Diseño, validación e implementación de una intervención personalizada para mejorar la adherencia terapéutica en el adulto con hipertensión arterial
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ene 19, 2023
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Resumen
Objetivo: Describir el proceso de diseño, validación e implementación de una intervención de enfermería personalizada para mejorar la adherencia terapéutica en adultos con hipertensión arterial. Método: Estudio para el desarrollo de intervenciones según la propuesta de Sidani & Braden, que contempla el diseño de la intervención, la operacionalización en un manual de intervención y el estudio piloto. Resultados: La intervención sustentada en los postulados de la teoría salutogenica fue organizada en 4 sesiones, una semanal de 20 minutos de duración cada una, entregadas cara a cara y por teléfono. Los expertos (n=5) evaluaron la fidelidad teórica con una relevancia del 96%, viabilidad del 94% y claridad del 98%. Conclusión: Seguir las recomendaciones de Sidani & Braden permitió el diseño de una intervención, con adecuado rigor metodológico, fundamentada en el uso de una teoría y de la evidencia científica que demuestra la fidelidad teórica y viabilidad de la intervención para mejorar la adherencia terapéutica en adultos con hipertensión arterial.
Keywords
therapeutic adherence, hypertension, intervention, health educationadesão terapêutica, hipertensão, intervenção, educação saudáveladherencia terapéutica, hipertensión, intervención, educación en salud (fuente: decs bireme)
References
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25. Conn V, Rantz M, Wipke-Tevis D, Maas M. Designing effective nursing interventions. Res Nurs Heal. 2001;Oct;24(5):433–42.
26. Whittemore R, Grey M. The systematic development of nursing interventions. J Nurs Sch. 2002;34(2):115–20.
27. van Meijel B, Gamel C, van Swieten-Duijfjes, B Grypdonck M. The development of evidence-based nursing interventions: methodological considerations. J Adv Nurs. 2004;Oct; 48(1):84–92.
28. Campbell M, Fitzpatrick R, Haines A, Louise K A, Sandercock P, Spiegelhalter D, et al. Framework for design and evaluation of complex interventions to improve health. Br Med J. 2000;321(7262):694–6.
29. Corry M, Clarke M, While AE, Lalolr J. Developing complex interventions for nursing: a critical review of key guidelines. J Clin Nurs. 2013;Sep;22(17–18):2366–86.
30. Craig P, Dieppe P, Macintyre S, Mitchie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: The new Medical Research Council guidance. Bmj. 2008;337:a1655.
2. GBD 2017 Risk Factor. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Stu. Lancet. 2018;Nov 10;392((10159)):1923–94.
3. Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, et al. Global Disparities of Hypertension Prevalence and Control: A Systematic Analysis of Population-based Studies from 90 Countries. Circulation. 2016;134(6):441–50.
4. Hill M, Miller N, Degeest S, Materson B, Black H, Izzo JJ, et al. Adherence and persistence with taking medication to control high blood pressure. J Am Soc Hypertens. 2011;5(1):56–63.
5. World Health Organization. Adherence to Long-Term Therapies. Evidence for action. [Internet]. 1st ed. WHO, editor. Geneva, Switzerland: World Health Organization; 2003. p. 209. Available from: http://apps.who.int/medicinedocs/pdf/s4883e/s4883e.pdf
6. Moons P, Norekval TM. Why some people do well and others don’t. The role of sense of coherence in disease adaptation. Eur J Cardiovasc Nurs. 2018;17(8):672–4.
7. Conn VS, Ruppar TM, Chase JD, Enriquez M, Cooper PS. Interventions to Improve Medication Adherence in Hypertensive Patients: Systematic Review and Meta-analysis. Curr Hypertens Rep. 2015;17(12:94).
8. Nieuwlaat R, Wilczynski N, Navarro T, Hobson N, Jeffery R, Keepanasseril A, et al. Interventions for enhancing medication adherence. Cochrane Database. 2014;20(11).
9. Kuntz JL, Safford MM, Singh JA, Phansalkar S, Slight SP, Her QL, et al. Patient-centered interventions to improve medication management and adherence: A qualitative review of research findings. Patient Educ Couns. 2014;97(3):310–26.
10. Esquivel N, Díaz LP, Cañon-Montañez W. Tailored interventions in people with cardiovascular disease: towards a nursing approach for individualized care. Rev Cuid. 2019;10(3):1–4.
11. Sidani S. Health Intervention Research. Understanding Research Design & Methods. United Kingdom: SAGE; 2015. 247 p.
12. Mittelmark MB, Sagy S, Eriksson M, Bauer GF, Pelikan JM, Lindström B, et al. The Handbook of Salutogenesis. 1st ed. Springer; 2016.
13. Esquivel N, Díaz L. Salutogénesis y salud cardiovascular en adultos: scoping review. Texto Context Enferm. 2020;29:1–15.
14. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5).
15. Esquivel N, Díaz LP. Validity and Reliability of the Treatment Adherence Questionnaire for Patients with Hypertension. Investig y Educ en enfermería. 2019;37(3):99–112.
16. Antonovsky A. Unraveling the mystery of health: How people manage stress and stay well. 1st ed. Jossey-Bass., editor. 1987. 238 p.
17. Gwadry-Sridhar FH, Manias E, Lal L, Salas M, Hughes DA, Ratzki-Leewing A, et al. Impact of interventions on medication adherence and blood pressure control in patients with essential hypertension: A systematic review by the ISPOR medication adherence and persistence special interest group. Value Heal [Internet]. 2013;16(5):863–71. Available from: http://dx.doi.org/10.1016/j.jval.2013.03.1631
18. Morrissey EC, Durand H, Nieuwlaat R, Navarro T, Haynes RB, Walsh JC, et al. Effectiveness and content analysis of interventions to enhance medication adherence and blood pressure control in hypertension: A systematic review and meta-analysis. Psychol Heal. 2017;32(10):1195–232.
19. Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348(g1687).
20. Bauer GF, Roy M, Bakibinga P, Contu P, Downe S, Eriksson M, et al. Future directions for the concept of salutogenesis: a position article. Health Promot Int. 2019;1–9.
21. Drevenhorn E. A Proposed Middle-Range Theory of Nursing in Hypertension Care. Int J Hypertens. 2018;2018.
22. Lu Z, Cao S, Chai Y, Liang Y, Bachmann M, Suhrcke M, et al. Effectiveness of interventions for hypertension care in the community a meta-analysis of controlled studies in China. BMC Health Serv Res. 2012;12:2–12.
23. Younas, A, Quennell S. Usefulness of nursing theory-guided practice: an integrative review. Scand J Caring Sci. 2019;33(3):540–55.
24. Friedman L, Furberg C, DeMets D, Reboussin D, Granger C. Fundamentals of clinical trials. Springer, editor. 2015.
25. Conn V, Rantz M, Wipke-Tevis D, Maas M. Designing effective nursing interventions. Res Nurs Heal. 2001;Oct;24(5):433–42.
26. Whittemore R, Grey M. The systematic development of nursing interventions. J Nurs Sch. 2002;34(2):115–20.
27. van Meijel B, Gamel C, van Swieten-Duijfjes, B Grypdonck M. The development of evidence-based nursing interventions: methodological considerations. J Adv Nurs. 2004;Oct; 48(1):84–92.
28. Campbell M, Fitzpatrick R, Haines A, Louise K A, Sandercock P, Spiegelhalter D, et al. Framework for design and evaluation of complex interventions to improve health. Br Med J. 2000;321(7262):694–6.
29. Corry M, Clarke M, While AE, Lalolr J. Developing complex interventions for nursing: a critical review of key guidelines. J Clin Nurs. 2013;Sep;22(17–18):2366–86.
30. Craig P, Dieppe P, Macintyre S, Mitchie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: The new Medical Research Council guidance. Bmj. 2008;337:a1655.
Cómo citar
Esquivel Garzón, N., Cañon Montañez, W., & Rodríguez Acelas, A. L. (2023). Diseño, validación e implementación de una intervención personalizada para mejorar la adherencia terapéutica en el adulto con hipertensión arterial. Investigación En Enfermería: Imagen Y Desarrollo, 25. https://doi.org/10.11144/Javeriana.ie25.dvii
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