Educación en autocuidado durante programas de rehabilitación cardiaca para pacientes con insuficiencia cardiaca con fracción de eyección preservada: estudio Delphi

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Atencion Primaria Pub Date : 2024-07-16 DOI:10.1016/j.aprim.2024.103030

Celia García-Conejo , Cristina Roldán-Jiménez , Laura Ramirez-Pérez , Estíbaliz Díaz-Balboa , Antonio Cuesta-Vargas

{"title":"Educación en autocuidado durante programas de rehabilitación cardiaca para pacientes con insuficiencia cardiaca con fracción de eyección preservada: estudio Delphi","authors":"Celia García-Conejo , Cristina Roldán-Jiménez , Laura Ramirez-Pérez , Estíbaliz Díaz-Balboa , Antonio Cuesta-Vargas","doi":"10.1016/j.aprim.2024.103030","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>To develop a decalogue of self-care competencies to manage educational intervention during Cardiac Rehabilitation (CR) programs in Heart Failure with preserved Ejection Fraction (HFpEF) patients through multidisciplinary consensus.</p></div><div><h3>Design</h3><p>3-round e-Delphi study using an initial questionnaire of 23 competencies based on the main recommendations of the CR and self-care guidelines.</p></div><div><h3>Site</h3><p>It was framed under the ethics of a randomised clinical trial developed at the Regional Hospital of Malaga. The survey was designed and disseminated as an online questionnaire.</p></div><div><h3>Participants</h3><p>The expert panel comprised two patients with HFpEF and 13 healthcare professionals from Internal Medicine (n=3), Cardiology (n=2), Physiotherapy (n=3), Nursing (n=3) and Occupational Therapy (n=2).</p></div><div><h3>Method</h3><p>The analysis of results included the content validity index, the percentage of agreement, and the concordance using Fleiss Kappa and Krippendorff's alpha.</p></div><div><h3>Results</h3><p>After the third round, 20 self-care competencies were identified, grouped into 12 domains, with sufficient consensus for their inclusion in the decalogue.</p></div><div><h3>Conclusions</h3><p>The decalogue of self-care competencies generated from the multidisciplinary consensus guides education in patients with HFpEF, systematically addressing educational content tailored to patients for clinical practice in CR programs.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 12","pages":"Article 103030"},"PeriodicalIF":1.8000,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724001720/pdfft?md5=46adaba8c8d722dabede726b6447fdc4&pid=1-s2.0-S0212656724001720-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Atencion Primaria","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0212656724001720","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

To develop a decalogue of self-care competencies to manage educational intervention during Cardiac Rehabilitation (CR) programs in Heart Failure with preserved Ejection Fraction (HFpEF) patients through multidisciplinary consensus.

Design

3-round e-Delphi study using an initial questionnaire of 23 competencies based on the main recommendations of the CR and self-care guidelines.

Site

It was framed under the ethics of a randomised clinical trial developed at the Regional Hospital of Malaga. The survey was designed and disseminated as an online questionnaire.

Participants

The expert panel comprised two patients with HFpEF and 13 healthcare professionals from Internal Medicine (n = 3), Cardiology (n = 2), Physiotherapy (n = 3), Nursing (n = 3) and Occupational Therapy (n = 2).

Method

The analysis of results included the content validity index, the percentage of agreement, and the concordance using Fleiss Kappa and Krippendorff's alpha.

Results

After the third round, 20 self-care competencies were identified, grouped into 12 domains, with sufficient consensus for their inclusion in the decalogue.

Conclusions

The decalogue of self-care competencies generated from the multidisciplinary consensus guides education in patients with HFpEF, systematically addressing educational content tailored to patients for clinical practice in CR programs.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

射血分数保留的心力衰竭患者心脏康复计划中的自我护理教育：德尔菲研究

设计3轮电子德尔菲研究，使用基于心脏康复和自我护理指南主要建议的23项能力的初始调查问卷。地点根据马拉加地区医院开展的随机临床试验的伦理进行设计。方法结果分析包括内容效度指数、一致性百分比以及使用弗莱斯卡帕（Fleiss Kappa）和克里彭多夫阿尔法（Krippendorff's alpha）进行的一致性分析。结果经过第三轮筛选，确定了20项自我护理能力，分为12个领域，并达成充分共识，将其纳入十诫中。结论多学科共识产生的自我护理能力十诫可指导高频血栓闭塞性脉管炎患者的教育，系统地解决了CR项目临床实践中为患者量身定制的教育内容。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.