Celia García-Conejo , Cristina Roldán-Jiménez , Laura Ramirez-Pérez , Estíbaliz Díaz-Balboa , Antonio Cuesta-Vargas
{"title":"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","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":"{\"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}","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}
Educación en autocuidado durante programas de rehabilitación cardiaca para pacientes con insuficiencia cardiaca con fracción de eyección preservada: estudio Delphi
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.
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.