Evolution of self-care in patients with heart failure at the first outpatient return and three months after hospital discharge

Authors

  • Debora Cristine Previde Teixeira da Cunha Hospital do Coração, São Paulo, SP, Brasil. http://orcid.org/0000-0001-5643-5255
  • Lidia Aparecida Rossi Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil. http://orcid.org/0000-0002-4141-861X
  • Carina Aparecida Marosti Dessote Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil. http://orcid.org/0000-0002-5521-8416
  • Fabiana Bolela Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil. http://orcid.org/0000-0003-1199-6205
  • Rosana Aparecida Spadoti Dantas Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil. http://orcid.org/0000-0002-3050-7000

DOI:

https://doi.org/10.1590/1518-8345.4364.3440

Keywords:

Heart Failure; Self Care; Nursing Care; Ambulatory Care; Health Education; Cardiology

Abstract

Objective:

to analyze the evolution of self-care in hospitalized patients with decompensated heart failure, between the first return after hospital discharge (T0) and three months after this assessment (T1).

Method:

an observational, analytical and longitudinal study carried out in the cardiology outpatient clinics of two public hospitals in Ribeirão Preto, São Paulo. The sociodemographic and clinical data were collected through interviews and consultation of medical records. Self-care was assessed using the Brazilian version of the Self-Care of Heart Failure Index-SCHFI instrument. The data were analyzed by means of the Student’s t test and paired distribution (McNemar) with a significance level of 0.05.

Results:

we verified an increase in the mean scores of the three subscales of SCHFI (Maintenance, Management and Confidence), when comparing the values of T0 and T1, these differences being statistically significant (p<0.001). When comparing the positive changes in self-care actions over these months, we found statistically significant changes in the Maintenance (6 out of 10 items), Management (5 out of 6 items) and Confidence (4 out of 6 items) subscales.

Conclusion:

self-care for heart failure improved in the period between the first return after discharge and the end of three months of follow-up. Further studies are needed to verify the variables associated with improved self-care after hospitalization.

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Published

2021-07-19

Issue

Vol. 29 (2021)

Section

Original Articles

License

Copyright (c) 2021 RLAE RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Evolution of self-care in patients with heart failure at the first outpatient return and three months after hospital discharge. (2021). Revista Latino-Americana De Enfermagem, 29, e3440. https://doi.org/10.1590/1518-8345.4364.3440