Competências do enfermeiro na promoção da saúde de indivíduos com cardiopatias crônicas

Cestari, Virna Ribeiro Feitosa; Florêncio, Raquel Sampaio; Moreira, Thereza Maria Magalhães; Pessoa, Vera Lúcia Mendes de Paula; Barbosa, Islene Victor; Lima, Francisca Elisângela Teixeira; Custódio, Ires Lopes

doi:10.1590/0034-7167-2016-0312

Virna Ribeiro Feitosa Cestari

Universidade Estadual do Ceará, Programa de Pós-Graduação em Cuidados Clínicos em Saúde e Enfermagem. Fortaleza-CE, Brasil.

Raquel Sampaio Florêncio AUTOR CORRESPONDENTE: Raquel Sampaio Florêncio. E-mail: raquelsampy@hotmail.com

Universidade Estadual do Ceará, Programa de Pós-Graduação em Saúde Coletiva. Fortaleza-CE, Brasil.

Thereza Maria Magalhães Moreira

Universidade Estadual do Ceará, Centro de Ciências da Saúde, Departamento de Enfermagem. Fortaleza-CE, Brasil.

Vera Lúcia Mendes de Paula Pessoa

Universidade Estadual do Ceará, Centro de Ciências da Saúde, Departamento de Enfermagem. Fortaleza-CE, Brasil.

Islene Victor Barbosa

Universidade de Fortaleza, Centro de Ciência da Saúde, Departamento de Enfermagem. Fortaleza-CE, Brasil.

Francisca Elisângela Teixeira Lima

Universidade Federal do Ceará, Programa de Pós-Graduação em Promoção da Saúde. Fortaleza-CE, Brasil.

Ires Lopes Custódio

Universidade Federal do Ceará, Programa de Pós-Graduação em Promoção da Saúde. Fortaleza-CE, Brasil.

AUTOR CORRESPONDENTE: Raquel Sampaio Florêncio. E-mail: raquelsampy@hotmail.com

Estudo	Periódico	Ano de publicação	País de origem	Delineamento metodológico	Nível de evidência
A1⁽¹¹11 Wang W, Lau Y, Chow A, Thompson DR, He Hong-Gu. Health-related quality of life and social support among Chinese patients with coronary heart disease in mainland China. Europ J Cardio Vasc Nurs [Internet]. 2014 [cited 2015 Feb 1];13(1):48-54. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23382534 http://www.ncbi.nlm.nih.gov/pubmed/23382... ⁾	European Journal of Cardiovascular Nursing	2014	China	Descritivo-exploratório	V
A2⁽¹²12 Sharma U, Clarke M. Nurses' and community support workers' experience of telehealth: a longitudinal case study. BMC Health Serv Research [Internet]. 2014 [cited 2015 Feb 1];14:164-9. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990032/pdf/1472-6963-14-164.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	BMC Health Services Research	2014	Reino Unido	Longitudinal, qualitativo	IV
A3⁽³3 Araújo AA, Nóbrega MML, Garcia TR. Nursing diagnoses and interventions for patients with congestive heart failure using the ICNP(r). Rev Esc Enferm USP [Internet]. 2013 [cited 2016 Jul 01];47(2):385-92. Available from: http://www.scielo.br/pdf/reeusp/v47n2/en_16.pdf http://www.scielo.br/pdf/reeusp/v47n2/en... ⁾	Revista Escola de Enfermagem da USP	2013	Brasil	Descritivo-exploratório	V
A4⁽¹³13 Jorstad HT, Birgelen CV, Alings AMW, Liem A, Dantzig JMV, Jaarsma W. et al. Effect of a nurse-coordinated prevention programme on cardiovascular risk after acute coronary syndrome: main results of the RESPONDE randomized trial. Heart [Internet]. 2013 [cited 2015 Feb 1];99:1421-30. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786610/pdf/heartjnl-2013-303989.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	Heart	2013	Holanda	Ensaio clínico randomizado	I
A5⁽¹⁴14 Felipe LC, Araújo ARA, Vitor AF. Processo de enfermagem segundo o modelo do autocuidado em um paciente cardiopata restrito ao leito. R de Pesq: cuid fund [Internet]. 2014 [cited 2015 Feb 1];6(3):897-908. Available from: http://www.index-f.com/pesquisa/2014/r6-897.php http://www.index-f.com/pesquisa/2014/r6-... ⁾	Revista de Pesquisa Cuidado é Fundamental Online	2013	Brasil	Estudo de caso	IV
A6⁽¹⁵15 Poortaghi S, Baghernia A, Golzari SEJ, Safayian A, Atri SB. The effect of home-based cardiac rehabilitation program on self-efficacy of patients referred to cardiac rehabilitation center. BMC Res Notes [Internet]. 2013 [cited 2015 Feb 1];6:287-90. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733948/pdf/1756-0500-6-287.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	BMC Research Notes	2013	Irã	Ensaio clínico randomizado	I
A7⁽¹⁶16 Mussi CM, Ruschel K, Souza EM, Lopes ANM, Trojahn MM, Paraboni CC. et al. Home visit improves knowledge, self-care and adhesion in heart failure: randomized Clinical Trial HELEN-I. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 Jul 02];21(spe):20-8. Available from: http://www.scielo.br/pdf/rlae/v21nspe/04.pdf http://www.scielo.br/pdf/rlae/v21nspe/04... ⁾	Revista Latino-Americana de Enfermagem	2013	Brasil	Ensaio clínico randomizado	I
A8⁽¹⁷17 Rodrigues RCM, João TMS, Gallani MCBJ, Cornélio ME, Alexandre NMC. The "Moving Heart Program": an intervention to improve physical activity among patients with coronary heart disease. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 July 02];21(spe):180-9. Available from: http://www.scielo.br/pdf/rlae/v21nspe/23.pdf http://www.scielo.br/pdf/rlae/v21nspe/23... ⁾	Revista Latino-Americana de Enfermagem	2013	Brasil	Ensaio clínico randomizado	I
A9⁽¹⁸18 Leemrijse CJ, Dijk LV, Jorstad HT, Peters RJG, Veenhof C. The effects of Hartcoach, a life style intervention provided by telephone on the reduction of coronary risk factors: a randomized trial. BMC Cardiovasc Disord [Internet]. 2012 [cited 2015 Feb 1];12:47-53. Available from: http://bmccardiovascdisord.biomedcentral.com/articles/10.1186/1471-2261-12-47 http://bmccardiovascdisord.biomedcentral... ⁾	Cardiovascular Disorders	2012	Holanda	Ensaio clínico randomizado	I
A10⁽¹⁹19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... ⁾	Revista Latino-Americana de Enfermagem	2012	Colômbia	Ensaio clínico randomizado	I
A11⁽²⁰20 Kärner A, Nilsson S, Jaarsma T, Andersson A, Wiréhn AB, Wodlin P. et al. The effect of problem-based learning in patient education after an event of coronary heart disease - a randomized study in primary health care: design and methodology of the COR-PRIM study. BMC Fam Pract [Internet]. 2012 [cited 2015 Feb 1];113:110. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528480/pdf/1471-2296-13-110.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	BMC Family Practice	2012	Suécia	Ensaio clínico randomizado	I
A12⁽²¹21 Lourenço LBA, Rodrigues RCM, Spana TM, Gallani MCBJ, Cornélio ME. Action and coping plans related to the behavior of adherence to drug therapy among coronary heart disease outpatients. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 Jul 02];20(5):821-9. Available from: http://www.scielo.br/pdf/rlae/v20n5/02.pdf http://www.scielo.br/pdf/rlae/v20n5/02.p... ⁾	Revista Latino-Americana de Enfermagem	2012	Brasil	Ensaio clínico randomizado	I
A13⁽²²22 Nunciaroni AT, Gallan MCBJ, Agondi RF, Rodrigues RCM, Castro LT. Caracterização dos diagnósticos de enfermagem de pacientes internados em uma unidade de cardiologia. Rev Gaúcha Enferm [Internet]. 2012 [cited 2016 Jul 02];33(1):32-41. Available from: http://www.scielo.br/pdf/rgenf/v33n1/a05v33n1.pdf http://www.scielo.br/pdf/rgenf/v33n1/a05... ⁾	Revista Gaúcha de Enfermagem	2012	Brasil	Descrito-exploratório	V
A14⁽²³23 Tokunaga-Nakawatase Y, Taru C, Miyawaki I. Development of an evaluation scale for self-management behavior related to physical activity of patients with coronary heart disease. Europ J Cardiovasc Nurs [Internet]. 2012 [cited 2015 Feb 1];11(2):168-74. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21288776 http://www.ncbi.nlm.nih.gov/pubmed/21288... ⁾	European Journal of Cardiovascular Nursing	2012	Japão	Metodológico	V
A15⁽²⁴24 Worrall-Carter L, Ski CF, Thompson DR, Davidson PM, Cameron J, Castle D et al. Recognition and referral of depression in patients with heart disease. Europ J Cardiovasc Nurs [Internet]. 2012 [cited 2015 Feb 1];11(2):231-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21612982 http://www.ncbi.nlm.nih.gov/pubmed/21612... ⁾	European Journal of Cardiovascular Nursing	2011	Austrália	Descritivo-exploratório	V
A16⁽²⁵25 Pereira JMV, Cavalcanti AND, Santana RF, Cassiano KM, Queluci GC, Guimarães TCF. [Nursing diagnoses for inpatients with cardiovascular diseases]. Esc Anna Nery Rev Enferm [Internet]. 2011 [cited 2016 Jul 02];15(4):737-45. Available from: http://www.scielo.br/pdf/ean/v15n4/a12v15n4.pdf http://www.scielo.br/pdf/ean/v15n4/a12v1... ⁾	Escola Anna Nery	2011	Brasil	Transversal	V
A17⁽²⁶26 Domingues FB, Clausell N, Aliti GB, Dominguez DR, Rabelo ER. Education and telephone monitoring by nurses of patients with heart failure: randomized clinical trial. Arq Bras Cardiol [Internet]. 2011 [cited 2016 July 02];96(3):233-9. Available from: http://www.scielo.br/pdf/abc/v96n3/en_aop00611.pdf http://www.scielo.br/pdf/abc/v96n3/en_ao... ⁾	Arquivos Brasileiros de Cardiologia	2011	Brasil	Ensaio clínico randomizado	I
A18⁽²⁷27 Mudd GT, Martinez MC. Translation of Family Health History Questions on cardiovascular disease and type 3 diabetes with implications for Latina health and nursing practice. Nurs Clin North Am [Internet]. 2011 [cited 2015 Feb 1];46:207-18. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21501732 http://www.ncbi.nlm.nih.gov/pubmed/21501... ⁾	Nursing Clinicsof North America		Estados Unidos da América	Ensaio clínico randomizado	I
A19⁽²⁸28 Brennan PF, Casper GR, Sturgeon B. Technology enhanced practice for patients with chronic cardiac disease: home implementation and evaluation. Heart Lung [Internet]. 2010 [cited 2015 Feb 1];39(6Suppl):34-46. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3033014/pdf/nihms249837.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	Heart & Lung	2010	Estados Unidos da América	Ensaio clínico randomizado	I
A20⁽²⁹29 Morais ERED, Silva SS, Caritá EC. Business Intelligence utilizando tecnologias Web para análise dos fatores de risco na ocorrência de doença arterial coronariana. J Health Inform [Internet]. 2010 [cited 2015 Feb 1];2(1):7-13. Available from: http://www.jhi-sbis.saude.ws/ojs-jhi/index.php/jhi-sbis/article/view/2/50 http://www.jhi-sbis.saude.ws/ojs-jhi/ind... ⁾	Journal Health Informatics	2010	Brasil	Longitudinal	IV
A21⁽³⁰30 Kirchberger I, Meisinger C, Seidl H, Wende R, Kuch B, Holle R. Nurse-based case management for aged patients with myocardial infarctation: study protocolo of a randomized controlled trial. BMC Geriatr [Internet]. 2010 [cited 2015 Feb 1];10:29-37. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885396/pdf/1471-2318-10-29.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	BMC Geriatrics	2010	Alemanha	Ensaio clínico randomizado	I

Domínios de competência	Intervenções de enfermagem
Catalisar mudanças	- Promover a educação em saúde⁽¹⁴14 Felipe LC, Araújo ARA, Vitor AF. Processo de enfermagem segundo o modelo do autocuidado em um paciente cardiopata restrito ao leito. R de Pesq: cuid fund [Internet]. 2014 [cited 2015 Feb 1];6(3):897-908. Available from: http://www.index-f.com/pesquisa/2014/r6-897.php http://www.index-f.com/pesquisa/2014/r6-... 15 Poortaghi S, Baghernia A, Golzari SEJ, Safayian A, Atri SB. The effect of home-based cardiac rehabilitation program on self-efficacy of patients referred to cardiac rehabilitation center. BMC Res Notes [Internet]. 2013 [cited 2015 Feb 1];6:287-90. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733948/pdf/1756-0500-6-287.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^-¹⁶16 Mussi CM, Ruschel K, Souza EM, Lopes ANM, Trojahn MM, Paraboni CC. et al. Home visit improves knowledge, self-care and adhesion in heart failure: randomized Clinical Trial HELEN-I. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 Jul 02];21(spe):20-8. Available from: http://www.scielo.br/pdf/rlae/v21nspe/04.pdf http://www.scielo.br/pdf/rlae/v21nspe/04... ^,¹⁸18 Leemrijse CJ, Dijk LV, Jorstad HT, Peters RJG, Veenhof C. The effects of Hartcoach, a life style intervention provided by telephone on the reduction of coronary risk factors: a randomized trial. BMC Cardiovasc Disord [Internet]. 2012 [cited 2015 Feb 1];12:47-53. Available from: http://bmccardiovascdisord.biomedcentral.com/articles/10.1186/1471-2261-12-47 http://bmccardiovascdisord.biomedcentral... ^-¹⁹19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... ^,²¹21 Lourenço LBA, Rodrigues RCM, Spana TM, Gallani MCBJ, Cornélio ME. Action and coping plans related to the behavior of adherence to drug therapy among coronary heart disease outpatients. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 Jul 02];20(5):821-9. Available from: http://www.scielo.br/pdf/rlae/v20n5/02.pdf http://www.scielo.br/pdf/rlae/v20n5/02.p... ^,²⁶26 Domingues FB, Clausell N, Aliti GB, Dominguez DR, Rabelo ER. Education and telephone monitoring by nurses of patients with heart failure: randomized clinical trial. Arq Bras Cardiol [Internet]. 2011 [cited 2016 July 02];96(3):233-9. Available from: http://www.scielo.br/pdf/abc/v96n3/en_aop00611.pdf http://www.scielo.br/pdf/abc/v96n3/en_ao... ^,²⁹29 Morais ERED, Silva SS, Caritá EC. Business Intelligence utilizando tecnologias Web para análise dos fatores de risco na ocorrência de doença arterial coronariana. J Health Inform [Internet]. 2010 [cited 2015 Feb 1];2(1):7-13. Available from: http://www.jhi-sbis.saude.ws/ojs-jhi/index.php/jhi-sbis/article/view/2/50 http://www.jhi-sbis.saude.ws/ojs-jhi/ind... ^-³⁰30 Kirchberger I, Meisinger C, Seidl H, Wende R, Kuch B, Holle R. Nurse-based case management for aged patients with myocardial infarctation: study protocolo of a randomized controlled trial. BMC Geriatr [Internet]. 2010 [cited 2015 Feb 1];10:29-37. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885396/pdf/1471-2318-10-29.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾ - Promover o empoderamento⁽¹³13 Jorstad HT, Birgelen CV, Alings AMW, Liem A, Dantzig JMV, Jaarsma W. et al. Effect of a nurse-coordinated prevention programme on cardiovascular risk after acute coronary syndrome: main results of the RESPONDE randomized trial. Heart [Internet]. 2013 [cited 2015 Feb 1];99:1421-30. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786610/pdf/heartjnl-2013-303989.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... 14 Felipe LC, Araújo ARA, Vitor AF. Processo de enfermagem segundo o modelo do autocuidado em um paciente cardiopata restrito ao leito. R de Pesq: cuid fund [Internet]. 2014 [cited 2015 Feb 1];6(3):897-908. Available from: http://www.index-f.com/pesquisa/2014/r6-897.php http://www.index-f.com/pesquisa/2014/r6-... ^-¹⁵15 Poortaghi S, Baghernia A, Golzari SEJ, Safayian A, Atri SB. The effect of home-based cardiac rehabilitation program on self-efficacy of patients referred to cardiac rehabilitation center. BMC Res Notes [Internet]. 2013 [cited 2015 Feb 1];6:287-90. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733948/pdf/1756-0500-6-287.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁹19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... ^-²⁰20 Kärner A, Nilsson S, Jaarsma T, Andersson A, Wiréhn AB, Wodlin P. et al. The effect of problem-based learning in patient education after an event of coronary heart disease - a randomized study in primary health care: design and methodology of the COR-PRIM study. BMC Fam Pract [Internet]. 2012 [cited 2015 Feb 1];113:110. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528480/pdf/1471-2296-13-110.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,²⁶26 Domingues FB, Clausell N, Aliti GB, Dominguez DR, Rabelo ER. Education and telephone monitoring by nurses of patients with heart failure: randomized clinical trial. Arq Bras Cardiol [Internet]. 2011 [cited 2016 July 02];96(3):233-9. Available from: http://www.scielo.br/pdf/abc/v96n3/en_aop00611.pdf http://www.scielo.br/pdf/abc/v96n3/en_ao... ^,²⁸28 Brennan PF, Casper GR, Sturgeon B. Technology enhanced practice for patients with chronic cardiac disease: home implementation and evaluation. Heart Lung [Internet]. 2010 [cited 2015 Feb 1];39(6Suppl):34-46. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3033014/pdf/nihms249837.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,³⁰30 Kirchberger I, Meisinger C, Seidl H, Wende R, Kuch B, Holle R. Nurse-based case management for aged patients with myocardial infarctation: study protocolo of a randomized controlled trial. BMC Geriatr [Internet]. 2010 [cited 2015 Feb 1];10:29-37. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885396/pdf/1471-2318-10-29.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾ - Desenvolver atividades para a promoção de hábitos saudáveis⁽¹⁷17 Rodrigues RCM, João TMS, Gallani MCBJ, Cornélio ME, Alexandre NMC. The "Moving Heart Program": an intervention to improve physical activity among patients with coronary heart disease. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 July 02];21(spe):180-9. Available from: http://www.scielo.br/pdf/rlae/v21nspe/23.pdf http://www.scielo.br/pdf/rlae/v21nspe/23... 18 Leemrijse CJ, Dijk LV, Jorstad HT, Peters RJG, Veenhof C. The effects of Hartcoach, a life style intervention provided by telephone on the reduction of coronary risk factors: a randomized trial. BMC Cardiovasc Disord [Internet]. 2012 [cited 2015 Feb 1];12:47-53. Available from: http://bmccardiovascdisord.biomedcentral.com/articles/10.1186/1471-2261-12-47 http://bmccardiovascdisord.biomedcentral... ^-¹⁹19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... ^,²³23 Tokunaga-Nakawatase Y, Taru C, Miyawaki I. Development of an evaluation scale for self-management behavior related to physical activity of patients with coronary heart disease. Europ J Cardiovasc Nurs [Internet]. 2012 [cited 2015 Feb 1];11(2):168-74. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21288776 http://www.ncbi.nlm.nih.gov/pubmed/21288... ⁾
Liderança	- Estimular a comunicação entre enfermeiro e paciente(15-16,28)
Estimativa/diagnóstico	- Avaliar o contexto psicossocial (percepção da qualidade de vida e suporte social)⁽¹¹11 Wang W, Lau Y, Chow A, Thompson DR, He Hong-Gu. Health-related quality of life and social support among Chinese patients with coronary heart disease in mainland China. Europ J Cardio Vasc Nurs [Internet]. 2014 [cited 2015 Feb 1];13(1):48-54. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23382534 http://www.ncbi.nlm.nih.gov/pubmed/23382... ^,²⁴24 Worrall-Carter L, Ski CF, Thompson DR, Davidson PM, Cameron J, Castle D et al. Recognition and referral of depression in patients with heart disease. Europ J Cardiovasc Nurs [Internet]. 2012 [cited 2015 Feb 1];11(2):231-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21612982 http://www.ncbi.nlm.nih.gov/pubmed/21612... ⁾ - Avaliar apoio social⁽¹¹11 Wang W, Lau Y, Chow A, Thompson DR, He Hong-Gu. Health-related quality of life and social support among Chinese patients with coronary heart disease in mainland China. Europ J Cardio Vasc Nurs [Internet]. 2014 [cited 2015 Feb 1];13(1):48-54. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23382534 http://www.ncbi.nlm.nih.gov/pubmed/23382... ⁾ - Identificar os fatores de risco cardiovasculares⁽¹³13 Jorstad HT, Birgelen CV, Alings AMW, Liem A, Dantzig JMV, Jaarsma W. et al. Effect of a nurse-coordinated prevention programme on cardiovascular risk after acute coronary syndrome: main results of the RESPONDE randomized trial. Heart [Internet]. 2013 [cited 2015 Feb 1];99:1421-30. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786610/pdf/heartjnl-2013-303989.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁸18 Leemrijse CJ, Dijk LV, Jorstad HT, Peters RJG, Veenhof C. The effects of Hartcoach, a life style intervention provided by telephone on the reduction of coronary risk factors: a randomized trial. BMC Cardiovasc Disord [Internet]. 2012 [cited 2015 Feb 1];12:47-53. Available from: http://bmccardiovascdisord.biomedcentral.com/articles/10.1186/1471-2261-12-47 http://bmccardiovascdisord.biomedcentral... ^,²⁰20 Kärner A, Nilsson S, Jaarsma T, Andersson A, Wiréhn AB, Wodlin P. et al. The effect of problem-based learning in patient education after an event of coronary heart disease - a randomized study in primary health care: design and methodology of the COR-PRIM study. BMC Fam Pract [Internet]. 2012 [cited 2015 Feb 1];113:110. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528480/pdf/1471-2296-13-110.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,²⁷27 Mudd GT, Martinez MC. Translation of Family Health History Questions on cardiovascular disease and type 3 diabetes with implications for Latina health and nursing practice. Nurs Clin North Am [Internet]. 2011 [cited 2015 Feb 1];46:207-18. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21501732 http://www.ncbi.nlm.nih.gov/pubmed/21501... ^,²⁹29 Morais ERED, Silva SS, Caritá EC. Business Intelligence utilizando tecnologias Web para análise dos fatores de risco na ocorrência de doença arterial coronariana. J Health Inform [Internet]. 2010 [cited 2015 Feb 1];2(1):7-13. Available from: http://www.jhi-sbis.saude.ws/ojs-jhi/index.php/jhi-sbis/article/view/2/50 http://www.jhi-sbis.saude.ws/ojs-jhi/ind... ⁾ - Avaliar estilo de vida⁽¹⁷17 Rodrigues RCM, João TMS, Gallani MCBJ, Cornélio ME, Alexandre NMC. The "Moving Heart Program": an intervention to improve physical activity among patients with coronary heart disease. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 July 02];21(spe):180-9. Available from: http://www.scielo.br/pdf/rlae/v21nspe/23.pdf http://www.scielo.br/pdf/rlae/v21nspe/23... ^,²³23 Tokunaga-Nakawatase Y, Taru C, Miyawaki I. Development of an evaluation scale for self-management behavior related to physical activity of patients with coronary heart disease. Europ J Cardiovasc Nurs [Internet]. 2012 [cited 2015 Feb 1];11(2):168-74. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21288776 http://www.ncbi.nlm.nih.gov/pubmed/21288... ⁾ - Identificar barreiras para o tratamento⁽¹⁹19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... ^,²¹21 Lourenço LBA, Rodrigues RCM, Spana TM, Gallani MCBJ, Cornélio ME. Action and coping plans related to the behavior of adherence to drug therapy among coronary heart disease outpatients. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 Jul 02];20(5):821-9. Available from: http://www.scielo.br/pdf/rlae/v20n5/02.pdf http://www.scielo.br/pdf/rlae/v20n5/02.p... ⁾
Planejamento	- Planejar estratégias viáveis para promoção da saúde⁽¹²12 Sharma U, Clarke M. Nurses' and community support workers' experience of telehealth: a longitudinal case study. BMC Health Serv Research [Internet]. 2014 [cited 2015 Feb 1];14:164-9. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990032/pdf/1472-6963-14-164.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... 13 Jorstad HT, Birgelen CV, Alings AMW, Liem A, Dantzig JMV, Jaarsma W. et al. Effect of a nurse-coordinated prevention programme on cardiovascular risk after acute coronary syndrome: main results of the RESPONDE randomized trial. Heart [Internet]. 2013 [cited 2015 Feb 1];99:1421-30. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786610/pdf/heartjnl-2013-303989.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... 14 Felipe LC, Araújo ARA, Vitor AF. Processo de enfermagem segundo o modelo do autocuidado em um paciente cardiopata restrito ao leito. R de Pesq: cuid fund [Internet]. 2014 [cited 2015 Feb 1];6(3):897-908. Available from: http://www.index-f.com/pesquisa/2014/r6-897.php http://www.index-f.com/pesquisa/2014/r6-... 15 Poortaghi S, Baghernia A, Golzari SEJ, Safayian A, Atri SB. The effect of home-based cardiac rehabilitation program on self-efficacy of patients referred to cardiac rehabilitation center. BMC Res Notes [Internet]. 2013 [cited 2015 Feb 1];6:287-90. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733948/pdf/1756-0500-6-287.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... 16 Mussi CM, Ruschel K, Souza EM, Lopes ANM, Trojahn MM, Paraboni CC. et al. Home visit improves knowledge, self-care and adhesion in heart failure: randomized Clinical Trial HELEN-I. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 Jul 02];21(spe):20-8. Available from: http://www.scielo.br/pdf/rlae/v21nspe/04.pdf http://www.scielo.br/pdf/rlae/v21nspe/04... 17 Rodrigues RCM, João TMS, Gallani MCBJ, Cornélio ME, Alexandre NMC. The "Moving Heart Program": an intervention to improve physical activity among patients with coronary heart disease. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 July 02];21(spe):180-9. Available from: http://www.scielo.br/pdf/rlae/v21nspe/23.pdf http://www.scielo.br/pdf/rlae/v21nspe/23... 18 Leemrijse CJ, Dijk LV, Jorstad HT, Peters RJG, Veenhof C. The effects of Hartcoach, a life style intervention provided by telephone on the reduction of coronary risk factors: a randomized trial. BMC Cardiovasc Disord [Internet]. 2012 [cited 2015 Feb 1];12:47-53. Available from: http://bmccardiovascdisord.biomedcentral.com/articles/10.1186/1471-2261-12-47 http://bmccardiovascdisord.biomedcentral... 19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... ^-²⁰20 Kärner A, Nilsson S, Jaarsma T, Andersson A, Wiréhn AB, Wodlin P. et al. The effect of problem-based learning in patient education after an event of coronary heart disease - a randomized study in primary health care: design and methodology of the COR-PRIM study. BMC Fam Pract [Internet]. 2012 [cited 2015 Feb 1];113:110. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528480/pdf/1471-2296-13-110.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,²³23 Tokunaga-Nakawatase Y, Taru C, Miyawaki I. Development of an evaluation scale for self-management behavior related to physical activity of patients with coronary heart disease. Europ J Cardiovasc Nurs [Internet]. 2012 [cited 2015 Feb 1];11(2):168-74. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21288776 http://www.ncbi.nlm.nih.gov/pubmed/21288... ^,²⁶26 Domingues FB, Clausell N, Aliti GB, Dominguez DR, Rabelo ER. Education and telephone monitoring by nurses of patients with heart failure: randomized clinical trial. Arq Bras Cardiol [Internet]. 2011 [cited 2016 July 02];96(3):233-9. Available from: http://www.scielo.br/pdf/abc/v96n3/en_aop00611.pdf http://www.scielo.br/pdf/abc/v96n3/en_ao... ^,²⁸28 Brennan PF, Casper GR, Sturgeon B. Technology enhanced practice for patients with chronic cardiac disease: home implementation and evaluation. Heart Lung [Internet]. 2010 [cited 2015 Feb 1];39(6Suppl):34-46. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3033014/pdf/nihms249837.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,³⁰30 Kirchberger I, Meisinger C, Seidl H, Wende R, Kuch B, Holle R. Nurse-based case management for aged patients with myocardial infarctation: study protocolo of a randomized controlled trial. BMC Geriatr [Internet]. 2010 [cited 2015 Feb 1];10:29-37. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885396/pdf/1471-2318-10-29.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾ - Utilizar processo sistematizado no planejamento da assistência⁽³3 Araújo AA, Nóbrega MML, Garcia TR. Nursing diagnoses and interventions for patients with congestive heart failure using the ICNP(r). Rev Esc Enferm USP [Internet]. 2013 [cited 2016 Jul 01];47(2):385-92. Available from: http://www.scielo.br/pdf/reeusp/v47n2/en_16.pdf http://www.scielo.br/pdf/reeusp/v47n2/en... ^,¹⁴14 Felipe LC, Araújo ARA, Vitor AF. Processo de enfermagem segundo o modelo do autocuidado em um paciente cardiopata restrito ao leito. R de Pesq: cuid fund [Internet]. 2014 [cited 2015 Feb 1];6(3):897-908. Available from: http://www.index-f.com/pesquisa/2014/r6-897.php http://www.index-f.com/pesquisa/2014/r6-... ^,²²22 Nunciaroni AT, Gallan MCBJ, Agondi RF, Rodrigues RCM, Castro LT. Caracterização dos diagnósticos de enfermagem de pacientes internados em uma unidade de cardiologia. Rev Gaúcha Enferm [Internet]. 2012 [cited 2016 Jul 02];33(1):32-41. Available from: http://www.scielo.br/pdf/rgenf/v33n1/a05v33n1.pdf http://www.scielo.br/pdf/rgenf/v33n1/a05... ^,²⁵25 Pereira JMV, Cavalcanti AND, Santana RF, Cassiano KM, Queluci GC, Guimarães TCF. [Nursing diagnoses for inpatients with cardiovascular diseases]. Esc Anna Nery Rev Enferm [Internet]. 2011 [cited 2016 Jul 02];15(4):737-45. Available from: http://www.scielo.br/pdf/ean/v15n4/a12v15n4.pdf http://www.scielo.br/pdf/ean/v15n4/a12v1... ⁾ - Elaborar de planos de ação e enfrentamento⁽²¹21 Lourenço LBA, Rodrigues RCM, Spana TM, Gallani MCBJ, Cornélio ME. Action and coping plans related to the behavior of adherence to drug therapy among coronary heart disease outpatients. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 Jul 02];20(5):821-9. Available from: http://www.scielo.br/pdf/rlae/v20n5/02.pdf http://www.scielo.br/pdf/rlae/v20n5/02.p... ⁾
Implementação	- Acompanhar por telessaúde⁽¹²12 Sharma U, Clarke M. Nurses' and community support workers' experience of telehealth: a longitudinal case study. BMC Health Serv Research [Internet]. 2014 [cited 2015 Feb 1];14:164-9. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990032/pdf/1472-6963-14-164.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁶16 Mussi CM, Ruschel K, Souza EM, Lopes ANM, Trojahn MM, Paraboni CC. et al. Home visit improves knowledge, self-care and adhesion in heart failure: randomized Clinical Trial HELEN-I. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 Jul 02];21(spe):20-8. Available from: http://www.scielo.br/pdf/rlae/v21nspe/04.pdf http://www.scielo.br/pdf/rlae/v21nspe/04... ^,¹⁸18 Leemrijse CJ, Dijk LV, Jorstad HT, Peters RJG, Veenhof C. The effects of Hartcoach, a life style intervention provided by telephone on the reduction of coronary risk factors: a randomized trial. BMC Cardiovasc Disord [Internet]. 2012 [cited 2015 Feb 1];12:47-53. Available from: http://bmccardiovascdisord.biomedcentral.com/articles/10.1186/1471-2261-12-47 http://bmccardiovascdisord.biomedcentral... ^-¹⁹19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... ^,²⁶26 Domingues FB, Clausell N, Aliti GB, Dominguez DR, Rabelo ER. Education and telephone monitoring by nurses of patients with heart failure: randomized clinical trial. Arq Bras Cardiol [Internet]. 2011 [cited 2016 July 02];96(3):233-9. Available from: http://www.scielo.br/pdf/abc/v96n3/en_aop00611.pdf http://www.scielo.br/pdf/abc/v96n3/en_ao... ⁾ - Desenvolver ações de empoderamento⁽¹²12 Sharma U, Clarke M. Nurses' and community support workers' experience of telehealth: a longitudinal case study. BMC Health Serv Research [Internet]. 2014 [cited 2015 Feb 1];14:164-9. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990032/pdf/1472-6963-14-164.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^-¹³13 Jorstad HT, Birgelen CV, Alings AMW, Liem A, Dantzig JMV, Jaarsma W. et al. Effect of a nurse-coordinated prevention programme on cardiovascular risk after acute coronary syndrome: main results of the RESPONDE randomized trial. Heart [Internet]. 2013 [cited 2015 Feb 1];99:1421-30. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786610/pdf/heartjnl-2013-303989.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁶16 Mussi CM, Ruschel K, Souza EM, Lopes ANM, Trojahn MM, Paraboni CC. et al. Home visit improves knowledge, self-care and adhesion in heart failure: randomized Clinical Trial HELEN-I. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 Jul 02];21(spe):20-8. Available from: http://www.scielo.br/pdf/rlae/v21nspe/04.pdf http://www.scielo.br/pdf/rlae/v21nspe/04... ^,²⁰20 Kärner A, Nilsson S, Jaarsma T, Andersson A, Wiréhn AB, Wodlin P. et al. The effect of problem-based learning in patient education after an event of coronary heart disease - a randomized study in primary health care: design and methodology of the COR-PRIM study. BMC Fam Pract [Internet]. 2012 [cited 2015 Feb 1];113:110. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528480/pdf/1471-2296-13-110.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,²⁶26 Domingues FB, Clausell N, Aliti GB, Dominguez DR, Rabelo ER. Education and telephone monitoring by nurses of patients with heart failure: randomized clinical trial. Arq Bras Cardiol [Internet]. 2011 [cited 2016 July 02];96(3):233-9. Available from: http://www.scielo.br/pdf/abc/v96n3/en_aop00611.pdf http://www.scielo.br/pdf/abc/v96n3/en_ao... ^,²⁸28 Brennan PF, Casper GR, Sturgeon B. Technology enhanced practice for patients with chronic cardiac disease: home implementation and evaluation. Heart Lung [Internet]. 2010 [cited 2015 Feb 1];39(6Suppl):34-46. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3033014/pdf/nihms249837.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,³⁰30 Kirchberger I, Meisinger C, Seidl H, Wende R, Kuch B, Holle R. Nurse-based case management for aged patients with myocardial infarctation: study protocolo of a randomized controlled trial. BMC Geriatr [Internet]. 2010 [cited 2015 Feb 1];10:29-37. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885396/pdf/1471-2318-10-29.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾ - Promover estratégias de acesso aos serviços de saúde⁽¹³13 Jorstad HT, Birgelen CV, Alings AMW, Liem A, Dantzig JMV, Jaarsma W. et al. Effect of a nurse-coordinated prevention programme on cardiovascular risk after acute coronary syndrome: main results of the RESPONDE randomized trial. Heart [Internet]. 2013 [cited 2015 Feb 1];99:1421-30. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786610/pdf/heartjnl-2013-303989.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^-¹⁴14 Felipe LC, Araújo ARA, Vitor AF. Processo de enfermagem segundo o modelo do autocuidado em um paciente cardiopata restrito ao leito. R de Pesq: cuid fund [Internet]. 2014 [cited 2015 Feb 1];6(3):897-908. Available from: http://www.index-f.com/pesquisa/2014/r6-897.php http://www.index-f.com/pesquisa/2014/r6-... ^,²⁰20 Kärner A, Nilsson S, Jaarsma T, Andersson A, Wiréhn AB, Wodlin P. et al. The effect of problem-based learning in patient education after an event of coronary heart disease - a randomized study in primary health care: design and methodology of the COR-PRIM study. BMC Fam Pract [Internet]. 2012 [cited 2015 Feb 1];113:110. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528480/pdf/1471-2296-13-110.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾ - Implementar programa de reabilitação cardíaca (visitas domiciliares)⁽¹⁵15 Poortaghi S, Baghernia A, Golzari SEJ, Safayian A, Atri SB. The effect of home-based cardiac rehabilitation program on self-efficacy of patients referred to cardiac rehabilitation center. BMC Res Notes [Internet]. 2013 [cited 2015 Feb 1];6:287-90. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733948/pdf/1756-0500-6-287.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^-¹⁶16 Mussi CM, Ruschel K, Souza EM, Lopes ANM, Trojahn MM, Paraboni CC. et al. Home visit improves knowledge, self-care and adhesion in heart failure: randomized Clinical Trial HELEN-I. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 Jul 02];21(spe):20-8. Available from: http://www.scielo.br/pdf/rlae/v21nspe/04.pdf http://www.scielo.br/pdf/rlae/v21nspe/04... ^,²⁸28 Brennan PF, Casper GR, Sturgeon B. Technology enhanced practice for patients with chronic cardiac disease: home implementation and evaluation. Heart Lung [Internet]. 2010 [cited 2015 Feb 1];39(6Suppl):34-46. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3033014/pdf/nihms249837.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾ - Enfrentamento de obstáculos⁽¹⁷17 Rodrigues RCM, João TMS, Gallani MCBJ, Cornélio ME, Alexandre NMC. The "Moving Heart Program": an intervention to improve physical activity among patients with coronary heart disease. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 July 02];21(spe):180-9. Available from: http://www.scielo.br/pdf/rlae/v21nspe/23.pdf http://www.scielo.br/pdf/rlae/v21nspe/23... ^,²¹21 Lourenço LBA, Rodrigues RCM, Spana TM, Gallani MCBJ, Cornélio ME. Action and coping plans related to the behavior of adherence to drug therapy among coronary heart disease outpatients. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 Jul 02];20(5):821-9. Available from: http://www.scielo.br/pdf/rlae/v20n5/02.pdf http://www.scielo.br/pdf/rlae/v20n5/02.p... ⁾ - Implementar programa de intervenção comportamental (promoção da atividade física)⁽¹⁷17 Rodrigues RCM, João TMS, Gallani MCBJ, Cornélio ME, Alexandre NMC. The "Moving Heart Program": an intervention to improve physical activity among patients with coronary heart disease. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 July 02];21(spe):180-9. Available from: http://www.scielo.br/pdf/rlae/v21nspe/23.pdf http://www.scielo.br/pdf/rlae/v21nspe/23... ⁾ - Analisar dados de saúde⁽²⁹29 Morais ERED, Silva SS, Caritá EC. Business Intelligence utilizando tecnologias Web para análise dos fatores de risco na ocorrência de doença arterial coronariana. J Health Inform [Internet]. 2010 [cited 2015 Feb 1];2(1):7-13. Available from: http://www.jhi-sbis.saude.ws/ojs-jhi/index.php/jhi-sbis/article/view/2/50 http://www.jhi-sbis.saude.ws/ojs-jhi/ind... ⁾
Avaliação das necessidades	- Avaliar o emprego de tecnologias duras para a promoção da saúde⁽¹²12 Sharma U, Clarke M. Nurses' and community support workers' experience of telehealth: a longitudinal case study. BMC Health Serv Research [Internet]. 2014 [cited 2015 Feb 1];14:164-9. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990032/pdf/1472-6963-14-164.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁹19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... ^,²⁶26 Domingues FB, Clausell N, Aliti GB, Dominguez DR, Rabelo ER. Education and telephone monitoring by nurses of patients with heart failure: randomized clinical trial. Arq Bras Cardiol [Internet]. 2011 [cited 2016 July 02];96(3):233-9. Available from: http://www.scielo.br/pdf/abc/v96n3/en_aop00611.pdf http://www.scielo.br/pdf/abc/v96n3/en_ao... ^,²⁹29 Morais ERED, Silva SS, Caritá EC. Business Intelligence utilizando tecnologias Web para análise dos fatores de risco na ocorrência de doença arterial coronariana. J Health Inform [Internet]. 2010 [cited 2015 Feb 1];2(1):7-13. Available from: http://www.jhi-sbis.saude.ws/ojs-jhi/index.php/jhi-sbis/article/view/2/50 http://www.jhi-sbis.saude.ws/ojs-jhi/ind... ⁾ - Avaliar o emprego de tecnologias leves para a promoção da saúde e prevenção de agravos⁽¹³13 Jorstad HT, Birgelen CV, Alings AMW, Liem A, Dantzig JMV, Jaarsma W. et al. Effect of a nurse-coordinated prevention programme on cardiovascular risk after acute coronary syndrome: main results of the RESPONDE randomized trial. Heart [Internet]. 2013 [cited 2015 Feb 1];99:1421-30. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786610/pdf/heartjnl-2013-303989.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^-¹⁴14 Felipe LC, Araújo ARA, Vitor AF. Processo de enfermagem segundo o modelo do autocuidado em um paciente cardiopata restrito ao leito. R de Pesq: cuid fund [Internet]. 2014 [cited 2015 Feb 1];6(3):897-908. Available from: http://www.index-f.com/pesquisa/2014/r6-897.php http://www.index-f.com/pesquisa/2014/r6-... ^,¹⁹19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... ^-²⁰20 Kärner A, Nilsson S, Jaarsma T, Andersson A, Wiréhn AB, Wodlin P. et al. The effect of problem-based learning in patient education after an event of coronary heart disease - a randomized study in primary health care: design and methodology of the COR-PRIM study. BMC Fam Pract [Internet]. 2012 [cited 2015 Feb 1];113:110. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528480/pdf/1471-2296-13-110.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾ - Avaliar os resultados da intervenção⁽¹⁵15 Poortaghi S, Baghernia A, Golzari SEJ, Safayian A, Atri SB. The effect of home-based cardiac rehabilitation program on self-efficacy of patients referred to cardiac rehabilitation center. BMC Res Notes [Internet]. 2013 [cited 2015 Feb 1];6:287-90. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733948/pdf/1756-0500-6-287.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... 16 Mussi CM, Ruschel K, Souza EM, Lopes ANM, Trojahn MM, Paraboni CC. et al. Home visit improves knowledge, self-care and adhesion in heart failure: randomized Clinical Trial HELEN-I. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 Jul 02];21(spe):20-8. Available from: http://www.scielo.br/pdf/rlae/v21nspe/04.pdf http://www.scielo.br/pdf/rlae/v21nspe/04... 17 Rodrigues RCM, João TMS, Gallani MCBJ, Cornélio ME, Alexandre NMC. The "Moving Heart Program": an intervention to improve physical activity among patients with coronary heart disease. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 July 02];21(spe):180-9. Available from: http://www.scielo.br/pdf/rlae/v21nspe/23.pdf http://www.scielo.br/pdf/rlae/v21nspe/23... 18 Leemrijse CJ, Dijk LV, Jorstad HT, Peters RJG, Veenhof C. The effects of Hartcoach, a life style intervention provided by telephone on the reduction of coronary risk factors: a randomized trial. BMC Cardiovasc Disord [Internet]. 2012 [cited 2015 Feb 1];12:47-53. Available from: http://bmccardiovascdisord.biomedcentral.com/articles/10.1186/1471-2261-12-47 http://bmccardiovascdisord.biomedcentral... 19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... 20 Kärner A, Nilsson S, Jaarsma T, Andersson A, Wiréhn AB, Wodlin P. et al. The effect of problem-based learning in patient education after an event of coronary heart disease - a randomized study in primary health care: design and methodology of the COR-PRIM study. BMC Fam Pract [Internet]. 2012 [cited 2015 Feb 1];113:110. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528480/pdf/1471-2296-13-110.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^-²¹21 Lourenço LBA, Rodrigues RCM, Spana TM, Gallani MCBJ, Cornélio ME. Action and coping plans related to the behavior of adherence to drug therapy among coronary heart disease outpatients. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 Jul 02];20(5):821-9. Available from: http://www.scielo.br/pdf/rlae/v20n5/02.pdf http://www.scielo.br/pdf/rlae/v20n5/02.p... ^,²⁸28 Brennan PF, Casper GR, Sturgeon B. Technology enhanced practice for patients with chronic cardiac disease: home implementation and evaluation. Heart Lung [Internet]. 2010 [cited 2015 Feb 1];39(6Suppl):34-46. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3033014/pdf/nihms249837.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,³⁰30 Kirchberger I, Meisinger C, Seidl H, Wende R, Kuch B, Holle R. Nurse-based case management for aged patients with myocardial infarctation: study protocolo of a randomized controlled trial. BMC Geriatr [Internet]. 2010 [cited 2015 Feb 1];10:29-37. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885396/pdf/1471-2318-10-29.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾
Advocacia /defesa	- Possibilitar a melhoria da saúde⁽¹²12 Sharma U, Clarke M. Nurses' and community support workers' experience of telehealth: a longitudinal case study. BMC Health Serv Research [Internet]. 2014 [cited 2015 Feb 1];14:164-9. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990032/pdf/1472-6963-14-164.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^-¹³13 Jorstad HT, Birgelen CV, Alings AMW, Liem A, Dantzig JMV, Jaarsma W. et al. Effect of a nurse-coordinated prevention programme on cardiovascular risk after acute coronary syndrome: main results of the RESPONDE randomized trial. Heart [Internet]. 2013 [cited 2015 Feb 1];99:1421-30. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786610/pdf/heartjnl-2013-303989.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁵15 Poortaghi S, Baghernia A, Golzari SEJ, Safayian A, Atri SB. The effect of home-based cardiac rehabilitation program on self-efficacy of patients referred to cardiac rehabilitation center. BMC Res Notes [Internet]. 2013 [cited 2015 Feb 1];6:287-90. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733948/pdf/1756-0500-6-287.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁷17 Rodrigues RCM, João TMS, Gallani MCBJ, Cornélio ME, Alexandre NMC. The "Moving Heart Program": an intervention to improve physical activity among patients with coronary heart disease. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 July 02];21(spe):180-9. Available from: http://www.scielo.br/pdf/rlae/v21nspe/23.pdf http://www.scielo.br/pdf/rlae/v21nspe/23... 18 Leemrijse CJ, Dijk LV, Jorstad HT, Peters RJG, Veenhof C. The effects of Hartcoach, a life style intervention provided by telephone on the reduction of coronary risk factors: a randomized trial. BMC Cardiovasc Disord [Internet]. 2012 [cited 2015 Feb 1];12:47-53. Available from: http://bmccardiovascdisord.biomedcentral.com/articles/10.1186/1471-2261-12-47 http://bmccardiovascdisord.biomedcentral... 19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... ^-²⁰20 Kärner A, Nilsson S, Jaarsma T, Andersson A, Wiréhn AB, Wodlin P. et al. The effect of problem-based learning in patient education after an event of coronary heart disease - a randomized study in primary health care: design and methodology of the COR-PRIM study. BMC Fam Pract [Internet]. 2012 [cited 2015 Feb 1];113:110. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3528480/pdf/1471-2296-13-110.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,²⁸28 Brennan PF, Casper GR, Sturgeon B. Technology enhanced practice for patients with chronic cardiac disease: home implementation and evaluation. Heart Lung [Internet]. 2010 [cited 2015 Feb 1];39(6Suppl):34-46. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3033014/pdf/nihms249837.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,³⁰30 Kirchberger I, Meisinger C, Seidl H, Wende R, Kuch B, Holle R. Nurse-based case management for aged patients with myocardial infarctation: study protocolo of a randomized controlled trial. BMC Geriatr [Internet]. 2010 [cited 2015 Feb 1];10:29-37. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885396/pdf/1471-2318-10-29.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾ - Possibilitar a adesão à terapêutica⁽¹⁹19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... ^,²¹21 Lourenço LBA, Rodrigues RCM, Spana TM, Gallani MCBJ, Cornélio ME. Action and coping plans related to the behavior of adherence to drug therapy among coronary heart disease outpatients. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 Jul 02];20(5):821-9. Available from: http://www.scielo.br/pdf/rlae/v20n5/02.pdf http://www.scielo.br/pdf/rlae/v20n5/02.p... ⁾
Parcerias	- Fortalecer parceria entre enfermeiro, paciente e família⁽¹³13 Jorstad HT, Birgelen CV, Alings AMW, Liem A, Dantzig JMV, Jaarsma W. et al. Effect of a nurse-coordinated prevention programme on cardiovascular risk after acute coronary syndrome: main results of the RESPONDE randomized trial. Heart [Internet]. 2013 [cited 2015 Feb 1];99:1421-30. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786610/pdf/heartjnl-2013-303989.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^,¹⁵15 Poortaghi S, Baghernia A, Golzari SEJ, Safayian A, Atri SB. The effect of home-based cardiac rehabilitation program on self-efficacy of patients referred to cardiac rehabilitation center. BMC Res Notes [Internet]. 2013 [cited 2015 Feb 1];6:287-90. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3733948/pdf/1756-0500-6-287.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ^-¹⁶16 Mussi CM, Ruschel K, Souza EM, Lopes ANM, Trojahn MM, Paraboni CC. et al. Home visit improves knowledge, self-care and adhesion in heart failure: randomized Clinical Trial HELEN-I. Rev Latino-Am Enfermagem [Internet]. 2013 [cited 2016 Jul 02];21(spe):20-8. Available from: http://www.scielo.br/pdf/rlae/v21nspe/04.pdf http://www.scielo.br/pdf/rlae/v21nspe/04... ^,¹⁹19 Rodriguez-Gázquez MA, Arredondo-Holguin E, Herrera-Cortés R. Effectiveness of an educational program in nursing in the self-care of patients with heart failure: randomized controlled trial. Rev Latino-Am Enfermagem [Internet]. 2012 [cited 2016 July 02];20(2):296-306. Available from: http://www.scielo.br/pdf/rlae/v20n2/12.pdf http://www.scielo.br/pdf/rlae/v20n2/12.p... ⁾ - Parceria com outros profissionais⁽³⁰30 Kirchberger I, Meisinger C, Seidl H, Wende R, Kuch B, Holle R. Nurse-based case management for aged patients with myocardial infarctation: study protocolo of a randomized controlled trial. BMC Geriatr [Internet]. 2010 [cited 2015 Feb 1];10:29-37. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885396/pdf/1471-2318-10-29.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾

[1] AUTOR CORRESPONDENTE: Raquel Sampaio Florêncio. E-mail: raquelsampy@hotmail.com

Brasil

Brasil

Competências do enfermeiro na promoção da saúde de indivíduos com cardiopatias crônicas

Competencias del enfermero en la promoción de la salud de individuos con cardiopatías crónicas

RESUMO

Objetivo:

Método:

Resultados:

Conclusão: