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- The effectiveness of education on symptoms recognition in heart failure patients to manage self-care: a systematic review protocolPublication . Sousa, Joana Pereira; Neves, Hugo; Lobão, Catarina; Gonçalves, Rui; Santos, MiguelAIM: Heart failure is a chronic disease with a complex regimen treatment. Patients must have to enroll in a disease management program to engage in self-care. However, symptom recognition is a difficult step to manage by patients, as they tend to wait for the symptoms to disappear. The aim of this study is to verify if patients with heart failure can recognize early signs of the disease. METHOD:A systematic review will be carried out to analyze the effectiveness of patient education in detecting heart failure symptoms. RESULTS:The systematic review will provide data to understand if patient education on heart failure symptom recognition is effective on reducing hospital admissions. CONCLUSIONS:Patients with heart failure struggle daily in balancing self-care. If not taught about what symptoms to expect, patients will sit and wait at home, resulting in severe hospital admissions. Previous systematic reviews and meta-analysis focused on associations among symptoms in individuals with heart failure, or on a multicomponent Heart failure management programs, with several teaching topics. This protocol for a new review, which will focus on symptom monitoring by patients with heart failure, and the development of this skill positively interferes with self-care and avoids hospital readmissions.
- Delirium no idoso hospitalizado: alteração aguda dos domínios cognitivosPublication . Silva, Rosa; Sousa, Joana Pereira; Neves, Hugo Leiria; Faria, Honório Claúdio Moreira
- Symptom management and hospital readmission in heart failure patients: a qualitative study from PortugalPublication . Sousa, Joana Pereira; Santos, MiguelThis article reports a study aimed at identifying the factors that result in hospital readmissions for patients with heart failure. The high rates of readmission are often due to a lack of knowledge about symptoms and signs of disease progression, and these Portuguese nurses believed that readmissions could be decreased through disease management programs in which patients assumed a more active role in self-care. A study was designed to identify broad categories of problems that lead Portuguese patients with heart failure to be readmitted to hospital. Semistructured interviews were conducted, recorded, and submitted for content analysis, revealing 3 main categories for targeting: health management, behavioral management, and psychological support. This study revealed that patients with heart failure seem to struggle with management of multiple treatment regimens during the long course of their chronic illness. Based on these interviews, authors conclude that a disease management program be tailored expressly for the Portuguese culture and their lifestyle.