2.50
Hdl Handle:
http://hdl.handle.net/10755/152973
Type:
Presentation
Title:
The Symptoms in Women with Acute Coronary Syndrome: A New Clinical Semiology
Abstract:
The Symptoms in Women with Acute Coronary Syndrome: A New Clinical Semiology
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Cespedes Cuevas, Viviana Marycel, PhD
P.I. Institution Name:Universidad Nacional de Colombia
Title:Assistant Professor
[2nd International Nursing Research Conference for the World Academy of Nursing Science - Presentation] Objective: To identify subgroups of women with acute coronary syndrome according to symptom management: perception, evaluation and response, on the basis of the Symptom Management Conceptual Model. Methodology: Quantitative, descriptive, and exploratory cross-sectional methodology. The sample was made up of 380 women positively diagnosed with Acute Coronary Syndrome, hospitalized in two institutions in the city of Bogota, Colombia. A measurement instrument was designed and validated.
Results: The final instrument was made up of 37 items that reported on content validity, scale validity, discriminant validity, and construct validity. A Cronbach's Alpha Coefficient of 0.76 was obtained, which guarantees homogeneity in the measurement according to the Maximum Validity-Maximum Reliability Model.  A total of 11 subgroups of women with acute coronary syndrome were identified, characterized by atypical coronary heart disease symptomatology, evaluation processes related to extracardiac causes, and inadequate symptom management strategies. It was possible to demonstrate that psychosocial factors, previous coronary heart disease and delays were variables that had a significant influence on the components of symptom experience. A proposal was presented aimed at the graphic representation of the "symptom experience" latent variable, in which the evaluation component prevails over the perception and response components.  Conclusions: The women with acute coronary syndrome, belonging to the 11 subgroups that were identified and studied, show atypicality. The instrument that was designed features a proven psychometric quality and is valid, reliable, and useful for clinical research and practice.  It also is imperative to transform the clinical practice throught  a new clinical semiology. Key Words: Measurement, cardiovascular nursing, women, symptom management.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Symptoms in Women with Acute Coronary Syndrome: A New Clinical Semiologyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152973-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Symptoms in Women with Acute Coronary Syndrome: A New Clinical Semiology</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cespedes Cuevas, Viviana Marycel, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Universidad Nacional de Colombia</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">vmcespedesc@gmail.com</td></tr><tr><td colspan="2" class="item-abstract">[2nd International Nursing Research Conference for the World Academy of Nursing Science - Presentation] Objective: To identify subgroups of women with acute coronary syndrome according to symptom management: perception, evaluation and response, on the basis of the Symptom Management Conceptual Model. Methodology: Quantitative, descriptive, and exploratory cross-sectional methodology. The sample was made up of 380 women positively diagnosed with Acute Coronary Syndrome, hospitalized in two institutions in the city of Bogota, Colombia. A measurement instrument was designed and validated. <br/>Results: The final instrument was made up of 37 items that reported on content validity, scale validity, discriminant validity, and construct validity. A Cronbach's Alpha Coefficient of 0.76 was obtained, which guarantees homogeneity in the measurement according to the Maximum Validity-Maximum Reliability Model.&nbsp; A total of 11 subgroups of women with acute coronary syndrome were identified, characterized by atypical coronary heart disease symptomatology, evaluation processes related to extracardiac causes, and inadequate symptom management strategies. It was possible to demonstrate that psychosocial factors, previous coronary heart disease and delays were variables that had a significant influence on the components of symptom experience. A proposal was presented aimed at the graphic representation of the &quot;symptom experience&quot; latent variable, in which the evaluation component prevails over the perception and response components.&nbsp; Conclusions: The women with acute coronary syndrome, belonging to the 11 subgroups that were identified and studied, show atypicality. The instrument that was designed features a proven psychometric quality and is valid, reliable, and useful for clinical research and practice.&nbsp; It also is imperative to transform the clinical practice throught &nbsp;a new clinical semiology. Key Words: Measurement, cardiovascular nursing, women, symptom management.</td></tr></table>en_GB
dc.date.available2011-10-26T11:57:17Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:57:17Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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