Article

Aplicación de la escala europea de autocuidado en insuficiencia cardíaca (EHFScBS) en una unidad de insuficiencia cardíaca en España

Unidad de Insuficiencia Cardíaca. Hospital Universitari Germans Trias i Pujol. Badalona. Barcelona. España
Revista Espa de Cardiologia (Impact Factor: 3.34). 02/2006; DOI: 10.1157/13084645
Source: OAI

ABSTRACT El autocuidado es importante para los pacientes con insuficiencia cardíaca. La European Heart Failure Self-care Behaviour Scale o escala europea de autocuidado en insuficiencia cardíaca ha sido recientemente desarrollada para evaluar el autocuidado de los pacientes. Evaluamos a 335 pacientes con la versión española de la escala y analizamos si el autocuidado se relacionaba con la edad, el sexo, la etiología y el tiempo de seguimiento en la unidad. La puntuación en la escala es de 12 a 60, y los valores inferiores son los que indican un mejor autocuidado. La media de la puntuación obtenida fue de 24,2 ± 7,7. No hubo correlación estadística entre los resultados y los parámetros analizados, excepto para el tiempo de seguimiento en la unidad (r = ­0,37; p < 0,001). La puntuación fue 28,1 ± 1,9 en los pacientes evaluados en la primera visita; 23,1 ± 6,1 a los 3 meses; 24,1 ± 6,6 a los 6 meses; 23,3 ± 8,2 a los 9 meses; 22,8 ± 7,3 a los 12 meses y, finalmente, 20,0 ± 5,5 en los pacientes evaluados 15 meses después de la primera visita en la unidad.

1 Bookmark
 · 
183 Views
  • Source
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Improved self-care is the goal of many heart failure (HF) management programmes. The 12-item European Heart Failure Self-Care Behaviour Scale (EHFScB scale) was developed and tested to measure patient self-care behaviours. It is now available in 14 languages. The aim of this study was to further determine reliability and validity of the EHFScB scale. Data from 2592 HF patients (mean age 73 years, 63% male) from six countries were analysed. Internal consistency was determined by Cronbach's alpha. Validity was established by (1) interviews with HF experts and with HF patients; (2) item analysis; (3) confirmatory factor analysis; and (4) analysing the relationship between the EHFScB scale and scales measuring quality of life and adherence. Internal consistency of the 12-item scale was 0.77 (0.71-0.85). After factor analyses and critical evaluation of both psychometric properties and content of separate items, a nine-item version was further evaluated. The reliability estimates for the total nine-item scale (EHFScB-9) was satisfactory (0.80) and Cronbach's alpha varied between 0.68 and 0.87 in the different countries. One reliable subscale was defined (consulting behaviour) with a Cronbach's alpha of 0.85. The EHFScB-9 measures a different construct than quality of life (r = 0.18) and adherence (r = 0.37). The 12-item EHFScB scale was revised into the nine-item EHFScB-9, which can be used as an internally consistent and valid instrument to measure HF-related self-care behaviour.
    European Journal of Heart Failure 02/2009; 11(1):99-105. DOI:10.1093/eurjhf/hfn007 · 6.58 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Introduction This study examined the association of self-care behavior and patients’ knowledge about self-care with rehospitalization among older adults with heart failure (HF). Methods Case-control comparison (116 cases and 209 controls) nested in a prospective cohort of patients aged 65 years and older admitted for HF at 4 Spanish hospitals. Cases were patients experiencing a first emergency rehospitalization in the 6 months following the index hospital admission. Controls were patients who did not undergo a rehospitalization during such time-period. Results The number of self-care behaviors was inversely associated with the frequency of readmission (p for linear trend: 0.006). Compared with patients showing the appropriate self-care behavior, hospital readmission was more frequent among those who did no go for a walk daily or did not engage in any daily physical activity (hazard ratio [HR] 1.55; 95% confidence limits [CL] 1.04-2.29), and among those who did not keep their medical appointments (HR 1.82; 95% CL 1.10-3.02). Hospital readmission was also more frequent among patients who: failed to take their medication at the scheduled time (HR 2.07; 95% CL 1.15-3.72); stopped taking their medication when it disagreed with them (HR 1.76; 95% CL 1.08-2.85); and failed to adhere to their drug treatment (HR 1.96; 95% CL 1.29-2.98). Furthermore, the fewer the number of behaviors which patients knew to be required for self-care, the greater the frequency of rehospitalization (p for linear trend:0.029). Conclusions A lower degree of self-care and of patients’ knowledge about self-care predicted a higher risk of hospital readmission.
    Revista Clínica Española 06/2008; 208(6):269-275. DOI:10.1157/13123185 · 1.31 Impact Factor

Full-text (2 Sources)

Download
301 Downloads
Available from
May 30, 2014