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Capacitar o utente hipocoagulado e família na gestão da doença :
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 9.1 MB | Adobe PDF |
Advisor(s)
Abstract(s)
As doenças cardiovasculares são a principal causa de morte nos estados membros da União Europeia, representando cerca de 36% das mortes em 2010.
Apesar de haver uma diminuição do número de óbitos em Portugal, em relação
à doença isquémica cardíaca e à doença cerebrovascular 29,7% em 2015
(44,2% em 1989), verifica-se um aumento da morte prematura abaixo dos 70
anos. As doenças cérebro-cardiovasculares são doenças que necessitam de um
acompanhamento efetivo e especializado com o intuito de diminuir os
internamentos por descompensação clínica, manter a pessoa ativa e diminuir o
seu grau de dependência. Estão incluídas as doenças que necessitam
anticoagulantes orais, o que requer uma vigilância de saúde mais regular e de
uma parceria profissional/utente/família na sua gestão. Com base na
metodologia do planeamento em saúde e segundo a teoria do défice do
autocuidado de Dorothea Orem desenvolveu-se um projeto de intervenção
comunitária dirigido aos utentes hipocoagulados com necessidade de controle
do Rácio Normalizado Internacional (INR) e família no sentido de capacitá-los na
gestão da doença. Foi aplicado um questionário, identificado o diagnóstico de
saúde e desenvolvidas sessões de educação para a saúde. Identificou-se défice
de conhecimento sobre a patologia associada à toma do anticoagulante oral
(ACO), sobre a interação dos alimentos e terapêutica, bem como reconhecer os
sinais de perigo. Envolver os utentes hipocoagulados e família na gestão da sua
doença através de sessões de educação para a saúde permite melhorar o
conhecimento, tomar decisões com consciência de forma a construir um projeto
de saúde com maior qualidade.
Cardiovascular diseases are the leading cause of death in European Union member states, representing about 36% of deaths in 2010. Although there is a decrease in the number of deaths in Portugal, in relation to ischaemic heart disease and cerebrovascular disease 29.7% in 2015 (44.2% in 1989), there is an increase in premature death below the age of 70. Cerebrovascular diseases are diseases that require an effective and specialized follow-up to reduce hospitalizations due to clinical decompensation, keep people active, and reduce their dependence. These include diseases that require oral anticoagulants, which requires more regular health surveillance and a professional/patient/family partnership in their management. Based on the health planning methodology and Dorothea Orem's self-care deficit theory, a community intervention project was developed for hypocoagulated patients requiring control of the International Normalised Ratio (INR) and their families to empower them to manage the disease. A questionnaire was applied, the health diagnosis was identified, and health education sessions were developed. A deficit of knowledge was identified regarding the pathology associated with taking oral anticoagulants (OAC), the interaction between food and therapy, as well as recognising the danger signs. Involving hypocoagulated patients and their families in the management of their disease through health education sessions allows them to improve their knowledge and make informed decisions to build a health project with greater quality.
Cardiovascular diseases are the leading cause of death in European Union member states, representing about 36% of deaths in 2010. Although there is a decrease in the number of deaths in Portugal, in relation to ischaemic heart disease and cerebrovascular disease 29.7% in 2015 (44.2% in 1989), there is an increase in premature death below the age of 70. Cerebrovascular diseases are diseases that require an effective and specialized follow-up to reduce hospitalizations due to clinical decompensation, keep people active, and reduce their dependence. These include diseases that require oral anticoagulants, which requires more regular health surveillance and a professional/patient/family partnership in their management. Based on the health planning methodology and Dorothea Orem's self-care deficit theory, a community intervention project was developed for hypocoagulated patients requiring control of the International Normalised Ratio (INR) and their families to empower them to manage the disease. A questionnaire was applied, the health diagnosis was identified, and health education sessions were developed. A deficit of knowledge was identified regarding the pathology associated with taking oral anticoagulants (OAC), the interaction between food and therapy, as well as recognising the danger signs. Involving hypocoagulated patients and their families in the management of their disease through health education sessions allows them to improve their knowledge and make informed decisions to build a health project with greater quality.
Description
Keywords
Enfermagem em saúde comunitária Família Promoção da saúde Anticoagulantes