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Publication
Autogestão na pessoa com doença coronária: Importância da intervenção de enfermagem
Advisor(s)
Abstract(s)
Introduction and objectives: Coronary heart disease is one of the main causes
of death in Portugal, especially. It is a chronic illness with a complex therapeutic
regimen, and since it is often asymptomatic non-adherence is quite frequent,
especially in relation to the non-pharmacological component. The present study
aims to: a) characterize patients with coronary disease in relation to cardiovascular
risk factors, adherence to non-pharmacological treatment, perceived competence
and perception of autonomous support by health professionals b) study if nursing
intervention promotes self-management in patients with coronary heart disease.
Methodology: This is a descriptive, cross-sectional study and correlational study.
The participants were 46 patients with coronary heart disease, from two hospitals
in the northern region of Portugal, 45,7 % of which were followed by a nursing
consultation. Instruments used were: the Perceived Competence Scale, the
Health Care Climate Questionnaire, a questionnaire about non-pharmacological
adherence.
Results and discussion: Results showed that participants reported a moderate
adherence to the non-pharmacological treatment, feel very competent to manage
their treatment, and perceive the health climate as supportive of their autonomy.
Patients supported by nurses reported higher adherence to non-pharmacological
treatment strategies, higher perceived competence and perceived the health care
climate as supportive of their autonomy when compared to those attended only
by doctors.
Conclusions: This study suggests that nursing interventions are important for
the promotion of self-management in coronary heart patients, and that these
interventions should be focused on perceived competence and the promotion of
autonomous motivation.
Description
Keywords
Personal autonomy Selfkmanagement Coronary disease Nursing care
Pedagogical Context
Citation
Rocha, A.L., Lima, L., Bastos, C. Autogestão na pessoa com doença coronária: importância da intervenção de enfermagem. Suplemento digital Rev ROL Enferm 2020; 43(1): 10-17