Evidence-based nursing in cardiology

Authors

  • Eneida Rejane Rabelo da Silva Hospital de Clínicas de Porto Alegre - HCPA
  • Graziella Badin Aliti Hospital de Clínicas de Porto Alegre - HCPA
  • Fernanda Bandeira Domingues Hospital de Clínicas de Porto Alegre - HCPA
  • Michelli Cristina da Silva Assis Hospital de Clínicas de Porto Alegre - HCPA
  • Marco Aurélio Saffi Hospital de Clínicas de Porto Alegre - HCPA
  • Joelza Chisté Linhares Hospital de Clínicas de Porto Alegre - HCPA
  • Solange Braum Hospital de Clínicas de Porto Alegre - HCPA

Keywords:

Enfermagem Baseada em Evidência, Insuficiência Cardíaca Congestiva, Anticoagulação Oral, Fatores de Risco

Abstract

This work presents our recent results on the management of cardiovascular patients. The effect of educational and follow-up strategies on the quality of nursing care of these patients (pts) was investigated in randomized clinical trials (RCT). The first RCT evaluated the effect of individual education and group training on the level of knowledge about the disease and self-care in pts with heart failure (HF). Results showed a better knowledge about essential measures (controlled consumption of salt and water, daily weight gain, physical activities) in the intervention group (P=0.008), showing that group and individual training are similarly effective. The second RCT was performed in the hospital environment, and compared the effect of nurse training and telephone follow-up after discharge with training without telephone follow-up. We observed that educational intervention during hospitalization improves the level of knowledge on the disease, self-care and quality of life (P<0.001) in HF pts, with or without telephone follow-up (P=0.9). Two RCTs are under way. The first study evaluates the effect of nurse training on oral anticoagulant therapy and modification of vitamin K consumption versus conventional treatment on the level of knowledge, adhesion and stability of anticoagulation levels. The second study evaluates the costs and clinical efficacy of the educational intervention on the nursing staff versus conventional care on the reduction of risk estimates for cardiovascular events in pts with coronary artery disease.

Downloads

Download data is not yet available.

Author Biographies

Eneida Rejane Rabelo da Silva, Hospital de Clínicas de Porto Alegre - HCPA

Doutora em Ciências Biológicas: Fisiologia; Professora Adjunta da Escola da UFRGS; Coordenadora de Enfermagem da Clínica de Insuficiência Cardíaca - HCPA

Graziella Badin Aliti, Hospital de Clínicas de Porto Alegre - HCPA

Mestre em Ciências Cardiovasculares: Cardiologia UFRGS; Enfermeira do Serviço de Cardiologia da Clínica de Insuficiência Cardíaca - HCPA

Fernanda Bandeira Domingues, Hospital de Clínicas de Porto Alegre - HCPA

Mestre em Ciências Cardiovasculares: Cardiologia UFRGS; Enfermeira da Clínica de Insuficiência Cardíaca e do Serviço de Enfermagem em Terapia Intensiva do HCPA.

Michelli Cristina da Silva Assis, Hospital de Clínicas de Porto Alegre - HCPA

Mestranda em Ciências Cardiovasculares: Cardiologia UFRGS; Enfermeira do Serviço de Enfermagem Cirúrgica - HCPA

Marco Aurélio Saffi, Hospital de Clínicas de Porto Alegre - HCPA

Mestrando em Ciências Cardiovasculares: Cardiologia UFRGS; Enfermeiro do Serviço de Enfermagem em Terapia Intensiva do HCPA.

Joelza Chisté Linhares, Hospital de Clínicas de Porto Alegre - HCPA

Acadêmica de Enfermagem – UFRGS

Solange Braum, Hospital de Clínicas de Porto Alegre - HCPA

Enfermeira do Serviço de Enfermagem em Terapia Intensiva e da Clínica de Insuficiência Cardíaca - HCPA

Published

2007-10-25

How to Cite

1.
da Silva ERR, Aliti GB, Domingues FB, Assis MC da S, Saffi MA, Linhares JC, Braum S. Evidence-based nursing in cardiology. Clin Biomed Res [Internet]. 2007Oct.25 [cited 2022May17];27(2). Available from: https://seer.ufrgs.br/index.php/hcpa/article/view/2053