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Autogestão na pessoa com doença coronária: Importância da intervenção de enfermagem
Orientador(es)
Resumo(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.
Descrição
Palavras-chave
Personal autonomy Selfkmanagement Coronary disease Nursing care
Contexto Educativo
Citação
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