La descarga está en progreso. Por favor, espere

La descarga está en progreso. Por favor, espere

P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |

Presentaciones similares


Presentación del tema: "P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |"— Transcripción de la presentación:

1 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |

2 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |CONTENT 1. Problem description 2. Problem statement 3. Justification 4. Objetives 5. Methodology 6. Results 7. Conclusions and recommendations

3 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | PROBLEM STATEMENT Millions of people are affected in Europe and United States. Cause of death in these countries and some Latin American countries. RODRÍGUEZ, Leonor. Et. Al. Capítulo 24, Cuidado al paciente con Falla Cardíaca, Enfermería Cardiovascular, Editorial Distribuna, Comité Editorial, Capítulo de Enfermería, Sociedad Colombiana de Cardiología, Bogotá, Colombia, 2008. Pg. 469-471. ISBN: 978-958-8379-00-5. Consultado: Marzo 20 de 2011. - Rate of 9.3 x 100,000 habitants. In Colombia… Ministry of Social Protection, causes 6% of hospitalizations in adults, 7% of emergency department visits.

4 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | SELF-CARE Patients have between low and intermediate self-care. The dont carry out all actions and indications given by health professionals. RIEGEL, Barbara. Et. al. A motivational Counseling approach to improving Heart Failure Self-Care, Journal of Cardiovascular Nursing, Vol. 21, No. 3, pg. 232 – 241, 2007, Estados Unidos. Consultado: Octubre 10 de 2011. PARADIS, Veronique. Et. al. The Efficacy of a Motivational Nursing Intervention Based on the stages of change on Self-Care in Heart Failure patients, Journal of Cardiovascular Nursing, Vol. 25, No. 2, pg. 130 – 141, Estados Unidos, 2010. Consultado: Octubre 29 de 2011. Daily practices and decisions on them, made by a person, family or group to take care of their own health. TOBON, Ofelia. El auto cuidado una habilidad para vivir. Departamento de enfermería. Universidad del Caldas. Disponible en línea: http://promocionsalud.ucaldas.edu.co/downloads/Revista%208_5.pdf Consultado: 28 Octubre 2011.

5 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | PROBLEM DESCRIPTION SELF-CARE The professional nurse should encourage the patient to make changes and adjustments in his lifestyle, for better control of the disease. Motivation: the probability that a person begins and continue adhering to a determined strategy and therefore to the treatment. PORTILLO, Mónica. Intervención terapéutica desde la entrevista motivacional. La entrevista motivacional en las mujeres consumidoras de cannabis. III jornadas nacionales de patología dual y género. Clínica-UCA Hospital Universitario de la Ribera, Madrid, España, Diciembre 2007. Disponible en línea: http://www.patologiadual.es/genero09/cdrom/html/docs/ponencias/m_portillo.pdf Consultada: 23 mayo 2011. autocuidado medio, es decir, que no lleva a cabo todas las indicaciones y acciones dadas por el profesional de salud., RIEGEL, Barbara. Et. al. A motivational Counseling approach to improving Heart Failure Self-Care, Journal of Cardiovascular Nursing, Vol. 21, No. 3, pg. 232 – 241, 2007, Estados Unidos. Consultado: Octubre 10 de 2011.

6 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | (…) A client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence FLÓREZ-ALARCÓN, Luis. Et Al. Entrevista motivacional como herramienta para el fomento de cambios en el estilo de vida de personas con enfermedad crónicas no trasmisibles. Avances en psicología latinoamericana. Julio-Diciembre. Volumen 25. Universidad del Rosario. Bogotá, Colombia. 2007. Referencia a Casals. MILLER, William. ROLLNICK, Stephen. ¿Qué es la entrevista motivacional?. En: Revista de toxicomanías, Reino Unido, 1996. no. 6. Disponible en línea: http://www.cat-barcelona.com/pdfret/RET06- 1.pdf. Consultado el 18 de Octubre de 2011. MOTIVATIONAL INTERVIEWING 1. Create patient motivation for changing 2. Strengthen the compromise for change

7 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | PROBLEM STATEMENT ¿What is the effectiveness of Motivational Interviewing as nursing intervention to promote self-care in patients with Heart Failure at a fourth level institution in Bogotá between January and May of 2012?

8 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |JUSTIFICATION Patient Empowerment, decision making and generation of new changes. Decrease hospitalizations rate and/or complications. Professional nurse New intervention: MI Improve quality of nursing care. Fourth level institution - Added – Value (plus) - Future

9 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |OBJECTIVES Determine whether motivational interviewing, as a nursing intervention, is effective to promote self-care in patients with heart failure at a fourth level institution in Bogota between January and May of 2012. General

10 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |OBJECTIVES Determine socio-demographic characteristics of the patients with HF in a fourth level institution during the period between January to May of 2012. Determine seeking help to respond rising or exacerbation of symptoms of HF before and after implementation of MI, at a fourth level institution during the period between January to May of 2012. Specific

11 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |OBJECTIVES Determine adaptation activities and behavior to limitations imposed by the disease before and after implementation of MI, in patients with HF at a fourth level institution during the period between January to May of 2012. Determine compliance to treatment regimen before and after implementation of MI in patients with HF at a fourth level institution between the period between January to May of 2012. Specifics Compare levels of self-care before and after implementation of MI in patients with HF at a fourth level institution during the period between January to May of 2012.

12 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |METHODOLOGY Design Quasi-experimental with a unique group. Independent variable: Motivational Interviewing Dependent variable: Self-care Population For this study population corresponded to 48 hospitalized patients at a fourth level institution in Bogota with HF diagnosis during the period between February and March of 2012. Sample size Statistical power 80% and risk of error 0.05 = 25 patients 4 process not culminated = 21 patients Sampling Probabilistic simple random sampling.

13 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | INCLUSION CRITERIA Men and woman with HF diagnosis functional class I, II and III hospitalized in a fourth level institution in Bogota. People capable of understanding, adequate mindset and alphabetized. People residing in Bogotá and had telephone service. Men and woman with HF diagnosis functional class IV, or whom can not achieve their self-care. People incapable to respond and participate in the study. EXCLUSION CRITERIA

14 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | Nohelia Hewitt Dean School of Psychology Victoria V. Dickson, PhD, CRNP Brookdale Leadership in Aging Fellow New York University

15 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |PROCEDURE 11 M.I. 22

16 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | INSTRUMENT European Heart Failure Self-Care Behavior Scale (EHFScBS) 6 item: therapeutic regimen compliance 4 item: seeking help to respond rising or exacerbation of symptoms 2 item: adaptation activities and behavior to limitations imposed by the disease Validated in 442 patients Cronbach Alpha of 0,81. GONZALEZ, Beatriz. Et Al. Aplicación de la escala europea de autocuidado en insuficiencia cardíaca (EHFScBS) en una unidad de insuficiencia cardíaca en España. Revista Española de Cardiología. 2006. Vol. 59, N° 2. Pags: 166-170. YU, Doris; et. Al. Psychometric properties of the Chinese version of the European Heart Failure Self-care Behaviour Scale, International Jpurnal of Nursing, Studies 48, 2011. Disponible en línea: http://www.ncbi.nlm.nih.gov/pubmed/20970800. Consultado: Octubre 7 de 2011. Pg. 458 - 467.

17 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |

18 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |RESULTS Figure 1. Socio-demographic characteristics of patients with Heart Failure featured by age Fuente: Test de información de características sociodemográficas en pacientes con insuficiencia cardíaca en una institución de cuarto nivel en Bogotá, 2012. Figure 2. Socio-demographic characteristics of patients with Heart Failure featured by gender.

19 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |RESULTS Fuente: Test de información de características sociodemográficas en pacientes con insuficiencia cardíaca en una institución de cuarto nivel en Bogotá, 2012. Figure 4. Socio-demographic characteristics of patients with Heart Failure featured by socioeconomic stratum Figure 3. Socio-demographic characteristics of patients with Heart Failure featured by marital status

20 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |RESULTS Fuente: Test de información de características sociodemográficas en pacientes con insuficiencia cardíaca en una institución de cuarto nivel en Bogotá, 2012. Figure 5. Socio-demographic characteristics of patients with Heart Failure featured by support network Figure 6. Socio-demographic characteristics of patients with Heart Failure featured by level of education

21 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |RESULTS Fuente: Test de información de características sociodemográficas en pacientes con insuficiencia cardíaca en una institución de cuarto nivel en Bogotá, 2012. Figure 7. Socio-demographic characteristics of patients with Heart Failure featured by education received prior to the intervention

22 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |RESULTS Table 1. Therapeutic regimen compliance results in patients with Heart Failure Fuente: Resultados Escala Europea de Autocuidado aplicada a pacientes con insuficiencia cardíaca en una institución de cuarto nivel en Bogotá, 2012. Always Sometimes Every once in a while Rarely Never Always Sometimes Every once in a while Rarely Never

23 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |RESULTS Table 2. Ability to adjust to sickness in patients with HF. Fuente: Resultados Escala Europea de Autocuidado aplicada a pacientes con insuficiencia cardíaca en una institución de cuarto nivel en Bogotá, 2012. Always Sometimes Every once in a while Rarely Never Always Sometimes Every once in a while Rarely Never

24 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |RESULTS Table 3. Seeking help to respond rising or exacerbation of symptoms in patients with HF Fuente: Resultados Escala Europea de Autocuidado aplicada a pacientes con insuficiencia cardíaca en una institución de cuarto nivel en Bogotá, 2012. Always Sometimes Every once in a while Rarely Never Always Sometimes Every once in a while Rarely Never

25 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | INFERENCIAL RESULTS Fuente: Resultados Escala Europea de Autocuidado aplicada a pacientes con insuficiencia cardíaca en una institución de cuarto nivel en Bogotá, 2012. Table 5. Compared self-care levels results before and after implementation of Motivational Interviewing

26 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | Stating that 0.0207 < 0.05 is possible to reject the null hypothesis and conclude that Motivational Interviewing as a nursing intervention to promote self-care in patients with Heart Failure in a fourth level hospital, in Bogotá, is effective. The support network was considered as a protective factor when promoting self-care in patients with Heart Failure, as well as the family support to help strengthen practices.

27 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com | Professional nurses can use MI to promote self-care in patients with this disease, because, while intrinsic motivation occurs, the person is able to generate changes in behaviors unfavorable for his/her health. Further research on MI implementation in a longer time tracking to assess the effectiveness on the intervention over time.

28 P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |


Descargar ppt "P: 555.123.4568 F: 555.123.4567 123 West Main Street, New York, NY 10001 www.rightcare.com |"

Presentaciones similares


Anuncios Google