Heart failure: assessment and comparison of disease knowledge in outpatient vs. hospitalized patients
DOI:
https://doi.org/10.5902/2179769233504Keywords:
Insuficiência cardíaca, Conhecimento, EnfermagemAbstract
Objective: to evaluate and compare the knowledge of the disease among patients with heart failure (HF) in a hospital specialized in cardiology. Method: this is a cross-sectional study. A validated questionnaire about knowledge of disease was applied, as well as sociodemographic data and a cognitive assessment questionnaire. The patients were divided into two groups, those of the HF outpatient clinic (OC) and those hospitalized in the inpatient units (IU). Patients who scored between 51-57 points (score) had a great knowledge rating. Results: the sample was 98 patients, 49 in OC and 49 in IU, mostly male, mean age 62 ± 14 years. In OC, 51% had acceptable level of knowledge and in IU, 55% had poor knowledge. Conclusion: the knowledge of HF among outpatients and inpatients was different and suboptimal. Education activities developed by the multiprofessional team can contribute to better knowledge of the disease.Downloads
References
Azad N, Lemay G. Management of chronic heart failure in the older population. J Geriatr Cardiol [Internet]. 2014 [acesso em 2018 jul 25];11(4):329-37. Disponível em:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292097/.doi:10.11909/j.issn.1671-5411.2014.04.008.
Benjamin EJ, Virani SS, Callaway CW, Chamberlain AM, Chang AR, Cheng S, et al. Heart Disease and Stroke Statistics-2018 Update: A Report From the American Heart Association. Circulation [Internet]. 2018 [acesso em 2018 jan 10];137(12):e67-e492. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/29386200. doi: 10.1161/CIR.0000000000000558.
Albuquerque DC, Neto JD, Bacal F, Rohde LE, Bernardez-Pereira S, Berwanger O, et al. I Brazilian Registry of Heart Failure - Clinical Aspects, Care Quality and Hospitalization Outcomes. Arq Bras Cardiol [Internet]. 2015 [acesso em 2017 out 10];104(6):433-42. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/26131698. doi: 10.5935/abc.20150031.
Zou H, Chen Y, Fang W, Zhang Y, Fan X. Identification of factors associated with self-care behaviors using the COM-B model in patients with chronic heart failure. Eur J Cardiovasc Nurs [Internet]. 2017 [acesso em 2018 jul 25];16(6):530-538. Disponível em:https://www.ncbi.nlm.nih.gov/pubmed/28756696. doi:10.1177/147451511769572.
Di Palo KE, Pina IL, Ventura HO. Improving Provider Adherence to Guideline Recommendations in Heart Failure. Curr Heart Fail Rep 2018;15(6):350-356. Disponível em:https://www.ncbi.nlm.nih.gov/pubmed/30238398. doi:10.1007/s11897-018-0411-y.
Azzolin Kde O, Lemos DM, Lucena Ade F, Rabelo-Silva ER. Home-based nursing interventions improve knowledge of disease and management in patients with heart failure. Rev Lat Am Enfermagem [Internet]. 2015 [acesso em 2016 dez 4];23(1):44-50. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376030/. doi: 10.1590/0104-1169.0144.2523.
Rabelo ER, Aliti GB, Goldraich L, Domingues FB, Clausell N, Rohde LE. Non-pharmacological management of patients hospitalized with heart failure at a teaching hospital. Arq Bras Cardiol [Internet]. 2006 [acesso em 2017 mai 20];87(3):352-8. Disponível em: http://dx.doi.org/10.1590/S0066-782X2006001600019.
Ghisi GL, Oh P, Thomas S, Benetti M. Assessment of patient knowledge of cardiac rehabilitation: Brazil vs Canada. Arq Bras Cardiol 2013;101(3):255-62. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/23887735. doi:10.5935/abc.20130145.
Silva AF, Cavalcanti AC, Malta M, Arruda CS, Gandin T, da Fe A, et al. Treatment adherence in heart failure patients followed up by nurses in two specialized clinics. Rev Lat Am Enfermagem 2015;23(5):888-94. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/26487139. doi: 10.1590/0104-1169.0268.2628.
Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res [Internet]. 1975 [acesso em 2017 mai 24];12(3):189-98. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/1202204.
Bonin CD, Santos RZ, Ghisi GL, Vieira AM, Amboni R, Benetti M. Construction and validation of a questionnaire about heart failure patients' knowledge of their disease. Arq Bras Cardiol [Internet]. 2014 [acesso em 2017 nov 2];102(4):364-73. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/24652054. doi: 10.5935/abc.20140032.
Brucki SM, Nitrini R, Caramelli P, Bertolucci PH, Okamoto IH. [Suggestions for utilization of the mini-mental state examination in Brazil]. Arq Neuropsiquiatr 2003;61(3B):777-81. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4028939/. doi: 10.5935/abc.20140032.
Rabelo ER, Mantovani VM, Aliti GB, Domingues FB. Cross-cultural adaptation and validation of a disease knowledge and self-care questionnaire for a brazilian sample of heart failure patients. Rev Lat Am Enfermagem [Internet]. 2011 [acesso em 2017 mar 19];19(2):277-84. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/21584373.
Dunlay SM, Roger VL. Understanding the epidemic of heart failure: past, present, and future. Curr Heart Fail Rep [Internet]. 2014 [acesso em 2018 jul 25];11(4):404-15. Disponível em:https://www.ncbi.nlm.nih.gov/pubmed/25182014. doi:10.1007/s11897-014-0220-x.
Nascimento NW, Braga MS. Insuficiência Cardíaca: conhecimento de pacientes em tratamento ambulatorial. J Health Sci Inst. 2015;33(2):156-9.
Liu MH, Wang CH, Huang YY, Cherng WJ, Wang KW. A correlational study of illness knowledge, self-care behaviors, and quality of life in elderly patients with heart failure. J Nurs Res [Internet]. 2014 [acesso em 2017 fev 18];22(2):136-45. Disponível em:https://www.ncbi.nlm.nih.gov/pubmed/24821421.doi:10.1097/JNR.0000000000000024.
Matsushita M, Shirakabe A, Hata N, Kobayashi N, Okazaki H, Shibata Y, et al. Social determinants are crucial factors in the long-term prognosis of severely decompensated acute heart failure in patients over 75 years of age. J Cardiol [Internet]. 2018 [acesso em 2018 jun 20]. Disponivel em: https://www.ncbi.nlm.nih.gov/pubmed/29523453. doi: 10.1016/j.jjcc.2018.01.014.
Tang KL, Rashid R, Godley J, Ghali WA. Association between subjective social status and cardiovascular disease and cardiovascular risk factors: a systematic review and meta-analysis. BMJ Open [Internet]. 2016 [acesso em 2018 jul 25];6:e010137. Disponivel em: http://dx.doi.org/10.1136/bmjopen-2015-010137.
Souza EN, Rohde LE, Ruschel KB, Mussi CM, Beck-da-Silva L, Biolo A, et al. A nurse-based strategy reduces heart failure morbidity in patients admitted for acute decompensated heart failure in Brazil: the HELEN-II clinical trial. Eur J Heart Fail [Internet]. 2014 [acesso em 2017 fev 20];16(9):1002-8. Disponivel em: https://www.ncbi.nlm.nih.gov/pubmed/25044072. doi: 10.1002/ejhf.125.
Davis KK, Mintzer M, Dennison Himmelfarb CR, Hayat MJ, Rotman S, Allen J. Targeted intervention improves knowledge but not self-care or readmissions in heart failure patients with mild cognitive impairment. Eur J Heart Fail [Internet]. 2012 [acesso em 2017 jun 12];14(9):1041-9. Disponivel em: https://www.ncbi.nlm.nih.gov/pubmed/22736737.
Wang Q, Dong L, Jian Z, Tang X. Effectiveness of a PRECEDE-based education intervention on quality of life in elderly patients with chronic heart failure. BMC Cardiovasc Disord [Internet]. 2017 [acesso em 2018 jul 25];17(1):262. Disponivel em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644077/.doi:10.1186/s12872-017-0698-8.
Van der Wal MH, Jaarsma T, Moser DK, Veeger NJ, van Gilst WH, van Veldhuisen DJ. Compliance in heart failure patients: the importance of knowledge and beliefs. Eur Heart J [Internet]. 2006 [acesso em 2017 ago 10];27(4):434-40. Disponivel em: https://www.ncbi.nlm.nih.gov/pubmed/16230302. doi: 10.1093/eurheartj/ehi603.
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