Effectiveness and Factors Determining the Success of Management Programs for Patients With Heart Failure: A Systematic Review and Meta-analysis

Oyanguren, Juana; García, Pedro Maria Latorre; Laguna, J. Torcal; Goya, Iñaki Lekuona; Martín, Susana; Lafuente, Elena Maull; Grandes, Gonzalo

doi:10.1016/j.rec.2016.05.012

Cited by 34 publications

(38 citation statements)

References 25 publications

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“…Los resultados del estudio son comparables con los hallazgos de ECA que han examinado las intervenciones para mejorar el autocuidado en los adultos con FC (27)(28)(29)(30)(31)(32)(33)(34)(35). No fue posible analizar los resultados teniendo en cuenta la dosis y el contenido educativo por falta de datos.…”

Section: Discussionunclassified

Toma de decisiones para el manejo de los síntomas de falla cardíaca: protocolo de intervención

Guerra

Cuevas

2020

Av. enferm.

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Objetivo: dar a conocer el diseño,implementación y evaluación de una intervención de enfermería: “Toma de decisiones para el manejo de los síntomas en adultos con falla cardíaca”.Métodos: se realizó un proceso sistemático propuesto por Sidani yBraden que contempla cuatro fases: diseño de la intervención, operacionalización de la intervención en un manual de intervención, estudio de aceptabilidad, viabilidad y efectividad de la intervención y traducción de la intervención.Resultados: se diseñó la intervención según los postulados de la teoría de situación específica autocuidado en falla cardíaca, centrada en la toma de decisiones para el manejo de los síntomas en adultos con falla cardíaca. Los expertos (n = 5) evaluaron satisfactoriamente el nivel teórico del protocolo (índice de cumplimiento 90 %). La tasa de reclutamiento de los participantes fue exitosa (91,6 %). En una muestra final para el análisis (n = 105) se halló una mejora significativa en el grupo de intervención (n = 53) en el mantenimiento del autocuidado [F (1,103) = 719,6; p = 0,000; 𝜂2𝑝 =0,88 ( = f de Cohen ́s = 2,65)] y en lagestión del autocuidado [F (1,74) = 23501,07;p = 0,000; 𝜂2𝑝 = 0,97 ( = f de Cohen ́s = 5,6)] comparado con el grupo de control(n = 52) que recibió la atención habitual.Conclusiones: se demuestra la fidelidad teórica y operacional, la factibilidad y efectividad del protocolo de una intervención de enfermería para mejorar el autocuidado en adultos con falla cardíaca con un tamaño de efecto grande.

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Section: Discussionunclassified

Toma de decisiones para el manejo de los síntomas de falla cardíaca: protocolo de intervención

Guerra

Cuevas

2020

Av. enferm.

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“…27,28 A recent meta-analysis has shown that one of the determinants of a successful HF management programme is whether HF nurses were included in the programme. 29 In addition, when postdischarge follow-up programmes were led by nurses, a decrease in readmission rates was achieved. 28 As the educational background of nurses involved in HF programmes is pivotal, the HFA of the ESC has developed a curriculum for HF nurses.…”

Section: The Role Of Nursesmentioning

confidence: 99%

How to develop a national heart failure clinics network: a consensus document of the Hellenic Heart Failure Association

Filippatos¹,

Farmakis²,

Alexanian³

et al. 2020

ESC Heart Failure

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Heart failure (HF) is rapidly growing, conferring considerable mortality, morbidity, and costs. Dedicated HF clinics improve patient outcomes, and the development of a national HF clinics network aims at addressing this need at national level. Such a network should respect the existing health care infrastructures, and according to the capacities of hosting facilities, it can be organized into three levels. Establishing the continuous communication and interaction among the components of the network is crucial, while supportive actions that can enhance its efficiency include involvement of multidisciplinary health care professionals, use of structured HF‐specific documents, such as discharge notes, patient information leaflets, and patient booklets, and implementation of an HF‐specific electronic health care record and database platform.

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“…The regulatory variables allow individuals to manage their emotions and behavior, which is of great importance in the promotion of healthy behaviors [ 15 ]. Thus, psychosocial factors also include emotional regulatory variables, making it necessary to intervene by promoting specific strategies to reduce depression, anxiety, and distress by using communicative and cognitive-behavioral strategies [ 16 , 17 ]. The WHO (World Health Organization) [ 18 ] warns that modifying one’s lifestyle could prevent more than three quarters of all deaths from CVD, along with an associated reduction in the economic costs.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies underscore how sociodemographic variables, such as life situation (living alone or not) [ 21 ], socioeconomic status [ 22 ], and level of education [ 23 , 24 ], influence the development of CVD. In this sense, some studies warn of the following risk factors for CVD mortality: low socioeconomic status (low educational level, low income, low- work status, or residence in an area considered poor encompass characteristics that define a person with a low socioeconomic level), social isolation, and lack of social support [ 13 , 16 , 25 , 26 ]. Unfortunately, women seem to have a lower educational level [ 27 ], worse socio-economic status [ 22 ], live in a more isolated way [ 28 ], and experience an increased risk of developing CVD due to stress at mid-life compared to men [ 29 ].…”

Section: Introductionmentioning

confidence: 99%

The Role of Emotional Regulation and Affective Balance on Health Perception in Cardiovascular Disease Patients According to Sex Differences

Luque

Castillo‐Mayén

Cuadrado

et al. 2020

JCM

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One of the challenges of aging is the increase of people with chronic diseases, such as cardiovascular disease (CVD). Men and women experience the disease differently. Therefore, it has an impact on how CVD is treated and its outcomes. This research analyzed the relationship between psychosocial variables and health promotion among cardiovascular patients, paying special attention to sex differences. A longitudinal study with cardiovascular patients (747 in phase 1 (122 women) and 586 in phase 2 (83 women)) was carried out. Participants were evaluated based on their sociodemographic characteristics, affective balance, regulatory negative affect self-efficacy, stress and anxiety regulation strategies, and perceived global health. Results showed that men presented significantly higher scores in positive affect, affective balance, and self-efficacy to regulate negative emotions, while women presented significantly higher scores in negative affect and the use of passive strategies to cope with stressful situations. Regression analyses showed that all psychological variables studied in phase 1 were significant predictors of health perception in phase 2. According to the results, it is necessary to include strategies to improve cardiovascular health through education and emotional regulation, with a gender focus.

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Effectiveness and Factors Determining the Success of Management Programs for Patients With Heart Failure: A Systematic Review and Meta-analysis

Cited by 34 publications

References 25 publications

Toma de decisiones para el manejo de los síntomas de falla cardíaca: protocolo de intervención

Toma de decisiones para el manejo de los síntomas de falla cardíaca: protocolo de intervención

How to develop a national heart failure clinics network: a consensus document of the Hellenic Heart Failure Association

The Role of Emotional Regulation and Affective Balance on Health Perception in Cardiovascular Disease Patients According to Sex Differences

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