Modelo de cuidados crónicos sustentado na saúde digital: uma análise para investigação em doenças cardiovasculares
Article Sidebar
Main Article Content
Resumo
Introdução: As doenças cardiovasculares estão entre as principais causas de morbimortalidade em adultos em todo o mundo. Os últimos anos têm evidenciado os fatores que dificultam o cuidado de enfermagem presencial direcionado a essas pessoas. Por isso é necessária a realização de pesquisas baseadas em referenciais teóricos que incluam conceitos de enfermagem e ferramentas digitais de saúde para apoiar o cuidado online.
Objetivo: Analisar o modelo aprimorado de cuidados crônicos de eSaúde e avaliar sua eficácia na pesquisa de doenças cardiovasculares.
Metodologia: Utilizou-se a análise da Teoria de Walker e Avant para analisar a origem, o significado, a congruência lógica, a utilidade, a parcimônia e a transferibilidade do modelo.
Desenvolvimento da análise teórica do modelo: Esta ferramenta é descritiva, seus componentes são de alto nível de abstração, adequados para explorar contextos e padrões de cuidado a pacientes com doenças cardiovasculares. Sua estrutura teórica permite estabelecer proposições que podem ser testadas e aplicadas à prática da enfermagem. A eEducação, a eComunidade, o ciclo completo de retroalimentação e o apoio à autogestão apoiam significativamente a investigação em enfermagem com uma abordagem de saúde digital.
Conclusão: O modelo apoiaria a assistência de enfermagem prestada a pacientes com doenças cardiovasculares de forma digital, seja como modalidade única ou como complemento ao atendimento presencial. Isto permitirá a criação e implementação de designs informáticos para a prestação de cuidados e, assim, contribuirá para o desenvolvimento do conhecimento de enfermagem. A utilização do modelo na pesquisa em enfermagem fortalecerá a liderança tecnológica inovadora da disciplina.
Publication Facts
Reviewer profiles Indisp.
Author statements
- Editor & editorial board
- profiles
- Academic society
- Indisp.
- Publisher
- Universidad Nacional Autónoma de México
To learn about these publication facts, click 
PF is maintained by the Public Knowledge Project
Article Details
Dimensions citation
MÉTRICAS
Referências
(1) World Health Organization. WHO global coordination mechanism on the prevention and control of noncommunicable diseases. Final report: WHO GCM/NCD Working Group on the 2. Alignment of International Cooperation with National NCD Plans. Geneva: World Health Organization; 2018. https://bit.ly/3dVkABu
(2) Salazar M, Barochiner J, Espeche W, Ennis I. COVID-19, hipertensión y enfermedad cardiovascular. Hipertens Riesgo Vasc. 2020; 37(4): 176-80. https://doi.org/10.1016/j.hipert.2020.06.003
(3) Guo T, Fan Y, Chen M, Wu X, Zhang L, He T, et al. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19). JAMA Cardiol. 2020; 5(7): 811-18. https://doi.org/10.1001/jamacardio.2020.1017
(4) Zheng YY, Ma YT, Zhang JY, Xie X. COVID-19 and the cardiovascular system. Nat Rev Cardiol. 2020; 17: 259-60. https://doi.org/10.1038/s41569-020-0360-5
(5) Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020; 323(11): 1061-69. https://doi.org/10.1001/jama.2020.1585
(6)Thomas RJ, Balady G, Banka G, Beckie TM, Chiu J, Gokak S, et al. 2018 ACC/AHA Clinical performance and quality measures for cardiac rehabilitation: A report of the American College of Cardiology/American Heart Association task force on performance measures. J Am Coll Cardiol. 2018; 71(16): 1814-37. https://doi.org/10.1016/j.jacc.2018.01.004
(7) González-Salvado V, Rodríguez-Núñez A, González-Juanatey JR. From prevention to rehabilitation: Toward a comprehensive approach to tackling cardiac arrest. Rev Esp Cardiol (Engl Ed). 2019; 72(1): 3-6. https://doi.org/10.1016/j.rec.2018.04.021
(8) Ragupathi L, Stribling J, Yakunina Y, Fuster V, McLaughlin MA, Vedanthan R. Availability, use, and barriers to cardiac rehabilitation in LMIC. Glob Heart. 2017; 12(4): 323-34. https://doi.org/10.1016/j.gheart.2016.09.004
(9) Hwang R, Bruning J, Morris NR, Mandrusiak A, Russell T. Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: A randomised trial. J Physiother. 2017; 63(2): 101-7. https://doi.org/10.1016/j.jphys.2017.02.017
(10) Batalik L, Dosbaba F, Hartman M, Batalikova K, Spinar J. Benefits and effectiveness of using a wrist heart rate monitor as a telerehabilitation device in cardiac patients: A randomized controlled trial. Medicine. 2020; 99(11): e19556. https://doi.org/10.1097/MD.0000000000019556
(11) Ruano-Ravina A, Pena-Gil C, Abu-Assi E, Raposeiras S, Van't Hof A, Meindersma E, et al. Participation and adherence to cardiac rehabilitation programs. A systematic review. Int J Cardiol. 2016; 223: 436-43. https://doi.org/10.1016/j.ijcard.2016.08.120
(12) Melo-Barbosa OP. Enfermedad cardiovascular: creencias y prácticas en la adherencia al tratamiento. Rev. cienc. cuidad. 2018; 15(2): 164-76. http://dx.doi.org/10.22463/17949831.1410
(13) Leslie KH, McCowan C, Pell JP. Adherence to cardiovascular medication: A review of systematic reviews. J Public Health. 2019; 41(1): e84-e94. https://doi.org/10.1093/pubmed/fdy088
(14) Gupta S, Dhamija JP, Mohan I, Gupta R. Qualitative study of barriers to adherence to antihypertensive medication among rural women in India. Int J Hypertens. 2019; 5749648. https://doi.org/10.1155/2019/5749648(13)
(15) Fernández-Boccazzi J, Merchán-del Hierro X, Persi G, Seguí J, Aldinio V, Muniagurria S. Efectos de la pandemia por COVID-19 con relación al ACV isquémico. ¿La pandemia realmente lo cambió todo? Un estudio comparativo pre-post COVID-19 con revisión de la literatura. Neurolog. argent. 2022; 14(4): 244-50. https://doi.org/10.1016/j.neuarg.2022.08.004
(16) Wind TR, Rijkeboer M, Andersson G, Riper H. The COVID-19 pandemic: The 'black swan' for mental health care and a turning point for e-health. Internet Interv. 2020; 20: e100317. https://doi.org/10.1016/j.invent.2020.100317 (13)
(17) Kumar A, Mohammadnezhad M, May W. Patients' perception of factors influencing noncompliance with medication among cardiac patients in Fiji: A qualitative study. Patient Prefer Adherence. 2021; 15: 1843-52. https://doi.org/10.2147/PPA.S322731
(18) Organización Panamericana de la Salud. Cuidados innovadores para las condiciones crónicas: Organización y prestación de atención de alta calidad a las enfermedades crónicas no transmisibles en las Américas. Washington, D.C.: OPS; 2013. https://bit.ly/2CQ76Ty
(19) Sua YS, Jiang Y, Thompson DR, Wang W. Effectiveness of mobile phone-based self-management interventions for medication adherence and change in blood pressure in patients with coronary heart disease: A systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2020; 19(3): 192-200. https://doi.org/10.1177/1474515119895678
(20) Brørs G, Pettersen TR, Hansen TB, Fridlund B, Hølvold LB, Lund H, et al. Modes of e-Health delivery in secondary prevention programmes for patients with coronary artery disease: A systematic review. BMC Health Serv Res. 2019; 19: e364. https://doi.org/10.1186/s12913-019-4106-1
(21) Tighe SA, Ball K, Kensing F, Kayser L, Rawstorn JC, Maddison R. Toward a digital platform for the self-management of noncommunicable disease: Systematic review of platform-like interventions. J Med Internet Res. 2020; 22(10): e16774. https://doi.org/10.2196/16774
(22) Laukka E, Pölkki T, Heponiemi T, Kaihlanen AM, Kanste O. Leadership in digital health services: Protocol for a concept analysis. JMIR Res Protoc. 2021; 10(2): e25495. https://doi.org/10.2196/25495
(23) Duplaga M. A cross-sectional study assessing determinants of the attitude to the introduction of eHealth services among patients suffering from chronic conditions. BMC Med Inform Decis Mak. 2015; 15(33): 1-15. https://doi.org/10.1186/s12911-015-0157-3
(24) Huygens MWJ, Vermeulen J, Swinkels ICS, Friele RD, Van Schayck OCP, De Witte LP. Expectations and needs of patients with a chronic disease toward self-management and eHealth for self-management purposes. BMC Health Serv Res. 2016; 16: e232. https://doi.org/10.1186/s12913-016-1484-5
(25) Gee PM, Greenwood DA, Paterniti DA, Ward D, Miller LMS. The eHealth enhanced chronic care model: A theory derivation approach. J Med Internet Res. 2015; 17(4): e86. https://doi.org/10.2196/jmir.4067
(26) Walker LO, Avant KC. Strategies for theory construction in nursing. 6th ed. New York: Pearson; 2019
(27) Wagner EH. Chronic disease management: What will it take to improve care for chronic illness? Eff Clin Pract. 1998; 1(1): 2-4. https://bit.ly/44n69Lr
(28) Wagner EH, Davis C, Schaefer J, Von Korff M, Austin B. A survey of leading chronic disease management programs: Are they consistent with the literature? Journ Nurs Care Qual 2002; 16(2): 67-80. https://bit.ly/43Wxnsn
(29) Matney S, Brewster PJ, Sward KA, Cloyes KG, Staggers N. Philosophical approaches to the nursing informatics data-information-knowledge-wisdom framework. ANS Adv Nurs Sci. 2011; 34(1): 6-18. https://doi.org/10.1097/ANS.0b013e3182071813
(30) Leppla L, Mielke J, Kunze M, Mauthner O, Teynor A, Valenta S, et al. Clinicians and patients perspectives on follow-up care and eHealth support after allogeneic hematopoietic stem cell transplantation: A mixed-methods contextual analysis as part of the SMILe study. Eur J Oncol Nurs. 2020; 45: 1-13. https://doi.org/10.1016/j.ejon.2020.101723
(31) Leppla L, Schmid A, Valenta S, Mielke J, Beckmann S, Ribaut J, et al. Development of an integrated model of care for allogeneic stem cell transplantation facilitated by eHealth-the SMILe study. Support Care Cancer. 2021; 29(12): 8045-57. https://doi.org/10.1007/s00520-021-06328-0
(32) Ribaut J, Leppla L, Teynor A, Valenta S, Dobbels F, Zullig LL, et al. Theory-driven development of a medication adherence intervention delivered by eHealth and transplant team in allogeneic stem cell transplantation: The SMILe implementation science project. BMC Health Serv Res. 2020; 20(827): 1-22. https://doi.org/10.1186/s12913-020-05636-1
(33) Kocher A, Simon M, Dwyer AA, Villiger PM, Künzler-Heule P, De Geest S, et al. Developing a rare disease chronic care model: Management of systemic sclerosis (MANOSS) study protocol. J Adv Nurs. 2019; 75(12): 3774-91. https://doi.org/10.1111/jan.14185
(34) Kim H, Park E, Lee S, Kim M, Park EJ, Hong S. Self-management of chronic diseases among older korean adults: An mHealth training, protocol, and feasibility study. JMIR Mhealth Uhealth. 2018; 6(6): 1-11. https://doi.org/10.2196/mhealth.9988
(35) Jiang Y, Liu F, Guo J, Sun P, Chen Z, Li J, et al. Evaluating an intervention program using WeChat for patients with chronic obstructive pulmonary disease: Randomized controlled trial. J Med Internet Res. 2020; 22(4): 1-18. https://doi.org/10.2196/17089
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Enfermería Universitaria por Universidad Nacional Autónoma de México se distribui sob uma Licença Creative Commons Atribución-NoComercial-SinDerivadas 4.0 Internacional
Os artigos aceitos e publicados são de acesso livre sob os termos da licença Creative Commons CC BY-NC-ND 4.0, que autoriza sua reprodução e difusão sem fins comerciais, enquanto se conceda o reconhecimento referente a seus autores. Permite-se aos autores o autoarquivo da versão publicada para que eles a coloquem em sua página web pessoal ou institucional, ou nos sites que considerem pertinentes para sua maior difusão. 