Nurse-led systematic education on self-care is a fundamental strategy to improve adherence and clinical stability in patients with heart failure.
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Supports nurse-led HF self-care education; leaves open need for RCTs to establish causal effects on adherence and stability.
The most important objective of heart failure (HF) treatment is to reach and preserve patients' clinical stability. Several studies have shown that programs aimed at systematic education, developed by multidisciplinary teams, are positive strategies to work with these patients. Nurses active in HF clinics play a fundamental role in the educational process and continuity of patient care. The objectives of these processes are to teach, reinforce, improve and constantly evaluate patients' self-care abilities, which include weight monitoring, sodium and fluid restrictions, physical activities, regular medication use, monitoring signs and symptoms of disease worsening and early search for medical care. Therefore, education to understand HF and the development of self-care abilities are considered key points to improve adherence, avoid decompensation crises and, consequently, to maintain patients clinically stable. This article presents a careful review of the aspects involved in the patient education process by nurses in the context of HF clinics.
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Rabelo et al. (2007) conducted a review in Heart failure. Nursing education and self-care was evaluated.
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