Effectiveness of nursing interventions in heart failure patients in home care using NANDA-I, NIC, and NOC.
OBJECTIVE
The objective of the study is to evaluate the effectiveness of nursing interventions (NIC) using nursing outcomes (NOC) and based on NANDA-I nursing diagnoses in patients with heart failure in home care.


METHODS
In this longitudinal study, 23 patients with heart failure were followed for 6 months, in four home visits. During the visits, nursing diagnoses were established, outcomes assessed, and interventions implemented.


RESULTS
Of the 11 NIC interventions implemented, eight proved effective, that is, showed significant improvement between the first and the fourth visit, according to scores obtained for six outcomes: knowledge: treatment regimen, knowledge: medication, compliance behavior, symptom control, activity tolerance, and energy conservation.


CONCLUSIONS
NIC interventions health education, self-modification assistance, behavior modification, teaching: prescribed medication, teaching: disease process, nutritional counseling, telephone consultation, and energy conservation showed effective outcomes based on NOC scores, suggesting that the NANDA-I, NIC, and NOC linkage is useful in patients with heart failure in home care.
Graduate Program - School of Nursing, Federal University of Rio Grande do Sul, 90620-110 Porto Alegre, Brazil.
Karina
K
Azzolin
Claudia Motta
CM
Mussi
Karen Brasil
KB
Ruschel
Emiliane Nogueira
EN
de Souza
Amália
A
de Fátima Lucena
Eneida Rejane
ER
Rabelo-Silva
D006333:Heart Failure / Q000451:nursing*; D006699:Home Care Services; D006792:House Calls; D006801:Humans; D015397:Program Evaluation
Cardiac failure; Evaluation of outcomes (healthcare)/classification; Home care visits; Nursing processes/classification