Heart failure: beliefs about body weight monitoring
DOI:
https://doi.org/10.26694/reufpi.v13i1.5287Keywords:
Heart Failure, Body Weight, Social Norms, Social TheoryAbstract
Objective: To investigate the beliefs of people with heart failure about monitoring body weight. Method: a qualitative study, guided by the Theory of Planned Behavior (TPB). Individual structured interviews were conducted with 25 people with heart failure treated at Basic Health Units. Data were examined through frequency and content analysis. Results: Regarding behavioral beliefs, the advantages were controlling weight, monitoring health and quality of life, and no disadvantages were mentioned. Concerning normative beliefs, children and spouses were the people with the greatest positive influence on weight monitoring. Regarding control beliefs, the advantages were having a scale and having a health unit and pharmacy close to home, and the difficulties were lack of time and distance from places with scales. Conclusion: The positive behavioral, normative and control beliefs identified need to be strengthened to promote daily monitoring of body weight as a strategy to prevent signs of clinical decompensation. Educational interventions should be instituted to improve adherence to weight control as a self-care behavior.
References
Savarese G, Becher PM, Lund LH, Seferovic P, Giuseppe RCM, Coats AJS. Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovascular Research. 2022;118(17): 3272-87. doi: https://doi.org/10.1093/cvr/cvac013.
Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association. Circulation. 2020;141:e139-e596. doi: https://doi.org/10.1161/CIR.0000000000000757.
Aghajanloo A, Negarandeh R, Janani L, Tanha K, Hoseini-Esfidarjani SS. Self-care status in patients with heart failure: Systematic review and meta-analysis. Nurs Open. 2021;8(5):2235-48. doi: https://doi.org/10.1002/nop2.805.
Ministério da Saúde (BR). Departamento de Informática do Sistema Único de Saúde (DATASUS). Morbidade Hospitalar do SUS (SIH/SUS). Insuficiência cardíaca, 2023. Available from: https://datasus.saude.gov.br/acesso-a-informacao/morbidade-hospitalar-do-sus-sih-sus/.
Albuquerque DC, Silva PMGB, Lopes RD, Filho CRH, Nogueira PR, Reis H et al. In-hospital management and long-term clinical outcomes and adherence in patients with acute decompensated heart failure: primary results of the first brazilian registry of heart failure (BREATHE). J Cardiac Fail. 2024; 30(5):639-50. https://doi.org/10.1016/j.cardfail.2023.08.014.
Seid SS, Amendoeira J, Ferreira. MR. Self-care and quality of life among adult patients with heart failure: scoping review. SAGE Open Nurs. 2023;9:1:15. doi: https://doi.org/10.1177/23779608231193719.
Tawalbeh LI, Al-Smadi AM, AlBashtawy M, AlJezawi M, Jarrah M, Musa AS, et al. The Most and the Least Performed Self-Care Behaviors Among Patients with Heart Failure in Jordan. Clin Nurs Res. 2020;29(2):108-16. doi: https://doi.org/10.1177/1054773818779492.
Jaarsma T, Hill L, Bayes-Genis A, La Rocca HB, Castiello T, Celutkienė J, et al. Self-care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2021;23(1):157-74. doi: https//doi.org/10.1002/ejhf.2008.
Wang XH, Qiu JB, Pang J, Ju Y, Xu Y, Zhao X, et al. Establishment of a Weight Management Scale for Patients with Congestive Heart Failure. Acta Cardiol Sin. 2014;30(1):74-81. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4804824/.
Seid MA, Abdela OA, Zeleke EG. Adherence to self-care recommendations and associated factors among adult heart failure patients. From the patients’ point of view. PLoS One. 2019;14(2): e0211768. doi: https://doi.org/10.1371/journal.pone.0211768.
Rabelo ER, Aliti GB, Linch GFC, Sauer JM, Mello AMFS, Martins SM, et al. Non-pharmacological management of patients with decompensated heart failure: a multicenter study – EMBRACE. Acta Paul Enferm. 2012;25(5):660-5. doi: https://doi.org/10.1590/S0103-21002012000500003.
Sousa MM, Almeida TCF, Gouveia BLA, Freire MEM, Sousa FS, Oliveira SHS. Persuasive communication and the diminution of the salt intake in heart failure patients: a pilot study. Rev Bras Enferm. 2021;74(2):e20200715. doi: https://doi.org/10.1590/0034-7167-2020-0715.
Wu JR, Lennie TA, Dunbar SB, Pressler SJ, Moser DK. Does the Theory of Planned Behavior Predict Dietary Sodium Intake in Patients with Heart Failure? West J Nurs Res. 2017;39(4):568-81. doi: https://doi.org/10.1177/0193945916672661.
Silva MAG, Brunori EHFR, Murakami BM, D ́Agostino F, Lopes CT, Santos VB, Santos ER. Predictors of self-care behaviors in individuals with heart failure in Brazil. Rev Gaúcha Enferm. 2023;44:e20220357. doi: https://doi.org/10.1590/1983- 1447.2023.20220357.
Ajzen I. The theory of planned behavior: Frequently asked questions. Hum Behav Emerg Tech. 2020; 2:314-324. doi: https://doi.org/10.1002/hbe2.195.
Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179-211. doi: https://doi.org/10.1016/0749-5978(91)90020-T.
Rohde LEP, Montera MW, Bocchi EA, Clausell NO, Albuquerque DC, Rassi S, et al. Comitê Coordenador da Diretriz de Insuficiência Cardíaca. Diretriz Brasileira de Insuficiência Cardíaca Crônica e Aguda. Arq Bras Cardiol. 2018;111(3):436-539. doi: https://doi.org/10.5935/abc.20180190.
Almeida TCF, Sousa MM, Pessoa MSA, Sousa LS, Gouveia BLA, Oliveira SHS. Beliefs of individuals with systemic arterial hypertension related to drug treatment. Rev Rene. 2019;20: e41585. doi: https://doi.org/10.15253/2175-6783.20192041585.
Lee KS, Lennie TA, Dunbar SB, Pressler SJ, Heo S, Song EK, et al. The association between regular symptom monitoring and self-care management in patients with heart failure. J Cardiovasc Nurs. 2015;30(2):145-51. doi: https://doi.org/10.1097/JCN.0000000000000128.
Tegegn BT, Hussien WY, AE, Abebe, Selassie Gebre MW. Adherence to Self-Care Practices and Associated Factors Among Outpatient Adult Heart Failure Patients Attending a Cardiac Center in Addis Ababa, Ethiopia in 2020. Patient Prefer Adherence. 2021; 15:317-27. doi: https://doi.org/10.2147/ppa.s293121
Gouveia BLA, Sousa MM, Almeida TCF, Sousa VAG, Oliveira SHDS. Beliefs related to insulin use in people with Type 2 Diabetes Mellitus. Rev Bras Enferm. 2020;73(3):e20190029. doi: https://doi.org/10.1590/0034-7167-2019-0029.
Sousa MM, Gouveia BLA, Almeida TCF, Freire MEM, Oliveira SHS. Beliefs about salt intake reduction. Rev enferm UERJ, Rio de Janeiro, 2019; 27:e44197 doi: http://dx.doi.org/10.12957/reuerj.2019.44197.
Clements L, Frazier SK, Lennie TA, Chung ML, Moser DK. Improvement in Heart Failure Self-Care and Patient Readmissions with Caregiver Education: A Randomized Controlled Trial. West J Nurs Res. 2023;45(5):402-15. doi: https://doi.org/10.1177/01939459221141296.
Guénette L, Lauzier S, Guillaumie L, Giguère G, Grégoire JP, Moisan J. Patients' beliefs about adherence to oral antidiabetic treatment: a qualitative study. Patient Prefer Adherence. 2015;10; 9:413-20. doi: https://doi.org/10.2147/PPA.S78628.
Negarandeh R, Aghajanloo A, Seylani K. Barriers to Self-care Among Patients with Heart Failure: A Qualitative Study. J Caring Sci. 2020;10(4):196-204. doi: https://doi.org/10.34172/jcs.2020.026.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Rev Enferm UFPI

This work is licensed under a Creative Commons Attribution 4.0 International License.
Autores mantém os direitos autorais e concedem à REUFPI o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attibution BY 4.0 que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.