Examinando por Autor "Talavera-Saez, Ana"

Mostrando 1 - 2 de 2

Compliance Behaviour After a Coronary Ischaemic Event:A Quasi-Experimental Study of Adherence to a ProtocolisedFollow-Up in Primary Care
(MDPI, 2024-12-19) Lizcano-Álvarez, Angel; Carretero-Julián, Laura; Talavera-Saez, Ana; Alameda-Cuesta, Almudena; Rodríguez-Vázquez, Rocío; Cristóbal-Zárate, Beatriz; Cid-Expósito, María-Gema; en behalf of the REccAP Group, (Cardiovascular CareNursing Network in Primary Care)
Following a coronary ischaemic event, it is essential to promote empowerment in self-care decision making. Primary care nursing is crucial for intensive follow-up to promote adherence to the therapeutic regimen. Objective: To ascertain whether adherence to a protocolised follow-up programme, with the support of a patient notebook, improves compliance behaviours in terms of physical activity, prescribed diet and medication. This is a quasi-experimental multicentre pre/post study. Population: Individuals aged 40–70 years, diagnosed with cardiac ischaemia in the last 18 months with a follow-up from March 2017 to January 2019, were included in a protocolised followup programme consisting of 11 visits over 12 months. A total of 194 patients started the programme and 132 completed it. Of these, 67.4% exhibited good adherence to follow-up, 31.8% exhibited medium adherence, and 0.8% exhibited poor adherence. Therefore, the patients were recoded into two variables: Medium–Low Adherence and High. The Nursing Outcomes Classification variables were significantly different between the Poor–Medium and Good Adherence groups and were always higher in the Good Adherence group (p-values < 0.05 t-student). There was a significant relationship between level of adherence and compliance behaviour. Good adherence to a follow-up plan led by primary care nurses improves compliance behaviours in terms of prescribed diet, physical activity, and medication. Early, intensive and protocolised follow-up by primary care nurses is essential to improve adherence to the therapeutic regimen and compliance behaviour among individuals with cardiac ischaemia. The use of a cardiovascular self-care notebook promotes adherence.
Intensive nurse-led follow-up in primary care to improve self-management and compliance behaviour after myocardial infarction
(Wiley, 2023-08-01) Lizcano-Álvarez, Ángel; Carretero-Julián, Laura; Talavera-Saez, Ana; Cristóbal.Zárate, Beatriz; Cid-Expósito, María-Gema; Alameda-Cuesta, Almudena
Abstract Aims and objectives To assess the effects of intensive follow-up by primary care nurses on cardiovascular disease self-management and compliance behaviours in post-myocardial infarction patients. Background Although cardiovascular disease prevention and cardiac rehabilitation take place in hospital settings, a nurse-led approach is necessary in primary care during the first few months after a myocardial infarction. Therefore, it is important to assess self-management of cardiovascular disease and levels of compliance with the prescribed diet, physical activity, and medication. To facilitate patients’ self-efficacy, the use of health education tools such as a heart-healthy self-care notebook can be helpful. Design The study used a multicentre, quasi-experimental, pre-post design without a control group. Methods Patients with acute coronary syndrome from 40 healthcare facilities were included in the study. A total of 212 patients and 59 nurses participated in a programme including 11 interventions during the first 12-18 months after myocardial infarction. The following Nursing Outcomes Classification outcomes were assessed at baseline and at the end of the intervention: Self-management: Cardiac Disease (1617) and Compliance Behaviour: Prescribed Diet (1622), Compliance Behaviour: Prescribed Activity (1632), and Compliance Behaviour: Prescribed Medication (1623). Marjory Gordon’s functional health patterns and a self-care notebook were used in each intervention. Pre-post intervention means were compared using Student’s t-tests for related samples. The results of the study are reported in compliance with the TREND Statement. Results A total of 132 patients completed the intervention. Significant improvement in compliance with diet, physical activity, and prescribed medication was observed at pre-post follow-up, as well as in most indicators in the Self-management: Cardiac Disease outcome. Conclusion Intensive, immediate follow-up after myocardial infarction improves compliance behaviours and self-management of heart disease. A combined self-care and family care approach should be encouraged to empower post-myocardial infarction patients.