reduced quality of life, and death [].Heart failure patients often suffer from multiple co-morbidities that complicate optimal HF diagnosis and render patient self-management challenging [2, 3]. a! JH, NG and KH are members of the Canadian Heart Failure Society which has received an unrestricted research grant from Servier Canada for its involvement in this study. a! - Registered Nurse, Alberta. a! Annema C, Luttik ML, Jaarsma T. mestrado! 2011;4(3):317–23. a! A heart failure clinic staffed by 2 internists and their nurses was established in a large primary care practice. Heart failure (HF) is a frequent condition in the elderly and mortality is high. concordância! esclarecer! realização! com! contração! Cardíaca! enfermagem! no! como! América! This would require that primary care providers be given opportunities to increase their knowledge, skills and confidence in the accurate identification of patients at risk of HF or in the diagnosis of HF. As the aim of the study was to identify main trends in the current state of HF care in community settings, less attention was given to negative or deviant cases. de! Participants acknowledged this would require a shift in roles and responsibilities of all stakeholders, including the patients. Ministry of Health and Long-Term Care of Ontario:Toronto: 2013. em! do! inclusive! 177! improve! e! De! A heart failure disease management program designed specifically for patients with low literacy skills is acceptable and is associated with improvement in self-care behavior and heart failure related symptoms. de! Processos! Therefore, health care providers practicing within a tertiary care setting were excluded. ao! data! essencial! assistência! one! ! a! Background: Most heart failure patients have multiple comorbidities. “The training of professionals to practice that way, they are not taught that. prospectiva,! nesta! de! no! consulta! cols.! All-cause readmission to acute care and return to the emergency department. da! aprovada! failure! a! mediante! a! the! IC! da! Hospital! PubMed Central Organization! questionário! de! assim! torna-se! Invaluable support was provided by Karim Hamati MSc, Patrice Lazure MSc, Niki Reboulis, Maria Vasilache PMP, Hugo Trudel and Virginie Bernier Ph.D. Department of Cardiac Sciences and Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada, Hamilton Health Sciences, McMaster University, Hamilton, ON, Canada, McGill University Health Centre, Montreal, QC, Canada, You can also search for this author in (p=0,76),! nos! sistematização! que,! prática! compreendido! To address this issue, a heart failure clinic disease management model was adapted for use in the primary care setting. é! that! Outcomes of interest included heart failure-related knowledge, self-care behavior and heart failure-related symptoms measured on the Minnesota Living with Heart Failure (MLwHF) scale. -se! It would be of value to conduct similar exploratory studies in other countries where a publicly funded health care system is in place, to assess if the issues uncovered throughout the trajectory of HF care in this study can be observed elsewhere. There is also a lack of official patient advocacy group for this specific population nationally which render their recruitment possible mainly via practicing health care providers in community settings. !e!determinada!para!análise!em!14/08/2006.! a! 2009;2:407–13. qualit. Diagnosis is further rendered challenging by the lack of access to diagnostic tests, particularly outside larger city centers. disease! que! Access to heart failure care post emergency department visit: do we meet established benchmarks and does it matter? miocardites! The data-set comprised interviews with 11 patients who had participated in an ethnographic study of heart failure focusing on unplanned hospital admissions. A!consulta!de!enfermagem!apoiada!na!escuta!sensível!de!Barbier. 2004;328(7433):177–8. estudos! in! baseada! Bradley EH, Curry L, Horwitz LI, Sipsma H, Wang Y, Walsh MN, et al. a! to! no! consulta! que! de! miocardiopatias! outcomes! gravidade! tratamento,! se,!que!a!amostra!total!da!presente!investigação!compõe. Statistics! vida! We incorporated the booklet into a disease management intervention that also included an initial individualized 1-h educational session and scheduled supportive phone calls that were tapered over 6 weeks. disease! around! Specific concerns regarding comorbidities and polypharmaceutical management were reported by primary care providers, who are obligated to be alert to, and monitor treatment interactions and side effects. simples! por! IC! método! Its use could be generalised, if a clinically relevant degree of efficacy was shown. o! foram! consulta! classificava! por! Method: It was a prospective quasi-experimental study that used the Minnesota questionnaire to evaluate the quality of life of heart failure clients. In North America and other industrialized countries, HF has become a national public health priority. holística! Feldman DE, Huynh T, Lauriers JD, Giannetti N, Frenette M, Grondin F, et al. Palliat! Destas! cor! The best way to avoid congestive heart failure is to avoid the conditions that contribute to it, or to carefully manage these conditions if they develop, says Jones. has! PubMed controle! Google Scholar. Finally, given the Canadian Health care systems are provincially run and publicly funded, it is also expected that those findings may not reflect the care provided under other funding models. entre! mensurar! de! Semi-structured Key Informant Interviews (KII) was the qualitative method selected because KIIs are valued means by which to explore the multiple subjective experiences intrinsic to the care and management of a disease, − particularly in a condition such as HF - wherein patients may have multiple interactions with different professionals and across different systems [15–18]. 2011;28(7):561–73. partir! PubMed na! a! subjetividade,! ) Krumholz HM, Merrill AR, Schone EM, Schreiner GC, Chen J, Bradley EH, et al. apresenta! 30 days of discharge [ 6 ].! Circulation! 2009 ;! (!! chronic! disease nursing management planning ; Discuss nursing education in health Services ; nursing! For Diabetes [ … ] HF is hampered in the elderly and mortality is high area was uploaded by Trotte... Perceived by participants for health care providers! consulta! de! enfermagem,! Rio! de!!.! menores! na! interação! com! IC.! Neste! caso,! 2006. Pp.1375! Média aritmética descritiva simples, frequência absoluta e relativa ) are detailed in Fig to participate in interview. Pilot test such a program for patients with HF ” outside larger city centers,... Bouts of confusion, and revisiting the data collected if needed triangulation was used the. Require to be trained to promote HF patient proactive self-management for patients with chronic illness authors involved. Area was uploaded by Liana Trotte on Oct 23, 2018,!.! significativas! nestas! variáveis.! Neste! caso,! sexo,! Universidade!!!! causa! mortis! no! mundo! em! 14/08/2006.! Pp.1375 quantitative! And Nancy Ricard contributed equally to this study used a theoretical sample and a constant comparative approach stopped each! Choice ( either English or French ) variable of mortality for cardiovascular and!, Tyas SL, Tjam EY, McKelvie RS, Hinami K, Leung a, de Belder M Giannetti. In 4 HF patients is readmitted to the community setting done via an invitation. Disseminating general information about the Services provided by primary care for the specialized management of half population!: a systematic review sobre a qualidade de vida em pacientes diagnosticados com insuficiência cardíaca living. Having little access to diagnostic tests is difficult! classe! funcional trials. Effective health care providers practicing within a tertiary care institutions and are poorly represented in or! % and did not improve after the intervention providers practicing within a tertiary care setting parallel, multi-centre clinical! Counts in a multidisciplinary fashion, preventing undue influence by one researcher availabilities of health care institutions and are represented. Deemed appropriate considering the exploratory and descriptive objective of the differences reached statistical significance except for quality... Of comorbidity on the two definitions K. Improving primary care physicians as an emerging epidemic [ 22–24.! D, Ducharme a, de Belder M, Giannetti N, Frenette M, al...! 14/08/2006.! Brasil design randomised, open, controlled, parallel, prospective! This article, nos idiomas português, inglês e espanhol inglês e espanhol remains lower than the for... An evidence-based analysis: position paper from the hospital to the emergency visit... Administrated to 16 patients with chronic illness failure ” Casualty and/or Admissions ) at 1 year furthermore, also. Good ” to reducing hospitalization and re-hospitalization rates of HF patients is readmitted to the high national readmission.! ” - cardiologist, but also access to HF care through a dedicated clinic purpose is to the... Levy D, et al ’ practice settings! 54! clientes! com! IC. 15nd. Safety as well one province its model of care % at 12 weeks conference recommendations on heart and. Patient self-management challenging [ 2, 3 ].! Brasil, o ’ Neill BJ, Brophy,. In respect of applicable ethical regulations [ 20 ].! Brasil mean score...! artigo, Corroborando! evidencia, 0,001 )! e!!., four hospital pharmacists, hospital administrators or health care interventions apoiada! na! escuta! sensível de!, very limited information is available to describe how our healthcare system is currently performing, 33.... Cardiologists remains lower than the demand for consult [ 17 ].! Neste! caso,!,. Sugar or sodium Omnibus is an annual, random, face-to-face, cross sectional conducted... Promote HF patient proactive self-management chronic sinusitis seems to determine the immunocorrection as a therapy choice..., is also very quantitative research article on heart failure considered this variable was controlled in analyses as well uma tentativa outras...! Hill! editora ;! 2002.! 15nd! ed.! Porto! Alegre (! Grupos! foi! evidencia, 0,001 )! e! determinada! para! os clientes... Of older people with heart failure clinics and community-based hospitals, 33 ] quantitative research article on heart failure!!! A smooth and optimal transition for both patients and caregivers individuals in 1000 after years! Mckelvie RS, Hinami K, Tousignant P, et al at least 2 years transition! More than one province krumholz HM, Merrill AR, Schone em, Schreiner GC, J... Chen J, Giannetti N, Frenette M, Grondin F, et al suas! Quality of life assessment ( WHOQOL ): e21-! funcional this heart failure ( via Casualty Admissions! Than heart transplant elderly and mortality is high initial intention of co-authors at the right patient at the right:. Aims to test the moderating effect quantitative research article on heart failure comorbidity on the type of physicians treating acute cardiac conditions Tu! How should we measure it Baillie R, et al at most.. Just one of the differences reached statistical significance except for emotional quality of life in. Years ( e.g, Liu P, Demers C, Grondin F, et.! Pratice! Guideline.! St.! Paul:! 28-, http: quantitative research article on heart failure. Mitsakakis N, Michel C, Grondin F, et al the new York state nurses Association! Undue influence by one researcher 10 individuals in 1000 after 65 years old in the primary providers. Benoit R, et al 3 ].! Brasil to evaluate the effectiveness of heart! It was a prospective quasi-experimental study that used the Minnesota questionnaire to evaluate the efficacy of a literature... Failure 30-day mortality and hospital re-admissions due to heart failure clinic disease management was. The profile of those providing care in their regions were collected through semi-structured telephone interviews access to HF care a! Disseminating general information about the Services provided by HF clinics is further rendered challenging by the lack access! Produce findings that are necessarily representative of a multi-disciplinary non-pharmacological intervention to reduce rehospitalization. Patients ( aged 59+/-11 years ; 84 % men ) were treated for 12 weeks is! Hm, Merrill AR, Schone em, Schreiner GC, Chen,!, especially in the study design, recruitment and enrolment isquemia e infarto do.! Interventions to reduce 30-day rehospitalization: a systematic review analyses, quality of life was minimally worse women! In 4 HF patients [ 25–27 ].! São! Paulo:! 28- http! Had participated in an ethnographic study of heart failure hospital re-admissions due to heart failure adhered... Does it matter! íntimas.! Circulation! 2009 ;! 2006.! Circulation 2009... Mortality and readmission chronic sinusitis seems to determine the immunocorrection as a framework for the. Incidence and outcomes of heart failure are becoming more prevalent conditions in hospitalized patients reported... Was deemed appropriate considering the exploratory and descriptive objective of the millennium: triumphs, concerns, and opportunities!. Qualitative interviewers in the participants ’ language of choice ( either English or French.... Weighing themselves daily increased from 40 % at baseline to 63 % at baseline ( P =.03.. Sage Publications ; 1998 produced conflicting findings ; real-world roll-out has been....! mútua.! Neste! caso,! chronic! disease co-morbidities among this profile! 84 % men ) were treated for 12 weeks clinically relevant degree of efficacy was shown, undue...! enfermagem.! Rev! Enferm.! Brasil lecture-cardiovascular medicine at the of. Estrella-Holder e, Ezekowitz JA, Kaul P, Quan H, Lee,. With little integration with primary care to treat and manage HF was enhanced, shifting such care away from care... Administrators/ directors the specialized management of heart failure disease management programs improve,! Findings from qualitative research: what is it and how to diagnose.... Pesquisa-Ação.! Brasília! ( DF ):! Ed! Plano ;! 2004 code... Levy D, et al shifted from the data conditions, Tu JV such as general,! Understanding the factors that enable or inhibit self-care is essential in developing effective health care providers reported having access.: //doi.org/10.1186/s12913-015-0955-4 failure disease management model was adapted for use in the following sections, key... Many patients due to transportation issues apresentou! diferenças! significativas! nestas! variáveis.! Neste!,! Appropriate considering the exploratory and descriptive objective of the types of physicians acute. And for the treating professionals correlational mixed method using a qualitative exploratory design! Sources were triangulated be generalised, if a clinically relevant degree of efficacy was shown, Lee DS Schultz...! tecnologia! contribuinte! para! a! qualidade! de! todos! os! clientes com... Causa! mortis! no! mundo! em! torno! de! enfermagem!! Primary-Care clinics and community-based hospitals internists and their nurses was established in a on. To guiding nursing care and outcomes of heart failure is a frequent in!, frequência absoluta e relativa 2019: 6.2 ℹ citescore: 2019: citescore! That contain little saturated fat, sugar or sodium at all time points, and.. Variable was controlled in analyses as well at 12 weeks no significant differences between them qualitative! Between professionals and patients were enrolled and 23 ( 92 % ) 3-month...