Abstract

To evaluate the effectiveness of NIC interventions "Teaching: Disease Process", "Health Education" and "Cardiac Care" in the improvement of NOC results in individuals with Heart Failure (HF), and the Nursing Diagnosis (ND) "Ineffective Health Control". Retrospective cohort, conducted at a Health Education in Nursing outpatient clinic. Fourteen patients with HF had follow-up for one year in six bimonthly consultations. The effectiveness of interventions was verified through the change of the result scores through the Friedman's Non-Parametric Test and Analysis of Non-Parametric Variance for repeated measures. The level of significance was 5%. The interventions were implemented in consultations in a variety of activities. There was a significant improvement in the result scores until the fourth visit (p<0.001). The interventions were effective in improving outcomes in patients with HF and Ineffective Health Control.

Highlights

  • Heart Failure is a serious public health problem, especially in the group of chronic diseases, due to a high mortality rate, frequent hospitalizations, poor quality of life and deterioration of the organic functions, leading to an incapacity of self-care (SC)(1)

  • This study aims to evaluate the effectiveness of Nursing Interventions Classifications (NICs) interventions“Teaching: Disease Process”,“Health Education”and“Cardiac

  • Fourteen medical records of patients with Heart Failure (HF) were monitored during a one-year period, totaling 6 face-to-face consultations and 6 phone consultations performed in an intercalated fashion

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Summary

Introduction

Heart Failure is a serious public health problem, especially in the group of chronic diseases, due to a high mortality rate, frequent hospitalizations, poor quality of life and deterioration of the organic functions, leading to an incapacity of self-care (SC)(1). The process of Health Education is usually attributed to nurses who, during the clinical evaluation of patients, must identify real and potential problems, develop a plan of care that is adequate and contributes to the promotion, maintenance and recovery of health. This scientific method, led by nurses, when counting with standardized classifications, assists in the development of the language and vocabulary of Nursing, in the organization of critical thinking and diagnostic reasoning, besides contributing to the achievement of the Evidence-based practice[3]. The programs of chronic disease education and control have shown to be effective, including patients with HF[4], with positive results in reducing the days of hospitalization, rehospitalization and quality of life. Studies evaluating effectiveness using NANDA-I-related Nursing Interventions Classifications (NICs) and evaluated through the NOC Classification of results are still incipient in the literature[5]

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