ABSTRACT
BACKGROUND: Heart failure demands self-care skills and behaviors that can be negatively impacted by a low level of perceived control (PC), a belief about having the necessary resources to deal with negative events. Having valid and reliable instruments to measure PC is important to support interventions that improve self-care and related outcomes. The Control Attitudes Scale-Revised (CAS-R) was developed in the United States to measure PC in cardiac conditions. In Brazil, there are no instruments available to measure this construct. OBJECTIVE: The aims of this study were to translate and adapt the CAS-R to the Brazilian population and to assess the content validity of the adapted version. METHODS: The CAS-R was translated, back-translated, and assessed by an expert committee for linguistic equivalences. An agreement > 80% was considered adequate. Content validity (clarity, theoretical relevance, and practical pertinence) was assessed by both an expert professional panel (n = 6-8) and a panel of patients with heart failure (n = 40). A content validity coefficient > 0.70 was considered acceptable. RESULTS: The translations to Brazilian Portuguese were considered consistent with the original CAS-R. In the third round of linguistic equivalence assessment, all items achieved acceptable agreement, except for 2 items. After modifications to the instrument to achieve adequate equivalences, the adapted version had a final content validity coefficient of 0.93. Most patients were able to understand the instrument. CONCLUSIONS: The CAS-R-Brazilian version is equivalent to the original CAS-R and has satisfactory evidence of content validity. Additional psychometric testing will be performed to allow for the assessment of PC in individuals with heart failure in Brazil.
ABSTRACT
OBJECTIVE: To assess levels of medication adherence to antiplatelet and statins therapy among acute coronary syndrome (ACS) patients 30 days after hospital discharge and identify the main barriers to medication adherence and the main sociodemographic and clinical variables associated with treatment adherence. METHOD: This was a quantitative longitudinal study. Patients admitted to hospital with ACS were included. Initially, data collection was conducted using a semi-structured interview during the hospital stay. Thirty days after hospital discharge, the Brief Medication Questionnaire was applied by phone to assess treatment adherence. Descriptive statistics were used and tests were applied to analyze the association between medication adherence and clinical and sociodemographic data. RESULTS: One hundred and sixty-two patients were assessed. The Brief Medication Questionnaire test showed that 49.3% presented probable low adherence to treatment. Marital status, household income and alcohol intake showed an association with medication adherence. CONCLUSIONS: The findings of the present study indicate high rates of probable nonadherence to medication among ACS patients 30 days after hospital discharge, this information could help nurses to choose specific nursing interventions that could improve adherence in patients' daily routines.
Subject(s)
Acute Coronary Syndrome , Hydroxymethylglutaryl-CoA Reductase Inhibitors , Acute Coronary Syndrome/drug therapy , Humans , Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use , Longitudinal Studies , Medication Adherence , Patient DischargeABSTRACT
Objetivo: Evaluar los niveles de adherencia a la terapia antiplaquetaria y a las estatinas por pacientes con síndrome coronario agudo (SCA) a los 30 días tras el alta hospitalaria e identificar las principales barreras y las principales variables sociodemográficas y clínicas asociadas con la adherencia al tratamiento.Método:Estudio longitudinal cuantitativo. Se incluyó a pacientes ingresados en un hospital con SCA. Inicialmente, la recolección de datos se realizó mediante una entrevista semiestructurada durante la estancia hospitalaria. A los 30 días tras el alta hospitalaria se aplicó el Brief Medication Questionnarie por teléfono, para evaluar la adherencia al tratamiento. Se utilizó estadística descriptiva y se aplicaron pruebas para analizar la asociación entre la adherencia a la medicación y los datos clínicos y sociodemográficos.Resultados: Ciento sesenta y dos pacientes fueron evaluados. El Brief Medication Questionnarie mostró que el 49,3% presentaba probable baja adherencia al tratamiento. El estado civil, el ingreso familiar y el consumo de alcohol tuvieron asociación con la adherencia a la medicación.Conclusiones: Los hallazgos del presente estudio indican altas tasas de probable falta de adherencia a la medicación por los pacientes con SCA a los 30 días tras el alta hospitalaria. Esta información podría ayudar a las enfermeras a elegir intervenciones específicas que puedan mejorar la adherencia en las rutinas diarias del paciente.
Objective: To assess levels of medication adherence to antiplatelet and statins therapy among acute coronary syndrome (ACS) patients 30 days after hospital discharge and identify the main barriers to medication adherence and the main sociodemographic and clinical variables associated with treatment adherence.Method: This was a quantitative longitudinal study. Patients admitted to hospital with ACS were included. Initially, data collection was conducted using a semi-structured interview during the hospital stay. Thirty days after hospital discharge, the Brief Medication Questionnaire was applied by phone to assess treatment adherence. Descriptive statistics were used and tests were applied to analyze the association between medication adherence and clinical and sociodemographic data.Results: One hundred and sixty-two patients were assessed. The Brief Medication Questionnaire test showed that 49.3% presented probable low adherence to treatment. Marital status, household income and alcohol intake showed an association with medication adherence.Conclusions: The findings of the present study indicate high rates of probable nonadherence to medication among ACS patients 30 days after hospital discharge, this information could help nurses to choose specific nursing interventions that could improve adherence in patients daily routines.
Subject(s)
Humans , Hydroxymethylglutaryl-CoA Reductase Inhibitors , Acute Coronary Syndrome , Drug Therapy , Patient Discharge , Treatment Adherence and Compliance , Nursing , Nurse's Role , Nurses , Cardiovascular Diseases , Therapeutics/adverse effectsABSTRACT
BACKGROUND: In Brazil, there are no instruments available to measure the presence, frequency, severity and distress related to heart failure (HF) symptoms. AIMS: To adapt the Symptom Status Questionnaire - HF (SSQ-HF) into Brazilian Portuguese and to examine the content validity of the adapted version. METHODS: The instrument was translated, back-translated and evaluated by an expert committee for semantic, idiomatic, cultural, and conceptual equivalences. An agreement ≥80% was considered adequate. The adapted version was evaluated by both an expert committee (n = 9) for clarity, theoretical relevance and practical relevance (acceptable content validity coefficient (CVC): ≥0.70), and by a patient committee regarding understanding (n = 40). RESULTS: The adapted version obtained 100% agreement regarding the equivalences. The total instrument CVC was 0.99. All patients understood the items. CONCLUSION: The SSQ-HF-Brazilian version has satisfactory evidence of equivalence and content validity. Additional psychometric tests are deemed to confirm that the instrument can be used in Brazil.
Subject(s)
Cross-Cultural Comparison , Heart Failure , Brazil , Heart Failure/diagnosis , Humans , Psychometrics , Reproducibility of Results , Surveys and Questionnaires , TranslationsABSTRACT
OBJECTIVE: To assess levels of medication adherence to antiplatelet and statins therapy among acute coronary syndrome (ACS) patients 30 days after hospital discharge and identify the main barriers to medication adherence and the main sociodemographic and clinical variables associated with treatment adherence. METHOD: This was a quantitative longitudinal study. Patients admitted to hospital with ACS were included. Initially, data collection was conducted using a semi-structured interview during the hospital stay. Thirty days after hospital discharge, the Brief Medication Questionnaire was applied by phone to assess treatment adherence. Descriptive statistics were used and tests were applied to analyze the association between medication adherence and clinical and sociodemographic data. RESULTS: One hundred and sixty-two patients were assessed. The Brief Medication Questionnaire test showed that 49.3% presented probable low adherence to treatment. Marital status, household income and alcohol intake showed an association with medication adherence. CONCLUSIONS: The findings of the present study indicate high rates of probable nonadherence to medication among ACS patients 30 days after hospital discharge, this information could help nurses to choose specific nursing interventions that could improve adherence in patients' daily routines.
ABSTRACT
PURPOSE: To identify the prevalence of Sedentary Lifestyle (SL) and associations between its defining characteristics (DC) and related factors (RF) in patients with acute coronary syndrome (ACS). DATA SOURCES: 123 patients with ACS were assessed for SL through the International Physical Activity Questionnaire. Associations between DC and RF was investigated by Pearson's Chi square and Fisher's exact test. DATA SYNTHESIS: 56.1% had SL. Insufficient motivation and Insufficient resources for physical activity were associated with two DC. CONCLUSION: SL was frequent and there were associations between RF and DC. IMPLICATIONS FOR NURSING PRACTICE: Multi-professional interventions should aim at motivating patients to adopt physical activities.
Subject(s)
Acute Coronary Syndrome/nursing , Nursing Diagnosis , Sedentary Behavior , Acute Coronary Syndrome/physiopathology , Adult , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , PrevalenceABSTRACT
OBJECTIVE: To construct conceptual and operational definitions for the defining characteristics (DCs) and related factors (RFs) of the nursing diagnosis (ND) ineffective health management for people with chronic heart failure. METHOD: Conceptual and operational definitions for the DC and RF were based on studies found in an integrative literature review in the databases Latin American Literature in Health Sciences, Cumulative Index to Nursing and Allied Health Literature, and MEDLINE by using the key words Nursing diagnosis, Heart Failure, and Patient Cooperation in different combinations. RESULTS: Conceptual and operational definitions for all the DCs and RFs were constructed. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The definitions will facilitate in the identification of ND in clinical practice in patients with heart failure, future research on ND validation, and education in undergraduate courses.
