Caregiver Burden, Care Transitions, Discharge Plan, Heart Failure, Nursing
Conditions
Brief summary
According to the World Health Organization (WHO), by 2021 cardiovascular diseases (CVD) will be a public health problem, among them heart failure (HF), since this is a chronic disease, patients should be competent in their care. Despite the above, according to research conducted in Colombia, 59.7% of people with chronic noncommunicable diseases (NCDs) have a level of care competence considered not optimal; patients report not having sufficient knowledge of the disease or experience feelings of lack of tools for the management of symptoms and the challenges of post-hospitalization. The objective of the research is to determine the effect of the PLAN CUIDARTE on the caregiving competence of people with HF Methodology: Pre-posttest randomized clinical trial, with blinding of the participants, where the intervention PLAN CUIDARTE is applied and the initial and subsequent caregiving competence is evaluated in the comparison group and in the intervention group for pretest - posttest and between-group comparisons.
Detailed description
Eligibility Criteria: Inclusion criteria * Patients over 18 years of age with a diagnosis of HF. * Patients with HF who are hemodynamically stable. * Patients with SPMSQ - PFERFFER of 0 - 4 errors or 5 errors, patient who has not received primary education. * Patient with a PULSES of 6 to 11 Exclusion criteria * Patients with heart failure with heart transplantation scheduled in the next 6 months. * Patients requiring transfer to an intensive or intermediate care unit. Outcome Measures: * Primary: Caring competence. * Secondary: Satisfaction with care
Interventions
Description Plan Cuidarte
Description Conventional care
Sponsors
Study design
Intervention model description
A pre-post test Randomized Clinical Trial (RCT) is proposed with a comparison group, with blinding of the participants with blinding of the participants, with application of a pilot test beforehand. pilot test. The intervention group is established as the group that receives the PLAN CUIDARTE (intervention described later) and as a comparison group the one receiving the conventional discharge plan (described later)
Eligibility
Inclusion criteria
* Patients over 18 years of age who are hospitalized and admitted to the institution with a diagnosis of HF decompensation with a time of diagnosis greater than 6 months. * Patients who are hemodynamically stable, without alteration of the state of consciousness.
Exclusion criteria
* HF patients who are hospitalized for cardiac transplantation, * Who are under palliative management or who, at the time of discharge, have a formal * Who have a designated formal caregiver or are discharged to an institution other than home.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Care Competence | 30 days | capacity, ability and preparation of the patient or family caregiver to the patient or family caregiver to perform the task of caregiving(4), which is made up of the following five dimensions: knowledge five dimensions: knowledge, uniqueness, instrumental, enjoyment, anticipation and social relationship, uniqueness, instrumental, enjoyment, anticipation and social relationship. |
Countries
Colombia