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Acta Paulista de Enfermagem

On-line version ISSN 1982-0194

Abstract

RABELO, Eneida Rejane et al. Non-pharmacological management of patients with decompensated heart failure: a multicenter study - EMBRACE. Acta paul. enferm. [online]. 2012, vol.25, n.5, pp. 660-665. ISSN 1982-0194.  http://dx.doi.org/10.1590/S0103-21002012000500003.

OBJECTIVE: To identify the prescription and execution of non-pharmacological care in the medical or nursing prescriptions in three reference centers for the treatment of patients with heart failure. METHODS: A study using a quantitative, cross-sectional approach of a multicenter cohort. It included: patients admitted for decompensated heart failure, New York Heart Association function III / IV; any etiology; age of 18 years or older; and both genders. RESULTS: The study included 562 patients; among non-pharmacological care, salt restriction was the most prescribed (95.4%), followed by the control of diuresis (48%). The proportion of treatment prescribed and performed was higher in the third, and in the other two centers the difference between the prescribed and the performed was higher than 20%. CONCLUSIONS: Non-pharmacological care interventions are not fully incorporated into clinical practice. Strategies that can mobilize the multidisciplinary team with a view to the interventions and achievements of this care merit study.

Keywords : Heart failure [therapy]; Multicenter study; Questionnaires.

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