Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brasil.
Arq Bras Cardiol. 2009 Jun;92(6):454-60, 473-9, 490-6. doi: 10.1590/s0066-782x2009000600013.
Heart failure (HF) has become a public health problem with increased incidence and prevalence in the last decade, a consequence of the aging of the population and improved pharmacological and interventionist therapies. It has high rates of mortality and morbidity, expressed as high rates of hospitalizations and re-hospitalizations, even in patients submitted to new therapies, especially ACEI and beta-blockers.
This study is the analysis of the impact that the nursing consultation has on the frequency of hospitalizations in patients with HF living in the city of Curitiba, state of Parana and its metropolitan region.
Patients with a diagnosis of HF and New York Heart Association (NYHA) functional classification, with telephone access, living in the city of Curitiba or its metropolitan region, life expectancy > 3 months due to non-cardiac diseases, aged 18 or older, non-users of illicit drugs. The groups were created by simple random allocation (drawing lots) and one group received the usual medical care, nursing consultation and telephone monitoring every 15 days of educational nature, intervention group (IG), whereas the other group received the usual medical care, monthly telephone monitoring of administrative and epidemiological nature, control group (CG). The follow-up was carried out for 6 months.
The IG needed 0.25+/-0.79 and the CG needed 1.10 +/-1.41; p = 0.037 hospitalizations.
The nursing consultation promotes the decrease in the frequency of hospitalizations in patients with HF undergoing treatment and living in the city of Curitiba and its metropolitan region.
心力衰竭（HF）在过去十年中发病率和患病率不断上升，已成为一个公共卫生问题，这是人口老龄化和药理学及介入治疗改善的结果。它具有高死亡率和发病率，表现为高住院率和再住院率，即使在接受新疗法的患者中也是如此，尤其是 ACEI 和β受体阻滞剂。
本研究分析了护理咨询对居住在巴拉那州库里蒂巴市及其大都市区的心力衰竭患者住院频率的影响。
患有心力衰竭和纽约心脏协会（NYHA）功能分类诊断的患者，具有电话访问功能，居住在库里蒂巴市或其大都市区，预期寿命> 3 个月，无心脏病，年龄在 18 岁及以上，非非法药物使用者。通过简单随机分配（抽签）创建两组，一组接受常规医疗护理、护理咨询和每月 15 天的教育性质的电话监测，干预组（IG），而另一组接受常规医疗护理、每月一次的行政和流行病学性质的电话监测，对照组（CG）。随访时间为 6 个月。
IG 需要 0.25+/-0.79 次住院，CG 需要 1.10 +/-1.41 次住院；p = 0.037。
护理咨询可降低接受治疗并居住在库里蒂巴市及其大都市区的心力衰竭患者的住院频率。
