Care models for people with chronic diseases: integrative review/Modelos de cuidados a pessoas com doencas cronicas: revisao integrativa/Modelos de cuidado de personas con enfermedades crónicas: una revisión integrativa

Objective. To identify the care models and the impact of the use of these in the care of people with chronic diseases reported in the literature in the years 2000 to 2014. Methods. Integrative literature review in which the following guiding question was adopted: Which care models are used in the care of patients with chronic diseases and what impacts can be verified through their application? We consulted the bibliographic databases Virtual Health Library, LILACS, MEDLINE, Spanish Bibliographic Index of Health Sciences and the Database of Nursing. Results. The sample consisted of 17 articles on the topic of interest. Three categories emerged from the analysis: health care costs, model-based care experience, and patient autonomy. The articles addressed self-management, case management and care model for people with chronic diseases. The major impacts on the use of the models were: a better relationship between the patient and the health professional, an increase in the autonomy of the person with chronic illness, and a reduction in personal and health care expenditure. Conclusion. The use of care models for people with chronic diseases presents benefits to the patient and to the health system. Nurses must actively participate in the application of these care models of people with this type of illness. Descriptors: chronic disease; models, nursing; nursing care; nursing, practical. Objetivo. Identificar los modelos de cuidado y el impacto de la utilizacion de estos en el cuidado de personas con enfermedades cronicas reportados en la literatura en los anos 2000 a 2014. Metodos. Revision integrativa de la literatura en la que se tuvo la pregunta norteadora: icuales modelos de cuidado son utilizados en la atencion de los pacientes con enfermedades cronicas y que impactos pueden ser verificados mediante su aplicacion? Se consultaron las bases bibliograficas Biblioteca Virtual em Saude, LILACS, MEDLINE, fndice Bibliografico Espanhol de Ciencias da Saude y la Base de dados em Enfermagem. Resultados. La muestra estuvo constituida por 17 articulos sobre el tema de interes. Del analisis emergieron tres categorias: los costos del cuidado de la salud, la experiencia de atencion basada en un modelo y la autonomia del paciente. Los articulos abordaron la autogestion, la gestion de casos y el modelo de cuidado a personas con enfermedades cronicas. Los mayores impactos en la utilizacion de los modelos fueron: una mejor relacion del paciente con el profesional de salud, au