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      Calidad de vida y autocuidado: concepciones de individuos con insuficiencia cardiaca Translated title: Quality of life and self-care: conceptions of individuals with heart failure

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          Abstract

          Resumen Objetivo: Identificar concepciones sobre calidad de vida y autocuidado en individuos con insuficiencia cardiaca (IC). Metodología: Investigación cualitativa, realizada en una unidad cardiovascular de un Hospital Universitario en Salvador-Bahia, Brasil. La muestra fue constituida por 21 sujetos. El instrumento de colecta de datos fue compuesto por cuestiones relacionadas con características socioeconómicas y demográficas, datos clínicos; aspectos y concepciones acerca de la IC, calidad de vida y autocuidado. Se utilizó el Análisis de Contenido de Bardin. Resultados: fueron identificadas cuatro categorías: insuficiencia cardiaca como obstáculo para mantener calidad de vida; concepciones de calidad de vida por individuos con IC; autocuidado como propiciador del bienestar de individuos con IC; y autocuidado practicado por individuos con IC. Conclusión: Se constató que individuos con IC hacen referencia a la disminución en la calidad de vida frente al diagnóstico de la enfermedad, reconocen la importancia del autocuidado y la dificultad en ponerlo en práctica.

          Translated abstract

          Abstract Objective: To identify the concepts of quality of life and self-care in individual swith heart failure (HF). Method: Qualitative research, carried out in a cardiovascular unit of a University Hospital in Salvador - Bahia, Brazil. The sample consisted of 21 subjects. The data collection instrument was composed of questions related to socioeconomic and demographic characteristics, clinical data, aspects and conceptions of HF, quality of life and self-care. Data analysis was based on Bardin. Results: Four categories were identified: heart failure as obstacle to maintaining quality of life; conceptions of quality of life by individual swith HF; self-care as promoting the well-being of individual swith HF; and self-care practiced by individual swith HF. Conclusion: It was found that individuals with HF refer to decrease in quality of life in the face of the diagnose of the disease; they recognize the importance of self-care and the difficulty in puttinggitin to practice.

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          Most cited references25

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          III Diretriz Brasileira de Insuficiência Cardíaca Crônica

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            Análise de conteúdo: exemplo de aplicação da técnica para análise de dados qualitativos

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              The benefits of using a heart failure management programme in Swedish primary healthcare.

              Heart failure (HF) is a common condition with which high mortality, morbidity, and poor quality of life are associated. It has previously been shown that use of HF management programmes (HFMPs) in HF clinics can be beneficial. The purpose of this study was to evaluate if the use of HFMPs also has beneficial effects on HF patients in primary healthcare (PHC). This is a randomized, prospective, open-label study including 160 patients from five PHC centres with systolic HF and a mean age of 75 years (standard deviation 7.8). In the intervention group, an intensive follow-up was performed by HF nurses and physicians providing information and education about HF and the optimization of HF treatment according to recognized guidelines. There was a significant improvement of composite endpoints in the intervention group. Significantly more patients with reduced N-terminal pro brain natriuretic peptide (P = 0.012), improved cardiac function (P = 0.03), fewer healthcare contacts (P = 0.04), and fewer emergency room visits and admittances (P = 0.0002 and P = 0.03, respectively) could be seen in the intervention group when compared with the control group. The use of a HFMP in a PHC setting was found to have beneficial effects in terms of reducing the number of healthcare contacts and hospital admissions, and improving cardiac function in patients with systolic HF, even if the result should be interpreted with caution. It can therefore be recommended that HFMPs should be used in PHC.
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                Author and article information

                Journal
                index
                Index de Enfermería
                Index Enferm
                Fundación Index (Granada, Granada, Spain )
                1132-1296
                1699-5988
                December 2020
                : 29
                : 4
                : 205-209
                Affiliations
                [1] Salvador Bahia orgnameUniversidade Federal da Bahia Brazil
                [2] Salvador Bahia orgnameEscola Bahiana de Medicina e Saúde Pública Brazil
                Article
                S1132-12962020000300004 S1132-1296(20)02900400004
                7116dc40-ea81-448b-ae7b-4956bffe7b71

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 14 April 2020
                : 18 February 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 25, Pages: 5
                Product

                SciELO Spain

                Categories
                Originales

                Heart failure,Quality of life,Insuficiencia cardíaca,Autocuidado,Calidad de vida,Self-care

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