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Dissertations / Theses on the topic 'Coronary care nursing'
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Lewis, Deborah Anne. "A Study of Denial and Stress Level of Coronary Care Patients." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1382365546.
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Chao, Shir-Ley. "Relationships among patient characteristics, care processes, and outcomes for patients in coronary care units (CCUs)." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276836.
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The purpose of this research was to describe the relationships among patient characteristics, care processes, and care outcomes for patients in a coronary care unit (CCU). The sample consisted of 179 CCU patients. Data collectors reviewed charts and retrieved the chart information needed to measure the operational variables of APACHE II score (Acute Physiology and Chronic Health Evaluation II), years of age, CCU length of stay, nurse to patient ratio, and mortality. Descriptive statistics were used to analyze the demographic data of the patient characteristics. Correlational statistics were used to analyze the five operational variables in the "CCU Patient Outcomes Model." Pearson correlations revealed significant positive relationships between APACHE II score and age and nurse to patient ratio. Point Biserial correlations revealed significant positive relationships between mortality and APACHE II score and nurse to patient ratio. Patient characteristics were related to care processes. Patient characteristics and care processes were related to patient outcomes.
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Yang, Wai-lam Caroline. "Exploring the expanded role of nurses in coronary care." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31973024.
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Ruegg, Richard L. "Reported anxiety on work shifts for coronary care nurses." Virtual Press, 1987. http://liblink.bsu.edu/uhtbin/catkey/536289.
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The purpose of the study was to investigate the perceived anxiety experienced by coronary care nurses working eight- and 12-hour work shifts. It was hypothesized that length of shift work affects the before- and after-shift anxiety for nurses working eight- or 12-hour work shifts. Anxiety differences between the eight- and 12-hour work shifts were examined as well as differences between the before- and after-shift anxiety for each length of shift.Thirty-two (32) coronary care nurses from a general medical and surgical hospital in the Midwest volunteered to participate in the research. The sample consisted of all females (18 Registered Nurses, nine Licensed Practical Nurses, three charge nurses, a supervisory nurse, and a rehabilitation nurse). The nurses had voluntarily selected the eight- or 12-hour length of shift work and understood that they would be committed towork that shift for one year. Twelve nurses worked the eight-hour shift; 20 nurses chose the new 12-hour shift.The State Anxiety Inventory (SAI) was used to measure the nurses' before- and after-shift anxiety. Baseline data were collected from the nurses prior to the initiation of the 12-hour shift. The Box-Jenkins Time Series Analysis was used to analyze the daily before- and after-shift anxiety scores and to establish a forecasted trend for both the eight- and 12-hour shifts.The first finding was that the before-shift anxiety scores for the eight-hour workers declined, while the anxiety scores for the 12-hour workers increased, following the implementation of the 12-hour shift. The same trend was forecast for the after-shift anxiety scores. The eight-hour nurses' after-shift anxiety scores declined while the 12-hour nurses' anxiety scores increased. A transfer function was conducted for both the eight-hour and 12-hour before- and after-shift anxiety scores. No predictive trend could be established for the eight-hour anxiety scores; however, the 12-hour after-shift anxiety scores were found to be consistently higher than before-shift anxiety scores.Department of Counseling Psychology and Guidance Services
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Yang, Wai-lam Caroline, and 楊慧藍. "Exploring the expanded role of nurses in coronary care." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31973024.
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Lee, Pui-kay Pinky, and 李佩琪. "Translating evidence and evaluation of the care of patients undergoingfemoral sheath/device removal." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B4462511X.
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Senten, Margaretha Christina Maria. "The well-being of patients having coronary artery bypass surgery a test of Orem's self-care nursing theory /." [Maastricht : Maastricht : Rijksuniversiteit Limburg] ; University Library, Maastricht University [Host], 1991. http://arno.unimaas.nl/show.cgi?fid=5652.
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Quan, Millie. "A retrospective analysis of early progressive mobilization nursing interventions and early discharge among post coronary artery bypass patients." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2129.
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This project offers evidence and data to measure how progressive and sustained mobilization strategies that are implemented by nurses impact early discharge on a single stay Cardiothoracic Intensive Care Unit for patients undergoing first-time Coronary Artery Bypass Surgery (CABG) surgery.
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Musa, Ahmad Salem. "Spiritual nursing care and spiritual well-being of hospitalized patients following coronary artery bypass graft surgery." Thesis, University of Essex, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.442518.
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Jackson, Sara. "Developing an Impella Education Program for the Critical Care Registered Nurse." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4380.
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Every year, hundreds of thousands of patients have coronary angiograms performed in the United States. The Impella is a percutaneous ventricular support device that provides hemodynamic support for patients if hemodynamic instability occurs during the procedure. The critical care nurse is responsible for the recovery and management of the patient with the Impella device in place. The purpose of this scholarly project is to provide registered nurses (RN) who have not previously managed the Impella device with the appropriate education in order to demonstrate competency. The program demonstrated improved RN knowledge about the Impella and increased confidence when managing the Impella device and controller. King's goal attainment theory was used as a framework to develop nurse-patient collaboration. Kirkpatrick's 4-level training evaluation model provided the framework for evaluation of the RN educational program. The sources of evidence included literature and an expert panel that was recruited to evaluate the material prior to implementation of the educational program. The data were analyzed by comparing the results of the preeducational and posteducational questionnaires. The paired t test demonstrated statistical significance based on the scores from the pre- and post-tests taken by the RNs before and after the Impella educational program as p < .001. Increased RN confidence was demonstrated by p < .001, while a change in RN attitude towards the Impella established improvement by p < .001. Providing professional development opportunities has been shown to benefit RNs to allow the delivery of safe care while allowing for positive social change by impacting patient lifestyle and outcomes.
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Spencer, Jessye Davis. "Competencies needed for the beginning level coronary critical care nurse : a Delphi study /." Diss., This resource online, 1994. http://scholar.lib.vt.edu/theses/available/etd-06062008-163419/.
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Cohen, Bonni. "Prodromal Signs and Symptoms of Women with Acute Coronary Syndrome." Connect to full-text via OhioLINK ETD Center, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=mco1115919964.
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Thesis (M.S.)--Medical College of Ohio, 2005.In partial fulfillment of the requirements for the degree of Master of Science in Nursing. Major advisor: Jane C. Evans. Includes abstract. Document formatted into pages: vi, 53 p. Title from title page of PDF document. Title at ETD Web Site : Prodromal signs and symptoms of women with acute coronary syndrome . Bibliography: pages 48-52.
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Knight, Elizabeth Pickering. "Symptom Trajectories After Emergency Department Visits for Potential Acute Coronary Syndrome." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/594909.
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Background: Many patients evaluated for acute coronary syndrome (ACS) in emergency departments (EDs) experience ongoing or recurrent symptoms after discharge, regardless of their ultimate medical diagnosis. A comprehensive understanding of post-ED symptom trajectories is lacking. Aims: Aim 1 was to determine trajectories of severity of common symptoms (chest pressure, chest discomfort, unusual fatigue, chest pain, shortness of breath, lightheadedness, upper back pain and shoulder pain) in the six months following an ED visit for potential ACS. Aim 2 was to identify relationships between symptom trajectories and baseline physiologic factors (age, gender, diabetes status, diagnosis, comorbidities, functional status) and situational factors (marital status, insurance status, education level). Aim 3 was to identify relationships between symptom trajectories and health service use (outpatient visits and calls, ED visits, 911 calls, hospitalization) in the six months after the ED visit. Methods: This was a secondary data analysis from a study conducted in five U.S. EDs. Patients (n=1002) who had abnormal electrocardiogram or biomarker testing and were identified by the triage nurse as potentially having ACS were enrolled. Symptom severity was assessed in the hospital and 30 days and six months post-discharge using the 13-item ACS Symptom Checklist. Symptom severity was modeled across the three study time points using growth mixture modeling. Model selection was based on interpretability, theoretical justification, and statistical fit indices. Patient characteristics were used to predict trajectories using logistic regression and differences in health service use were tested using chi-square analysis. Results: Between two and four distinct trajectory classes were identified for each symptom. Identified trajectories were labeled "tapering off," "mild/persistent," "moderate/persistent," "moderate/worsening," "moderate/improving," "late onset," and "severe/improving." Age, sex, diabetes, BMI, functional status, insurance status, and diagnosis significantly predicted symptom trajectories. Clinic visits and phone calls, 911 calls, ED visits, and probability of hospitalization varied significantly among trajectories. Conclusions: Research on the individual nature of symptom trajectories can support patient-centered care. Patients at risk for ongoing symptoms and increased health service use can be targeted for education and follow-up based on clinically observable characteristics. Further research is needed to verify the existence of multiple symptoms trajectories in diverse populations.
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Whitney, Stuart Luhn. "THE RELATIONSHIP BETWEEN SOCIAL SUPPORT AND ROLE STRAIN AND PREVENTATIVE HEALTH BEHAVIORS IN CRITICAL CARE NURSES." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276557.
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The purpose of the research was to describe the relationships between social support and role strain and preventative health behaviors. The sample consisted of 62 critical care nurses employed in three southwest acute care facilities. Subjects completed instruments measuring social support, role strain, and four preventative health care behaviors. Pearson correlations revealed significant positive relationships between social support and personal/household roles women perform and ways women handle stress. Additional significant negative relationships existed between marital/relationship roles women perform and leisure physical activities, a subset of preventative health behaviors. The parental roles, obligations, and responsibilities women perform were also significantly related with leisure physical activities. Conclusions drawn indicate that the critical care nurses did not perceive themselves susceptible to cardiovascular disease and therefore did not participate in preventative health care activities, regardless of perceived helpful social support and an absence of role strain.
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Lau, Suet-Yim Diana. "A quality study of coronary artery bypass graft (CABG) surgery in Asians in California, 2003--2005." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3390054.
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Andersson, Lina. "Den kvinnliga patientens erfarenhet och upplevelsevid akut kranskärlssjukdom, en litteraturöversikt." Thesis, Högskolan Dalarna, Omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:du-25290.
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Den vård som bedrivs vid akut kranskärlssjukdom är idag bristande när det gäller jämställdhet. Männen har varit och är dominerande i den forskning som bedrivs om kranskärlssjukdom, vilket utsätter kvinnan för risk vid både diagnos och behandling av sjukdomen. Det råder bristande medvetenhet om genusperspektiv vid vårdandet av akut kranskärlssjukdom, och mer forskning behövs för att uppmärksamma sjuksköterskans behov av att tillämpa detta förhållningssätt. Syfte Syftet med denna litteraturöversikt är att beskriva den kvinnliga patientens erfarenhet och upplevelser vid akut kranskärlssjukdom. Metod Studien genomfördes som en litteraturöversikt där tio kvalitativa artiklar granskades. Databaserna PubMed, CINAHL och Google Scholar användes vid sökningen. Resultat Resultaten i denna litteraturöversikt visar hur den inlärda förväntan om typiska symptom och tecken på akut kranskärlssjukdom påverkat kvinnorna vid tolkningen av deras symptom. Under sjukdomsförloppet framkom även hur kvinnorna förminskade och förnekade allvaret i situationen. Symptomen kunde kopplas till mindre allvarliga åkommor, biverkningar av en ny medicin eller bortförklaras med stigande ålder. Slutsats En djupare förståelse för hur kvinnor reagerar vid debuten av akut kranskärlssjukdom är nödvändig för att sjuksköterskor ska kunna agera adekvat då kvinnan inkommer till sjukhuset.
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Candiota, Cláudia da Silva e. Souza. "Situações-problema e seus graus de complexidade em clientes com síndrome coronariana aguda." Universidade Federal Fluminense, 2014. https://app.uff.br/riuff/handle/1/839.
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Mestrado Profissional em Enfermagem Assistencial
Introdução: o estudo teve como objeto as situações-problema apresentadas por clientes hospitalizados com Síndrome Coronariana Aguda (SCA) e seus graus de complexidade – menor, média e maior. Objetivo geral: elaborar um material de ensino sobre a identificação de situações-problema e seus graus de complexidade em clientes hospitalizados com Síndrome Coronariana Aguda. Objetivos específicos: descrever situações-problema apresentadas; caracterizá-las de acordo com os graus de complexidade; identificar graus de complexidade de situações-problema, segundo os termos aliados à perspectiva diagnóstica de enfermeiros peritos; avaliar a concordância de enfermeiros peritos/experts sobre o grau de complexidade das situações-problema de clientes com SCA; discutir sobre os cuidados de enfermagem indispensáveis aos respectivos graus de complexidade identificados nas situações-problema. Método: estudo qualitativo descritivo. A coleta de dados foi realizada através de entrevista e análise documental em prontuários. O cenário foi a Unidade Coronariana de um hospital da rede pública. A análise dos dados descritiva foi composta por distribuições de frequências, cálculo das estatísticas médias e desvio padrão. Resultados: foram elaboradas 26 situações-problema dos clientes e, em seguida, foram enviadas aos enfermeiros peritos para a análise e classificação dos graus de complexidade. De acordo com a avaliação dos enfermeiros, as situações-problema dos clientes classificadas como de maior complexidade atingiram a sua maioria, em relação às de média e de menor complexidade, com ênfase na doença e seus sinais e sintomas. A organização e descrição das situações-problema foram realizadas com base em método de ensino que inclui narração inicial, enquadramento diagnóstico da problemática situacional do cliente, questões pedagógicas e narração final. Conclusão: Neste estudo, foram identificadas as situações-problema de clientes com diagnóstico de SCA em relação aos graus de complexidade – menor, média e maior, com abordagem direcionada aos problemas evidentes e não evidentes, baseados nas avaliações de enfermeiros peritos
Introduction: this study was focused on the problem-situations presented by customers hospitalized with Acute Coronary Syndrome (ACS) and its levels of complexity – smaller, medium and greater. General objective: to develop a teaching material about the identification of problem-situations and their levels of complexity in hospitalized customers with Acute Coronary Syndrome. Specific Objectives: to describe problem-situations presented; characterize them according to the levels of complexity; to identify levels of complexity of problem-situations, according to the terms linked to the diagnostic perspective of expert nurses; to evaluate the concordance of expert nurses/experts on the level of complexity of problem-situations of customers with ACS; to discuss about the nursing care essential to the respective levels of complexity identified in problem-situations. Method: this is a descriptive and qualitative study. Data collection was conducted through interviews and documentary analysis in medical charts. The scenario was the Coronary Care Unit of a public hospital. Data analysis was descriptive and comprised of distributions of frequency, calculation of average statistics and standard deviation. Results: 26 problem- situations of customers were designed and, subsequently, conveyed to expert nurses for the analysis and classification of levels of complexity. According to the evaluation of nurses, the problem-situations of customers classified as of greater complexity have reached the majority in relation to the medium and smaller complexity, with emphasis on the disease and its signs and symptoms. The organization and description of problem-situations were performed with basis on a teaching method that includes initial narration, diagnostic framework of the situational problematic of the customer, pedagogical issues and final narration. Conclusion: in this study, the problem-situations of customers diagnosed with ACS in relation to the levels of complexity were identified – smaller, medium and greater, with an approach directed to the evident and non-evident problems, based on the evaluations of expert nurses
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Shekastehbad, Aysin, and Saija-Marisa Stenman. "Patienters upplevelser av hjärtrehabilitering vid kranskärlsjukdom : En litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-7524.
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Hjärtrehabilitering är ett program som ger bästa möjliga medicinska, fysiska och psykiska förutsättningar för patienter som har drabbats av kranskärlssjukdom, Den förbättrar livskvaliteten hos dessa patienter till en optimal individuell funktionsnivå. Syftet med denna studie var att belysa upplevelser av hjärtrehabilitering hos patienter med kranskärlssjukdom. En litteraturöversikt baserad på elva artiklar, tio av kvalitativ och en kvantitativ design hämtade från tre databaser Cinahl Complete, PubMed och PsycINFO. Artiklarna granskades enligt Friberg (2017) och därefter sammanställdes resultat i form av fyra tema. Vid analysen av de valda artiklarna har fyra huvudteman inklusive några underteman identifierats: Psykologiska upplevelser av hjärtrehabiliteringen. Upplevelser av stöd och motivation. Upplevelser av sjuksköterskans roll. Upplevelser av förhinder att delta i hjärtrehabilitering. Resultatet från denna litteraturöversikt har diskuterats utifrån Dorothea Orems egenvårdsteori. Patienterna hade en positiv inställning till hjärtrehabilitering men de flesta upplevde förhinder i någon form. Brist på information kan förbättras genom att vårdpersonalen har rätt kunskap och ger stöd. För att underlätta svårigheter av livsstilsförändringar kan sjuksköterskan använda motiverande samtal utifrån patientens individuella behov för att utveckla egenvårdskapaciteten hos patienten.Cardio rehabilitation is a programme which provides best possible medical, physical and mental conditions for patients who have suffered from cardiovascular disease. It improves quality of life for these patients to an optimal individual functioning level. The aim of this study was to highlight experiences from cardiac rehabilitation of patients with coronary artery disease. This study was carried out by a literature review method. Eleven articles, ten of qualitatative and of quantitative design identified in three databases: Cinahl Complete, PubMed och PsycINFO. Articles were reviewed according to Friberg (2017) and then the result was compiled in the form of four themes. In the analysis of the selected articles, four main themes, including some sub-themes, have been identified: Phsycological experiences of cardiac rehabilitation, Experiences of support and motivation, Experiences of nurses’ role and Experiences facing difficulties attending cardic rehabilitation program. Results from this literature review have been discussed related to Dorothea Orem's self-care theory. The patients had a positive attitude towards cardiac rehabilitation but most experienced some form of obstruction. Lack of information can be improved by the health care professions having the right knowledge and providing support. In order to facilitate difficulties in lifestyle changes, the nurse can use motivational talks based on the patient's individual need to develop self-care capacity in the patient.
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Ahlin, Carola, Irén Bengtsson, and Lisbeth Nilsson. "Patientinformation vid en kranskärlsoperation." Thesis, Halmstad University, School of Social and Health Sciences (HOS), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-5487.
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Kranskärlsoperationen är för patienten en stor händelse som leder till många frågor och funderingar. Tidigare forskning har visat att patienter som genomgått en ranskärlsoperation har stort behov av information. Vårt syfte med studien var att beskriva informationen vid en kranskärlsoperation. Studien gjordes som en itteraturstudie. Resultatet av studien utföll i tre kategorier, informationsmetoder, vad informationen innehöll samt olika faktorer som påverkade patientinformationen. Information gavs skriftligt, muntligt, som videofilm, med Internet eller av en patient som tidigare gjort en kranskärlsoperation, ofta i kombination med varandra. Vad patienten ville att informationen skulle innehålla varierade från person till person beroende på i vilken fas patienten befann sig, pre- eller postoperativt. Flera faktorer framkom som var av betydelse. Det var viktigt för patienterna att personalen tog sig tid att lyssna och svara på frågor och funderingar. Patienter med litet socialt nätverk hade större behov av information än andra med stort socialt nätverk. En annan betydelsefull sak var att patienterna lätt skulle kunna komma i kontakt med kompetent personal både innan operationen och efter utskrivningen. Slutsatsen av resultatet var att informationen bör vara individuellt anpassad utifrån varje patients behov. Fortsatt forskning behövs för utveckling av en god patientinformation kring patienternas upplevelse av olika sorters informationssätt, samt att utveckla kontakt med patienter som tidigare gjort en kranskärlsoperation
Coronary artery bypass is for the patient a major event leading to many questions and concerns. Previous research has shown that patients who have undergone coronary artery bypass have great needs of information. Our aim of this study was to describe information before and after a coronary artery bypass. The study was done as a literature review. The results of the study were distributed into three categories, information methods, information content and the various factors that affect patient information. Information was given in writing, orally, by video, by Internet or by a patient previously undergoing a coronary artery surgery, usually in combination with each other. What the patient wanted the information should contain varied from person to person depending on what stage the patient was, pre- or postoperatively. Several factors emerged that were relevant. It was important for the patients that the staff took the time to listen and respond to questions and concerns. Patients with small social networks had a greater need for information than others with larger social network. Another important thing was that patients could easily get in touch with competent personnel both before surgery and after discharge. The conclusion of the result was that the information should be individualized based on each patient's needs. Continued research is needed to develop good patient information on patients' experience of different types of information means, and to develop contact with patients who have previously done a coronary artery bypass.
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Johansson, Anna. "Sleep-Wake-Activity and Health-Related Quality of Life in Patients with Coronary Artery Disease and evaluation of an individualized non-pharmacological programme to promote self-care in sleep." Doctoral thesis, Linköpings universitet, Omvårdnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-76681.
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Sleep is a basic need, important to physical and psychological recovery. Insomnia implies sleep-related complaints, such as difficulty falling asleep, difficulty staying asleep, early awakening, or non-restorative sleep (NRS) in an individual who has adequate circumstances and opportunity to sleep. Insomnia is also related to impairment of daytime functions. The prevalence of reported sleep disturbances varies between 15% and 60% in patients with coronary artery disease (CAD) up to five years after intervention. Disturbed sleep may have a negative impact on self-care capacity and behaviours. Little attention has been given to evaluation of sleep promotion through individualized non-pharmacological interventions among CAD patients. The overall aim of this thesis was to describe the impact of sleep quality and disrupted sleep on health-related quality of life (HRQoL) in patients with stable CAD, in comparison to a population-based group. The objective was also to evaluate an individualized non-pharmacological programme to promote self-care in sleep. Four studies were conducted during seven years, starting in 2001. Patients from six hospitals in the south of Sweden were invited to participate. In addition, an age and gender matched population-based group was randomly selected during the same period as the patients and was used for comparison with the CAD patients in two of the studies. Data was collected through interviews, self-reported questionnaires, a study specific sleep diary and actigraphy registrations. A pretest-posttest control design was used to evaluate whether an individualized non-pharmacological intervention programme could promote self-care in sleep-activity in CAD patients. The results showed a high prevalence of insomniac CAD patients out of whom a large proportion were non-rested insomniacs. This showed that NRS is one of the core symptoms of insomnia. On the other hand there were weak or non-significant gender differences with increasing insomnia severity. Severe insomniac CAD patients displayed a two or threefold higher presleep arousal or anxiety score and were more limited in taking physical exercise than the general population. Generally low sleep efficiency (SE%) was revealed in the studies, particularly among severe non-rested insomniac CAD patients. Among CAD patients, the individualized non-pharmacological programme to promote self-care in sleep-activity indicated improvements in sleep and HRQoL. This thesis elucidates the importance of focusing on the individual’s perception of their sleep-activity and health in their local context and supporting self-care management. Furthermore, it is of importance that nurses set individual goals together with the patient in order to increase self-efficacy to promote HRQoL.
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Love, Tiffany Ann. "EXAMINING HEALTH-RELATED DECISION MAKING PATTERNS OF AFRICAN AMERICANS WITH CORONARY HEART DISEASE: A HERMENEUTIC PHENOMENOLOGICAL STUDY." Case Western Reserve University School of Graduate Studies / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=case1311204052.
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Hedstad, Isabella, and Lundberg Olof Beijer. "Upplevelser av sexuell hälsa hos personer som har insjuknat i hjärtinfarkt : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3645.
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Personcentrerad vård är en av sjuksköterskans kärnkompetenser. Att lindra lidande och att främja hälsa som är ett föränderligt mångdimensionellt fenomen ingår i sjuksköterskans ansvarsområden. Hjärtinfarkt kräver akut behandling och kan påverka vardagliga livet såväl som sex- och samlivet. Det sekundärpreventiva arbetet innefattar bland annat att stödja patient och närstående. Sjuksköterskor har svårigheter att diskutera sexuell hälsa och deras kunskap om hjärtinfarktens inverkan på sexuell hälsa är bristfällig. Syftet var att beskriva upplevelser av sexuell hälsa hos personer som har insjuknat i hjärtinfarkt. Metoden var en litteraturöversikt som utfördes med en systematisk sökstrategi. En integrerad analys av 16 vetenskapliga artiklar genomfördes i syfte att identifiera likheter och skillnader i artiklarnas resultat, vidare för att finna underkategorier och kategorier för att slutligen sammanställa till ett syntetiserat resultat. I resultatet identifierades fyra kategorier; Upplevelser av sexuell funktion, Upplevelser av att samtala om sexuell hälsa, Upplevelser av information från sjukvårdspersonal och Upplevelser av nära relationer. Det framkom minskad lust och lubrikation, svårigheter att få orgasm samt erektil dysfunktion. Det framkom även oro och rädsla för att återuppta sexuella aktiviteter, vilket kunde leda till förändrade sexuella aktiviteter. Det fanns också svårigheter att samtala om sexuell hälsa med sin partner, närstående och sjukvårdspersonal. Informationen framkom som bristfällig och det fanns ökat behov av information om sexuell hälsa. Det framkom också att sexuella relationer förändrades och det fanns ett ökat behov av intimitet med icke sexuella relationer. Även den kroppsliga uppfattningen förändrades och hjärtinfarkten upplevdes påverka existensen. Slutsatsen är att den sexuella hälsan kan påverkas hos personer som har insjuknat i hjärtinfarkt. Med ett personcentrerat förhållningssätt kan sjuksköterskan inom hjärtsjukvård utgå från patientberättelsen och tillsammans med patienten identifiera omvårdnadsbehov samt vidta omvårdnadsåtgärder.Person-centered care is one of the nurse’s core competencies. Alleviate suffering and promote health, which is a changeable multidimensional phenomenon, are included in the nurse’s responsibilities. Myocardial infarction requires acute treatment and it can affect daily life, as well as the sexual life. Secondary prevention includes supporting the patient and relatives. Nurses have difficulties discussing sexual health and their knowledge about the impact of myocardial infarction on sexual health is insufficient. The aim was to describe experiences of sexual health in people who have had myocardial infarction. The applied method was a literature review which was carried out with a systematic search strategy. An integrated analysis of 16 research articles was conducted in order to identify similarities and differences in the results of the articles, further to find subcategories and categories to finally compile into a synthesized result. Four categories were identified in the result; Experiences of sexual function, Experiences of discussing sexual health, Experiences of information from health care professionals and Experiences of close relationships. It emerged a decreased desire and lubrication, difficulties to have an orgasm and erectile dysfunction. There were also an anxiety and fear of resuming sexual activities, which could lead to altered sexual activities. Difficulties in discussing sexual health with a partner, relatives and health care professionals were also described. Lack of sexual counselling was found with an increased need of information of sexual health following myocardial infarction. It also emerged that sexual relationships were altered and an increased need for intimacy with non-sexual relationships was described. Also the body image altered and myocardial infarction affected the existence. The conclusion is that sexual health can be affected in people who have had myocardial infarction. With a person-centered approach and the patient narrative, the nurse in cardiac care can together with the patient identify nursing needs and take nursing interventions.
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Boaventura, Rafaela Peres. "Desempenho dos indicadores de qualidade da assistência na fase aguda do infarto do miocárdio." Universidade Federal de Goiás, 2015. http://repositorio.bc.ufg.br/tede/handle/tede/5598.
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Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEG
This study aimed to analyze the pre-hospital course of patients undergoing percutaneous myocardial reperfusion in acute myocardial infarction and evaluate the performance of health care quality indicators of myocardial infarction in these patients. This is a retrospective cohort study with convenience sample. It was analyzed 39 cases of myocardial infarction with ST segment elevation, with Delta T up to 12 hours without previous administration of fibrinolytic agents, admitted for treatment at the General Hospital of Palmas / TO in 2013. Data were collected in the pre-hospital phase in records and interview and in the in-hospital phase through secondary data. For statistical analysis we used the Shapiro-Wilk test, Student's t test and ANOVA with 5% significance level. Most were male (76.9%), with a stable partner (74.4%), with up to nine years of education (64.1%) and at least three cardiovascular risk factors (79.5%). In the pre-hospital delta T phase was high (06h34min ± 03:14) and 10.2% achieved the recommended metric. The delta T was higher among patients that did not previously recognized symptoms of AMI (mean 07h09min ± 03h12min) and lower among those who were treated during the day (mean 03h 25min ± 05h35min). In-hospital phase, 56% were admitted during the day. In 30.8% of cases the Killip Kimball was > I. Among the other infarcted walls prevailed the bottom wall. Five patients (12.8%) died. Time door-ECG and needle holder did not follow international recommendations for all variables. The early recognition of symptoms and time of care are interfering for prehospital delay. There was no statistical correlation-balloon time and door-ECG door to the profile of patients with clinical variables in the hospitalization phase. The metric assessment of infarct treatment quality indicators in the acute phase was unsatisfactory throughout the study period.
Objetivou-se analisar a trajetória pré-hospitalar dos pacientes submetidos à reperfusão miocárdica percutânea na fase aguda do infarto do miocárdio e avaliar o desempenho dos indicadores de qualidade da atenção ao infarto do miocárdio desses pacientes. Trata-se de coorte retrospectiva, com amostra por conveniência. Foram analisados 39 casos de infarto do miocárdio com supradesnível do segmento ST, com Delta T até 12 horas e sem administração prévia de fibrinolíticos, admitidos para tratamento no Hospital Geral de Palmas / TO em 2013. Os dados foram coletados na fase pré-hospitalar por consulta em prontuário e entrevista; na fase intra-hospitalar, por meio de dados secundários. Para a avaliação estatística foram utilizados o teste de Shapiro-Wilk, o teste t de Student e ANOVA, com nível de significância de 5%. A maioria era do sexo masculino (76,9%), com companheiro estável (74,4%), com até nove anos de estudo (64,1%) e com pelo menos três fatores de risco cardiovasculares (79,5%). Na fase pré-hospitalar o Delta T foi elevado (06h34min ± 03h14min) e 10,2% atingiram a métrica recomendada. O Delta T foi maior entre os pacientes que não reconheceram previamente os sintomas de IAM (média 07h09min ± 03h12min) e menor entre aqueles que foram atendidos durante o dia (média 05h35min ± 03h 25min). Na fase intra-hospitalar, 56% foram admitidos durante o dia. Em 30,8% dos casos o Killip Kimball foi > I. Dentre as demais paredes infartadas prevaleceu a parede inferior. Cinco pacientes (12,8%) evoluíram para óbito. Os tempos porta-ECG e porta-agulha não seguiram as recomendações internacionais para todas as variáveis. O reconhecimento prévio dos sintomas e o horário do atendimento estão interferindo para o atraso pré-hospitalar. Não houve correlação estatística do tempo porta-balão e porta-ECG com o perfil dos pacientes e com as variáveis clínicas na fase intra-hospitalar. A avaliação métrica dos indicadores de qualidade do tratamento do infarto na fase aguda foi insatisfatória durante todo o período avaliado.
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Price, Carol G. "The knowledge of acute care nurses regarding acute coronary syndromes." Diss., 2000. http://hdl.handle.net/10500/15826.
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The tenn Acute Coronary Syndrome (ACS) encompasses a spectrum of patients who present with chest
discomfort or other symptoms caused by myocardial ischemia or infarction. Since critical or acute
care nurses care for such patients, they should have a thorough knowledge of ACS pathophysiology
and current treatments for ACS
The purpose of this research study is to explore and describe the knowledge level that the critical
care nurses in a state hospital in East Texas feel they have regarding ACS. This study was
quantitative, descriptive and contextual in design, in which a sample survey
was performed, using a questionnaire based on a literature study.
The response of most ofthe critical care nurses tested was that they felt they had insufficient
knowledge. An in-service training session has been proposed to help improve the nurses' knowledge
and expertise on ACS.Health Studies
M.A. (Nursing Science)
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Kindness, Karen. "Evaluation of a protocol to control methicillin resistant staphylococcus aureus (MRSA) in a surgical cardiac intensive care unit." Thesis, 2008. http://hdl.handle.net/10413/9055.
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Introduction. MRSA is a major healthcare problem with particular relevance to morbidity and mortality in ICU (Byers & Decker 2008). Due to the increased infection risks associated with cardiac surgery, MRSA screening and surveillance is widely used as a standard preoperative Investigation In many settings (Teoh, Tsim & Yap, 2008). The results, in conjunction with appropriate hygiene precautions, are used to control and prevent infection with MRSA. Following an outbreak of MRSA in cardiac patients an MRSA protocol (MRSAP) was implemented In the cardiac
intensive care unit in this study. Purpose. To evaluate how nurses implement the MRSAP in the surgical cardiac intensive care unit in this study, and to evaluate the change in MRSA infection rates following implementation of the MRSAP. From the results obtained, to identify any areas for improvement in nursing practice
with respect to the MRSAP. Methods. Nursing staff knowledge with respect to the MRSAP was assessed using a survey
questionnaire. Their compliance with required Infection control practice for control of MRSA was assessed through periods of observation on the unit. Screening compliance and reduction in
infection rates were investigated using a retrospective records review. Results. The survey revealed good awareness of the MRSAP (88%, n=23), but knowledge of the detailed content was variable. Most staff were apparently satisfied with the existing standards of infection control in CICU (84.6%, n=22). Observation revealed that, compliance with routine hygiene measures was good (66% correct contacts, n=144) by the standard of other studies, but, given the high risk of postoperative infection for these patients improvements are required. Inadequate data in sampled records prevented meaningful analysis of screening compliance, and hence the systems for handling screening swabs and results need to be reviewed. The change in infection rates between the pre and post MRSAP periods, which incorporated use of infection risk stratification data to demonstrate comparability of the two groups of patients, revealed that despite the high MRSA infection rate in 2005 (1.18%), and subsequent drop post MRSAP (0.35%), the actual number of cases found was too small to test statistically for significant difference. An incidental finding was that female cardiac surgery patients were getting significantly younger (p<0.01). There was a significant decrease in hospital MRSA infection rates for matched periods (p<0.0001 ). Conclusions. Evidence was found to support the efficacy of the MRSAP in the reduction of MRSA infections.
Deficits in staff knowledge and infection control practice were identified and feedback has been implemented in order to improve compliance with the MRSAP and maintain the improved infection rates. Further research with respect to implementation of, and compliance with, infection control measures could both improve quality of patient care and decrease the burden of preventable
infectious disease such as health care associated infections (HAls) in South Africa.Thesis (M.N.)-University of KwaZulu-Natal, Durban, 2008.
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Chokani-Namame, Nellie Monteliwa. "Acute Coronary Syndromes patients' characteristics : optimising outcomes in the pre-hospital phase of care." Diss., 2005. http://hdl.handle.net/10500/757.
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Timely management in pre-hospital emergency care enhances the chances of patients' survival or clinical outcomes of an Acute Coronary Syndrome (ACS).
In Botswana nurses serve in the frontline of pre-hospital emergency services as the initial recipients of the emergency reports and situations. Knowledge of the patient's characteristics will assist the nurses as well as the family/others to understand the patient's responses during an ACS situation and therefore enable prompt patient assessment and facilitation of early access to appropriate care. Patient and family involvement in care during cardiac emergencies also influences the patient outcomes.
This is a non-experimental, quantitative, exploratory and descriptive study, designed to explore and describe the characteristics of patients with the experience of an ACS, and the available resources during the pre-hospital phase of emergency care, with the aim of improving patients' clinical outcomes. The results indicated that optimal care by nurses is essential in the chain of care influencing patients' chances of surviving ACS.Health Studies
M.A. (Health Studies)
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Biamani, Jeanine Basmanisa. "The perception of information needs of acute myocardial infarction patients and intensive care nurses: a comparative study." Thesis, 2012. http://hdl.handle.net/10539/10980.
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M.Sc. (Nursing), Faculty of Health Sciences, University of the Witwatersrand, 2011In this present study, the instrument cardiac patients learning needs inventory (CPLNI) was assessed for validity and reliability by four cardiology doctors, two critical care nurses, and one patient with a history of myocardial infarction (stage one of the study). The instrument was not modified as a result of non modified CPLNI used in the pilot study which consisted of thirty seven items of information grouped into eight clusters (constructs). The aim of the study was to describe and compare intensive care nurses and patients perceptions of information needs of acute myocardial infarction patients at a public sector tertiary hospital in Johannesburg. The study has made recommendations for clinical practice and education of intensive care nurses. A quantitative, non experimental, descriptive, prospective two-part design using questionnaires was utilized in this study to find out what information out of that commonly given following myocardial infarction, patients and critical care nurses rated as being most and least important (stage two). These results were then compared with the results obtained from patients and nurses who were given the same instrument to complete. Seventy six subjects were recruited. Results indicated that some similarities existed between the patients and the nurses in terms of what they perceived as the most and least important clusters/constructs of information. The item one (what to do if I get chest pain)was ranked first with a frequency of seventy five(98,68%). The scores for some informational clusters included on the instrument were significantly different between the patient and the nurses groups (p<0.05). The constructs miscellaneous (p=0.0054), physical activity (p=0.0022) and symptom management (p=0.0284) were statistically significant. These findings and others are discussed, and recommendations are made for improving the information given on post myocardial infarction,
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Ting-Ju, Li, and 林婷茹. "The study about effect of self care on systemic nursing instruction to discharge patient with post coronary artery bypass surgery." Thesis, 1998. http://ndltd.ncl.edu.tw/handle/69548390521223669822.
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碩士國防醫學院
護理學研究所
87
The purpose of this study was to understand about the effect of self-care on systemic nursing instruction to the patient who was discharged with post coronary artery bypass surgery and explore the effective factor of self-care and the relationship on physical symptoms , knowledge, attitude and behavior. This is a longitudinal, descriptive and relative study. By way of quasi-experi-mental design and purposive sampling, 38 CABG patients were selected from an educational hospital. The patients were assigned to two groups according to the time sequence of admission. The 19 patients in the control group received traditional nursing instruction by the staff nurse, and the other 19 patients in the experimental group received systemic instruction by researcher and her corporater. Data was collected by interviews or questionnaires before nursing instruction, 1 week after discharge and 8 weeks after ischarge. The following tools were used : individual demographic; physical symptom questionnaire ; self-care questionnaire. The test instruments in this study use jury opinion of content validity, Cronbach*s alpha reliability and Kuder-Richardson reliability for the scale. Data was statistically analyzed by SPSS/PC , percentage, means, median, quartiles, Chi-square test,non-parametric test, Pearsons correlation and multiple regression. The results were as follow: 1. The most frequent and distressing symptoms for CABG patients before nursing instruction were : chest pain , respiratory distress and fatigue. 1 week after discharge were respiratory distress, wound pain and fatigue. 8 week after dis-charge were wound pain, respiratory distress, chest pain, insomnia, fatigue. 2. The behavior of self-care has negative relationship with physical distress. The change amount of self-care knowledge has positive relationship with the changing amount of self-care behavior 1 week after discharge and the changing amount of self-care attitude after 8 after discharge. 3. Systemic nursing instruction has good effectiveness in increasing self-care attitude and self-care behavior for post coronary artery bypass surgery. 4. Systemic nursing instruction has better effectiveness in increasing self-care attitude on female;retired or unemployed ; shorter hospital duration ; shorter postoperative duration.The research bring forth some suggestions for the reference with the respectof study design, nursing practice, nursing education, and nursing research.
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CHANG, HSIAO-YING, and 張孝瑛. "The Effects of Systemic Nursing Instruction on Health Care Needs , Function of Physical Activities and Quality of Life in Discharged Patients after Coronary Artery Bypass Graft Surgery." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/19890953434347739288.
Full textAbstract:
碩士國防醫學院
護理研究所
95
英文摘要 The patients receiving cornary artery bypass graft reveal high demands and low satisfaction in health care needs during the hospitalized period. Most patients have pain in wounds and discomfort in chest. These problems will have an impact on the patients’ function of physical activity and quality of life. In this study, we investigated the effects of systemic nursing instruction on health care needs, function of physical activities and quality of life for discharged patients after CABG. This study is a prospective research using the methods based on a quasi experimental design. A total of 45patients were recruited from a medical center in the northern Taiwan using purposive sampling. The patients were randomly assigned to the experimental group (N=23), and the control group (N=22). The patients in the experimental group received systemic nursing instruction composed of video-watching accompanied by a nurse, and providing reinforcement of nursing instruction regarding to the individualized problems by telephone follow-up for 4 weeks after discharge. The patients in the control group received routine nursing instructions. The structured questionnaires including Health Care Need Scale, Functional Status Questionnaire, and SF-36 were used to evaluate patients prior to the discharge from the hospital, and at the 2nd, 4th, 8th and the 12th weeks after hospital discharge. All of the patients received the evaluation at the 2nd and 4th week after the hospital discharge (23 in the experimental group and 22 in the control group), 35 patients were evaluated at the 8th week (17 in the experimental group and 18 in the control group), and 26 patients were evaluated at the 12th weeks (13 in the experimental group and 13 in the control group). Independent t-test, Chi-square test and Fisher’s Exact test were used to analyze the homogeneity of the characteristic data between two groups. Besides, Independent t-test and Mannu-Whitney U test were used to compare the homogeneity of health care needs, function of physical activities and quality of life between two groups before the systemic nursing instruction was processed. The correlations of the health care needs, function of physical activity, and quality of life were analyzed by using Pearson and Sperman Product-moment Correlation Analysis. Independent t-test, Mannu-Whitney U test, and Generalized estimating equation were used to evaluated the effects of Systemic nursing instruction on the health care needs, function of physical activities, and quality of life. The study results show that： 1. Systemic nursing instruction could effectively decrease the health care needs and promote satisfaction of the health care needs. 2. With respect to the improvement of the functions of physical activities, the subjects in the experimental group are better than the control group without significance. 3. Regarding the physical health aspects of quality of life, the subjects in the experimental group are better than the control group with significance at the 4th and 8th weeks after hospital discharge. In mental health aspects of quality of life, the subjects in the experimental group are better than the control group without significance. 4. The patients who needed more health care had poor outcomes of functions of physical activities, and physical and mental health aspects of quality of life. 5. The patients who had better functions of physical activities would have better outcomes of physical and mental health aspects of quality of life.
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PÍŠOVÁ, Leona. "Rizika v ošetřovatelské péči u akutních forem ischemické choroby srdeční." Master's thesis, 2014. http://www.nusl.cz/ntk/nusl-174603.
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Diploma thesis entitled Healthcare Risks in Acute Forms of Coronary Heart Disease is divided into a theoretical and a practical part. The theoretical part is divided into parts dealing with medicinal aspects, risk management and nursing care. The medicinal part defines the term coronary heart disease and describes its acute forms. The nursing care part describes how to care about a patient with acute CHD. It also points out the risky spheres in caring about a patient with acute CHD and describes possibilities of education provided by a nurse before discharging a patient to home care. The next part lists examples of diagnoses according to NANDA II that a nurse determines in patients with acute CHD. The research was performed with nurses from the cardiology department of the České Budějovice Hospital. Twelve nurses participated in the research in the qualitative research form based on semi structured interview. Three aims were set for the diploma thesis. The first aim was to find out whether nurses knew the risks that might occur in nursing care of acute CHD forms. The next aim of the thesis was to find out how nurses prevent the risks in nursing care of acute CHD forms. And the third aim was to find and compare differences in knowledge and skills between nurses from a Cardiac Intensive Care Unit and those from a standard cardiology department in nursing care of acute CHD forms. Six research questions were based on the aims. 1: Do nurses know the risks that might occur in nursing care of acute CHD forms? 2: Do nurses know complications that might arise from the risks in nursing care of acute CHD forms? 3: Do nurses know how to proceed in a situation when a mere risk changes into a real problem? 4: Do nurses from the Cardiac Intensive Care Unit (CICU) know how to proceed against the risks in acute CHD forms better than the nurses from the cardiology ward (CW)? 5: Are the CICU nurses able to prevent the risks better than the CW nurses? 6: Are the CICU nurses better aware of the risks that might occur in nursing care of acute CHD forms? I have managed to find answers to the research questions and thus to fulfil the aims set for the diploma thesis. It was found in the research, particularly by comparison of the knowledge and skills of the nurses from the Cardiac Intensive Care Unit and those from the standard cardiology ward that the knowledge among the nurses from both the stations is comparable. Only the results of the standard cardiology ward nurses and their answers suggest that they try to concentrate on patient's psychological condition apart from provision of nursing care. The following conclusions were finally drawn from the research questions set for the research: Nurses are aware of the risks that might occur in nursing care of acute CHD forms. Nurses are aware of the complications that might arise from the risks in nursing care of acute CHD forms. Nurses know how to proceed in a situation when a mere risk changes into a real problem. Nurses from the Cardiac Intensive Care Unit know how to proceed against the risks in acute CHD forms better than the nurses from the standard cardiology ward. Nurses from the Cardiac Intensive Care Unit are able to prevent the risks better than the standard cardiology ward nurses. Nurses from the Cardiac Intensive Care Unit do not know the risks that might occur in nursing care of acute CHD forms better than the nurses from the standard cardiology ward. Study material for secondary and tertiary students summarizing how to care about a patient with acute CHD was prepared as a result of the thesis, with regard to the research with the nurses, who personally faced the patients with acute CHD and are experienced in the care both with and without complications.
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BLÁHOVÁ, Ilona. "Specifika ošetřovatelské péče u klientů/pacientů s komplikacemi po selektivní koronarografii/PTCA." Master's thesis, 2010. http://www.nusl.cz/ntk/nusl-52340.
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Abstract In the Czech Republic there is no doubt about the tendency of gradual increase in median life expectancy, which is significantly affected by the fact that mortality from cardiovascular diseases, especially from acute coronary syndromes, has been decreasing. Besides the provable effect of a healthy lifestyle, diet and, by all means, a quality and effective pharmacotherapy, a significant development in the field of interventional cardiology contributes to this accomplishment. The number of coronographies, coronary angioplasties and implanted stents have multiplied, and today the invasive coronarographic diagnostics and percutaneous myocardial revascularization belong to the the most common diagnostic and therapeutic methods in treatment of acute forms of ischemic heart diseases. An obvious prerequisite for such a rapid development in the field of intervention coronary angiography was the establishment of a sufficiently dense network of catheter laboratories and specialized facilities, which provide a highly professional and intensive care for patients. This thesis is focused on three basic objectives: ? To survey and characterize differences in nursing care concerning various complications in patients after SKG / PCI ? To survey bio / psycho / social impacts of complications after SKG / PCI on a patient ? To identify and summarize personal and material prerequisites and requirements to ensure quality nursing care for these complicated conditions The research was conducted by using a qualitative methodology. The methods used were observation, non-standardized interviews and medical and nursing records analyses. The research survey samples on which the investigation was focused were patients with the acute coronary syndrome hospitalized in the coronary care unit in the Cardio Center in České Budějovice, their family members and also the nursing staff providing the comprehensive nursing care. The outcomes of this survey were eleven descriptive case reports characterizing the occurrence of the most frequent complications in patients with ACS after SKG / PCI. To ensure clarity, each case study is complemented by a thought map with an account of the most important nursing interventions in the management of specific acute conditions. The paper also contains a framework analysis of bio / psycho / social impacts of complicated situations on patients. It is interesting to compare this matter from the perspective of nurses and patients, which is seen in correlation graphs. The section describing the organizational and personnel provision is introduced with the characteristics of the medical process and it also contains the list of medical personnel with their qualifications and the length of experience in the Coronary care unit in České Budějovice. Summarization of the instrumental medical equipment is also based on the analysis of previous cases and is accompanied by photographs of the equipment typical and indispensable for the care of patients in the Coronary care unit, which primarily has an informative and complementary character to get an integrated view of the Coronary care unit running and the nursing staff work.
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Kayser, John W. "Development and testing of a virtual nursing intervention to increase walking after a cardiac event : a randomized trial." Thèse, 2018. http://hdl.handle.net/1866/21814.
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Beliz, Inês. "Autocuidado da pessoa com doença coronária." Master's thesis, 2020. http://hdl.handle.net/10400.26/34083.
Full textAbstract:
O relatório de estágio pretende dar resposta aos objetivos da unidade curricular relatório. Deve estar vertido no documento o percurso realizado ao longo dos estágios, com especial en-fase para a atividade major que deu nome a este relatório. A referida atividade centrou-se na pessoa com doença cardiovascular, esta é umas das principais causas de morte em Portugal. Pode ser prevenida, atuar nos fatores de risco comportamentais, relacionados com o estilo de vida, melhora o autocuidado das pessoas com doença coronária.
Objetivo: O objetivo geral deste relatório é descrever de forma refletida e fundamentada o processo formativo no decorrer dos estágios 1 e final.
Método: Este documento segue a metodologia descritiva. Durante o estágio final foi de-senvolvida uma atividade que segue a metodologia de projeto, designada atividade major, que dá nome ao relatório. Foi avaliado o nível de adequação do autocuidado da pessoa com doença coronária através da aplicação da Escala do Autocuidado para a Pessoa com Doença Coronária (EACPDC).
Resultados: Salienta-se a grande necessidade que, as pessoas com doença coronária, tem de ensino, apoio e aconselhamento sobre autocuidado. O autocuidado é um componente essen-cial na gestão da doença coronária.
Conclusão: Os objetivos inicialmente definidos foram alcançados, salientando um enriquecimento a nível pessoal e profissional ao nível técnico e científicoThe internship report intends to respond to the objectives of the report curricular unit. It must be included in the document or tracked over the periods, with a special focus on the main activity that gave the name to the report. Active activity centered on people with cardiovascular disease is one of the main causes of death in Portugal. It can be prevented, act on behavioral risk factors, related to lifestyle, improve or self-care of people with coronary disease. Objective: The general objective of this report is to describe the formation process in a reflected and reasoned way during stages 1 and final. Method: This document follows the descriptive methodology. During the final stage, an activity was developed that follows the project methodology, called major activity, which gives the report its name. The self-care adequacy level of the person with coronary disease was assessed through the application of the Self-Care Scale for the Person with Coronary Disease (EACPDC). Results: It highlights the great need that people with coronary heart disease have for teaching, support and counseling on self-care. Self-care is an essential component in the management of coronary heart disease. Conclusion: The objectives initially defined were achieved, highlighting a personal and professional enrichment at the technical and scientific level