Influence Of The Conditioning Factors Of Cardiac Transplant Patients To The Self-Care Engagement Profile
Background: This study aimed to identify the conditioning factors that influence the self-care practice of heart transplant patient after discharge and relate the conditioning factors to the Engagement Profile of Self Care.
Methods: Cross-sectional study, undertaken at a transplantation unit of one public hospital, in Fortaleza-Ceará. There was the participation of 63 heart transplant patients.
Results: The majority of the patients were men (88.9%), aged 40-59 years (68.3%), catholic (81.0%), married (77.8%), elementary school (71, 4%), retired or not working (82.5%); income below minimum wage (47, 6%); diagnosis to transplantation was chagasic cardiomyopathy (28.6%), post-transplant time between one and three years (39.7%). The determinant for self-care had significant difference (p<0.05) was the time of transplantation, because patients who have higher scores on Engagement Profile Self-Care had performed transplantation between 3 and 5 years.
Conclusion: The professional team of heart transplant should consider the conditioning factors of patients transplanted cardiac in establishing strategies for promoting self-care.
 Ministry of Health (BR). DATASUS database: procedures heart-2015 hospital transplant. Available in: www.datasus.gov.br.
 Brazilian Association of Organ Transplantation (ABTO). Brazilian Registry of Transplants. Design of Transplants in Brazil and in each Member State in 2014. Available in: http://www.abto.org.br/abtov03/Upload/file/RBT/2014/rbt2014-lib.pdf
 Santos ZMSA, Oliveira VLM. Appointment with nurses for transplanted heart clients - impact of educative health actions. Rev. Bras. Enferm. 2004; 57(6):654-657.
 Orem DE. Nursing: concepts of practice. 5th.ed. St Louis: Mosby; 1995. 475 p.
 Sampaio FAA, Aquino PS, Araújo TL, Galvão MTG. Nursing care to an ostomy patient: application of the Orem’s theory. Acta Paul Enferm. 2008;21(1):94-100.
 Cade NV. Orem’s self-care déficit theory applied to hypertensive people. Rev. Latino-Am Enferm. 2001;9(3):43-50.
 Bacal LF, Souza-Neto JD, Fiorelli AL, Mejia J, Marcondes-Braga FG, Mangini S, et al. II Brazilian Guidelines for Cardiac Transplantation. Arq Bras Cardiol. 2009; 94 Suppl 1:16 - 73.
 Silva EA, Carvalho DV. Heart Transplantation: complications presented by patients during the hospitalization. Esc. Anna Nery. 2012;16(4):674-681. Available on: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452012000400005&lng=en. http://dx.doi.org/10.1590/S1414-81452012000400005.
 Custódio IL, Lima FET, Lopes MVO, Silva VM, Santos-Neto JD, Martins MPS et al. Results of medium-term survival in patients undergoing cardiac transplantation: institutional experience. Rev Bras Cir Cardiovasc. 2013;28(4): 470-476.
 Aguiar MIF, Farias DR, Pinheiro ML, Chaves ES, Rolim ILTP, Almeida PC. Quality of Life of Patients that Had a Heart Transplant: Application of Whoqol-Bref Scale. Arq Bras Cardiol 2011;96(1):60-67
 Lima FET, Araújo TL. Correlation of basic conditioning factors for selfcare of patients who underwent coronary by-pass. Revista Brasileira de Enfermagem 2005;58(5):519-23
 Stanisci-Miguel GA, Rojas SSO, Vieira RW, Silva JP, Abensur H. Papel do Ecocardiograma na Role of echocardiography in the ventricular assessment of the transplanted heart versus heart rejection. Arq Bras Cardiol 2012;99(5):1031-1039.
 Aguiar MIF, Araújo TOM, Cavalcante MMS, Chaves ES, Rolim ILTP. Profile of effective donors of organs and tissues in the Ceará State. Rev Min Enfer. 2010; 14(3):2316-21.
 Machado RC, Branco JNR, Michel JLM, Gabriel EA, Locali RF, Helito RAB. et. al. Characterization of caregivers of candidates for heart transplant at UNIFESP. Braz J Cardiovasc Surg. 2007; 22 (4): 432-440.
 Brito LMPM, Pessoa VLMP, Santos ZMSA. The family experiencing cardiac transplantation. J Nurs. 2007; 60 (2): 167-171.
 Tung HH, Chen SC, Yin WH, Cheng CH, Wang TJ, Wu SF. Self care behavior in patients with heart failure in Taiwan. Eur J Cardiovasc Nurs. 2012;11(2):175-82.
 McConnery J, MacIver J, Alba C, Foroutan F, Ross HJ. Impact of Health Literacy on Knowledge and Self-Care in Heart Failure Patients, Pre- and Post-Intervention. 2016;35(4): 141.
 Nascimento HR, Püschel VAA. Self-care actions in patients with heart failure. Acta Paul. Enferm. 2013; 26(6):601-607.
 Silva EA, Carvalho DV. Heart transplant: complications in patients during hospitalization. Esc. Anna Nery. 2012; 16 (4): 674-681.
 Costa ÉSM. Demographic and clinical characteristics of patients submitted orthotopic cardiac transplant in Brazilian health services. Rev Soc Bras Clin Med. 2014;12(2):1-5.
 Areosa CMN, Almeida DR, Carvalho ACC, Paola AAV. Evaluation of heart failure prognostic factors in patients referred for heart transplantation. Arq. Bras. Cardiologia 2007; 88(6):667-673.
 Azeka E, Jatene MB, Jatene IB, Horowitz ESK, Branco KC, Souza Neto JD et. al. I Guidelines on heart failure (HF) and Cardiac Transplantation in the fetus, in children and in adults with congenital heart disease, the Brazilian Society of Cardiology. Arq. Bras. Cardiol. 2014; 103(6Suppl2): 1-126.
 Fiorelli AI, Oliveira-Junior JL, Stolf NAG. Cardiac transplantation. Rev Med. 2009;88(3):123-
 Bocchi EA, Marcondes-Braga FG, Ayub-Ferreira SM, Rohde LE, Oliveira WA, Almeida DR, et. al. razilian Society of Cardiology. III Brazilian Guidelines on Chronic Heart Failure. Arq Bras Cardiol. 2009; 93(1supl.1): 1-71.
 Stehlik J, Edwards LB, Kucheryavaya AY, Aurora P, Christie JD, Kirk R, et al. The Registry of the International Society for Heart and Lung Transplantation: twenty-seventh official adult heart transplant report – 2010. J Heart Lung Transplant. 2010;29(10):1089-103.
 Wade C, Reith K, Sikora J, Augustine S. Postoperative nursing care of the cardiac transplant recipient. Crit Care Nurs Q. 2004; 27(1): 17-28.
 Hoffman F. Outcomes and complications after heart transplantation: a review. J Cardiovasc Nurs. 2005; 20(5 Suppl): S31-42.
 Hoeman SP. Rehabilitation nursing: process and application. 2ºed. Lisboa: Lusociência, 2000.
Copyright policies & self-archiving
We are a RoMEO green journal.
Author's Pre-print: author can archive pre-print (ie pre-refereeing)
Author's Post-print: author can archive post-print (ie final draft post-refereeing)
Publisher's Version/PDF: author can archive publisher's version/PDF
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
Articles are published Under License of Creative Commons Attribution 4.0 License ©