Self-care for people with heart failure: the importance of tele-nursing in the COVID-19 pandemic.

IF 1.5 4区医学 Q3 NURSING

Revista Latino-Americana De Enfermagem Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI:10.1590/1518-8345.6975.4227

Micaelle Costa Gondim, Ricardo Costa da Silva, Ana Karoline Barbosa da Silva, Flaviana Vely Mendonça Vieira, Janaína Valadares Guimarães, Karina Machado Siqueira, Agueda Maria Ruiz Zimmer Cavalcante

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Abstract

Objective: to describe factors of influence of telenursing on naturalistic decision making about self-care of people with heart failure during COVID-19.

Method: this is a descriptive study with a qualitative approach, with 16 participants interviewed after hospitalization for decompensated heart failure. The data was collected using audio and video technology and submitted to content analysis, guided by the Situation-Specific Theory of Heart Failure Self-Care.

Result: two thematic categories emerged from the analysis: Self-care as a decision-making process and Factors influencing decision-making, which describe tele-nursing as a support resource for people with heart failure, during changes in care in the pandemic period.

Conclusion: it was possible to understand the relationship between telenursing and the establishment of a bond, in order to stimulate naturalistic decision-making by people with heart failure in their daily lives in a coherent way, leading to better health outcomes.

Highlights: (1) Different barriers compromise the decision-making of people with heart failure.(2) Nursing theories can guide coherent self-care attitudes.(3) Continuity of care and a support network are necessary after hospitalization.(4) Emotional support for people with heart failure must go hand in hand with conventional treatment.(5) The bond through tele-nursing provides positive health outcomes.

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心力衰竭患者的自我护理：远程护理在 COVID-19 大流行中的重要性。

目的：描述在 COVID-19 期间远程护理对心力衰竭患者自我护理自然决策的影响因素。方法：这是一项描述性研究，采用定性方法，在失代偿性心力衰竭患者住院后对 16 名参与者进行访谈。采用音频和视频技术收集数据，并在心力衰竭自我护理的特定情境理论指导下进行内容分析：结果：分析得出了两个主题类别：作为决策过程的自我护理和影响决策的因素，这两个类别描述了远程护理作为心力衰竭患者的支持资源，在大流行病期间的护理变化中的作用。结论：可以理解远程护理与建立联系之间的关系，以促进心力衰竭患者在日常生活中以协调一致的方式做出自然决策，从而获得更好的健康结果。亮点：（1）不同的障碍会影响心力衰竭患者的决策；（2）护理理论可以指导患者采取一致的自我护理态度；（3）住院治疗后，持续护理和支持网络是必要的；（4）心力衰竭患者的情感支持必须与常规治疗同步进行；（5）通过远程护理建立的纽带可以带来积极的健康结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Latino-Americana De Enfermagem NURSING-

自引率

11.10%

发文量

142

期刊介绍： A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.