• Atencion primaria · Dec 2024

    [Self-care education during Cardiac Rehabilitation programs for patients with Heart Failure with preserved Ejection Fraction: a Delphi Study].

    • Celia García-Conejo, Cristina Roldán-Jiménez, Laura Ramirez-Pérez, Estíbaliz Díaz-Balboa, and Antonio Cuesta-Vargas.
    • Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Málaga Málaga, España; Grupo de Investigación Clinimetría F14, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010 Málaga, España.
    • Aten Primaria. 2024 Dec 1; 56 (12): 103030103030.

    ObjectivesTo develop a decalogue of self-care competencies to manage educational intervention during Cardiac Rehabilitation (CR) programs in Heart Failure with preserved Ejection Fraction (HFpEF) patients through multidisciplinary consensus.Design3-round e-Delphi study using an initial questionnaire of 23 competencies based on the main recommendations of the CR and self-care guidelines. SITE: It was framed under the ethics of a randomised clinical trial developed at the Regional Hospital of Malaga. The survey was designed and disseminated as an online questionnaire.ParticipantsThe expert panel comprised two patients with HFpEF and 13 healthcare professionals from Internal Medicine (n=3), Cardiology (n=2), Physiotherapy (n=3), Nursing (n=3) and Occupational Therapy (n=2).MethodThe analysis of results included the content validity index, the percentage of agreement, and the concordance using Fleiss Kappa and Krippendorff's alpha.ResultsAfter the third round, 20 self-care competencies were identified, grouped into 12 domains, with sufficient consensus for their inclusion in the decalogue.ConclusionsThe decalogue of self-care competencies generated from the multidisciplinary consensus guides education in patients with HFpEF, systematically addressing educational content tailored to patients for clinical practice in CR programs.Copyright © 2024 The Authors. Publicado por Elsevier España S.L.U. All rights reserved.

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