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

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

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

RESUMEN

Objetivo:

Método:

Resultados:

Conclusión: