Abstract
The objective was to implant the Nursing Consultation for hypertensive patients, using Orem's Self-Care Theory and to systematize nursing care. Thirty-six patients were interviewed. Of these, 58.9% were women, 75.0% of them ranging from 50 to 80 years of age, 76.4% were married, 42.9% were housewives, 47.2% were retired, and 67.3% completed elementary education. Patients were interviewed with a structured instrument addressing the requirements for universal, developmental, and health deviations self-care. Data analysis made it possible to assess the altered self-care requirements. In patient care planning, support-education actions were our top priority. Orem's self-care theory permitted identifying important aspects, which need to be developed by the nurses.
Highlights
Working together with clients suffering from a chronic disease like arterial hypertension has been a gratifying experience, especially concerning the challenge this entails for health professionals
This care occurred in a disorderly way, with a purely medical focus and incipient nursing participation. Another contributing aspect was related to the demand for nursing services to establish the Nursing Process, posed by the São Paulo State Regional Nursing Council[Conselho Regional de Enfermagem (COREn)]
Various studies have looked at a wide range of themes using Orem’s Self-care Theory. These showed how this theory is applicable and how it can contribute to the development of nursing work. Some of these are: A case study that identified nursing diagnoses in high-risk pregnant women based on the self-care theory, highlighting the importance of accomplishing the nursing process and the possibility of stimulating self-care in these customers(1); A case report regarding self-care in planning hospital discharge after bone marrow transplantation(2); A qualitative study that used the self-care deficit theory in hypertensive women, stressing its contribution in the detection of aspects nurses can explore and which can contribute to arterial hypertension treatment(3); A study based on both Horta and Orem’s principles to organize nursing consultations with alcoholic patients in the sobriety stage
Summary
Working together with clients suffering from a chronic disease like arterial hypertension has been a gratifying experience, especially concerning the challenge this entails for health professionals. The proposal to develop this research with these clients was due to the need to deliver adequate nursing care, based on the application of the nursing process Up to now, this care occurred in a disorderly way, with a purely medical focus and incipient nursing participation. This care occurred in a disorderly way, with a purely medical focus and incipient nursing participation Another contributing aspect was related to the demand for nursing services to establish the Nursing Process, posed by the São Paulo State Regional Nursing Council[Conselho Regional de Enfermagem (COREn)]. Various studies have looked at a wide range of themes using Orem’s Self-care Theory. These showed how this theory is applicable and how it can contribute to the development of nursing work. The main goal of the study was to meet the patients’ self-care-centered basic needs(4); A proposal to systematize nursing care to HIV/AIDS patients based on the self-care deficit theory(5); The promotion of self-care through the Eastern health perspective for patients with migraine(6)
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