García-Conejo Celia, Roldán-Jiménez Cristina, Ramirez-Pérez Laura, Díaz-Balboa Estíbaliz, Cuesta-Vargas Antonio
Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Málaga Málaga, España; Grupo de Investigación Clinimetría F14, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010 Málaga, España.
Grupo de Investigación Clinimetría F14, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010 Málaga, España; Departamento de Fisioterapia, Medicina y Ciencias Biomédicas, Facultad de Fisioterapia, Campus de Oza, Universidade da Coruña, Coruña, España; Grupo de Cardiología, Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Coruña, España.
Aten Primaria. 2024 Dec;56(12):103030. doi: 10.1016/j.aprim.2024.103030. Epub 2024 Jul 16.
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.
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.
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).
The analysis of results included the content validity index, the percentage of agreement, and the concordance using Fleiss Kappa and Krippendorff's alpha.
After the third round, 20 self-care competencies were identified, grouped into 12 domains, with sufficient consensus for their inclusion in the decalogue.
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.
通过多学科共识制定一份自我护理能力十诫，以管理射血分数保留的心力衰竭（HFpEF）患者心脏康复（CR）项目期间的教育干预。
采用三轮电子德尔菲研究，初始问卷基于CR和自我护理指南的主要建议列出23项能力。
该研究以马拉加地区医院开展的一项随机临床试验的伦理规范为框架。调查问卷设计为在线问卷并进行分发。
专家小组由两名HFpEF患者和13名医疗保健专业人员组成，后者来自内科（n = 3）、心脏病学（n = 2）、物理治疗（n = 3）、护理（n = 3）和职业治疗（n = 2）。
结果分析包括内容效度指数、一致率，以及使用Fleiss Kappa和Krippendorff's alpha的一致性分析。
在第三轮之后，确定了20项自我护理能力，分为12个领域，就将其纳入十诫达成了充分共识。
通过多学科共识产生的自我护理能力十诫为HFpEF患者的教育提供指导，系统地解决了CR项目临床实践中针对患者的教育内容。
