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Experiencia del síntoma en el Síndrome Coronario Agudo: comprobación de un modelo conceptual.

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Title: Experiencia del síntoma en el Síndrome Coronario Agudo: comprobación de un modelo conceptual.
Alternate Title: Symptom Experience in Acute Coronary Syndrome: Testing a Conceptual Model.
Experiência de sintomas nas Síndromes Coronarianas Agudas: verificação de um modelo conceitual.
Authors: Bernal Cárdenas, Carlos Yecid1 becarlos@javeriana.edu.co, Céspedes Cuevas, Viviana Marycel2, Rojas Reyes, Jennifer3
Source: Investigación en Enfermería: Imagen y Desarrollo. 2023, Vol. 25, p1-12. 12p.
Subjects: STRUCTURAL equation modeling, STATISTICS, RESEARCH, MATHEMATICAL models, ACUTE coronary syndrome, EXPERIENCE, SEVERITY of illness index, THEORY, DECISION making, DESCRIPTIVE statistics, STATISTICAL sampling, SOCIODEMOGRAPHIC factors, DATA analysis, STATISTICAL correlation, COGNITIVE testing, CARDIOVASCULAR disease nursing, DISEASE management, CONTROL (Psychology), MEDICAL education, SYMPTOMS
Abstract (English): Introduction: acute coronary syndrome (ACS) is characterized by different symptoms, so the experience varies from person to person. Dodd's Conceptual Model of Symptom Management addresses this aspect that requires testing within nursing practice. Objective: to test the postulates of the symptom experience dimension of Dodd's Conceptual Model of Symptom Management in persons with acute coronary syndrome. Methods: theoretical testing by means of structural equations. A total of 256 individuals with a diagnosis of acute coronary syndrome, selected by stratified probability sampling, participated. Clinical and sociodemographic data were collected, and symptom assessment and response were measured with five valid instruments. Statistical analysis was performed with absolute adjustment, incremental adjustment and parsimony adjustment from which a structural equation model was derived. Results: the bidirectional relationship between symptom severity (assessment) and decision making (symptom response) was tested. A model was formed that explains 44% of the variance on decision making. This variable is also influenced by other variables such as cognitive evaluation and personal control. Conclusion: this conceptual model allowed us to understand the dimension of symptom experience in patients with acute coronary syndrome, proving its postulates in practice. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: el síndrome coronario agudo (SCA) se caracteriza por diferentes síntomas, por lo cual la experiencia varía de persona a persona. El Modelo conceptual del manejo de los síntomas (MCMS) de Dodd aborda este aspecto que requiere ser comprobado dentro de la práctica de enfermería. Objetivo: comprobar los postulados de la dimensión de la experiencia de los síntomas del Modelo conceptual de Dodd en personas con síndrome coronario agudo. Métodos: comprobación teórica por medio de ecuaciones estructurales. Participaron 256 individuos con diagnóstico de síndrome coronario agudo, seleccionados por muestreo probabilístico estratificado. Se recolectaron datos clínicos, sociodemográficos y se midió la evaluación y respuesta a los síntomas con cinco instrumentos válidos. Se realizó un análisis estadístico con ajuste absoluto, ajuste incremental y ajuste de parsimonia del cual derivó un modelo de ecuaciones estructurales. Resultados: se comprobó la relación bidireccional entre la severidad del síntoma (evaluación) y la toma de decisiones (respuesta al síntoma). Se conformó un modelo que explica el 44 % de la varianza sobre la toma de decisiones. Sobre esta variable también influyen otras variables como la evaluación cognitiva y el control personal. Conclusión: este modelo conceptual permitió comprender la dimensión de la experiencia del síntoma en pacientes con síndrome coronario agudo, comprobando sus postulados en la práctica. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese): Introdução: Síndromes coronarianas agudas (SCA) caracterizam-se por diferentes sintomas, pelo que a experiência muda de pessoa para pessoa. O Modelo conceitual do manejo dos sintomas (MCMS) de Dodd aborda esse aspecto que precisa testes na prática de enfermagem. Objetivo: verificar os postulados da dimensão da experiência dos sintomas do Modelo conceitual de Dodd em pacientes com síndrome coronariana aguda. Métodos: verificação teórica por meio de equações estruturais. Participaram 256 indivíduos com diagnóstico de síndrome coronariana aguda, selecionados por amostragem probabilística estratificada. Dados clínicos e sociodemográficos foram coletados e a avaliação e resposta aos sintomas foi medida com cinco instrumentos válidos. Foi realizada análise estatística com ajuste absoluto, ajuste incremental e ajuste de parcimônia que derivou num modelo de equaciones estruturais. Resultados: verificou-se o relacionamento bidirecional entre a gravidade do sintoma (avaliação) e a tomada de decisão (resposta ao sintoma). Um modelo que explica 44% da variância sobre a tomada de decisão foi conformado. Sobre essa variável também influem outras variáveis como a avaliação cognitiva e o controlo pessoal. Conclusão: este modelo conceitual permitiu compreender a dimensão da experiência do sintoma em doentes com síndrome coronariana aguda, verificando seus postulados na prática. [ABSTRACT FROM AUTHOR]
Copyright of Investigación en Enfermería: Imagen y Desarrollo is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Experiencia del síntoma en el Síndrome Coronario Agudo: comprobación de un modelo conceptual.
– Name: TitleAlt
  Label: Alternate Title
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  Data: Symptom Experience in Acute Coronary Syndrome: Testing a Conceptual Model.<br />Experiência de sintomas nas Síndromes Coronarianas Agudas: verificação de um modelo conceitual.
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  Data: <searchLink fieldCode="AR" term="%22Bernal+Cárdenas%2C+Carlos+Yecid%22">Bernal Cárdenas, Carlos Yecid</searchLink><relatesTo>1</relatesTo><i> becarlos@javeriana.edu.co</i><br /><searchLink fieldCode="AR" term="%22Céspedes+Cuevas%2C+Viviana+Marycel%22">Céspedes Cuevas, Viviana Marycel</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Rojas+Reyes%2C+Jennifer%22">Rojas Reyes, Jennifer</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Investigación+en+Enfermería%3A+Imagen+y+Desarrollo%22">Investigación en Enfermería: Imagen y Desarrollo</searchLink>. 2023, Vol. 25, p1-12. 12p.
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  Data: <searchLink fieldCode="DE" term="%22STRUCTURAL+equation+modeling%22">STRUCTURAL equation modeling</searchLink><br /><searchLink fieldCode="DE" term="%22STATISTICS%22">STATISTICS</searchLink><br /><searchLink fieldCode="DE" term="%22RESEARCH%22">RESEARCH</searchLink><br /><searchLink fieldCode="DE" term="%22MATHEMATICAL+models%22">MATHEMATICAL models</searchLink><br /><searchLink fieldCode="DE" term="%22ACUTE+coronary+syndrome%22">ACUTE coronary syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22EXPERIENCE%22">EXPERIENCE</searchLink><br /><searchLink fieldCode="DE" term="%22SEVERITY+of+illness+index%22">SEVERITY of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22THEORY%22">THEORY</searchLink><br /><searchLink fieldCode="DE" term="%22DECISION+making%22">DECISION making</searchLink><br /><searchLink fieldCode="DE" term="%22DESCRIPTIVE+statistics%22">DESCRIPTIVE statistics</searchLink><br /><searchLink fieldCode="DE" term="%22STATISTICAL+sampling%22">STATISTICAL sampling</searchLink><br /><searchLink fieldCode="DE" term="%22SOCIODEMOGRAPHIC+factors%22">SOCIODEMOGRAPHIC factors</searchLink><br /><searchLink fieldCode="DE" term="%22DATA+analysis%22">DATA analysis</searchLink><br /><searchLink fieldCode="DE" term="%22STATISTICAL+correlation%22">STATISTICAL correlation</searchLink><br /><searchLink fieldCode="DE" term="%22COGNITIVE+testing%22">COGNITIVE testing</searchLink><br /><searchLink fieldCode="DE" term="%22CARDIOVASCULAR+disease+nursing%22">CARDIOVASCULAR disease nursing</searchLink><br /><searchLink fieldCode="DE" term="%22DISEASE+management%22">DISEASE management</searchLink><br /><searchLink fieldCode="DE" term="%22CONTROL+%28Psychology%29%22">CONTROL (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+education%22">MEDICAL education</searchLink><br /><searchLink fieldCode="DE" term="%22SYMPTOMS%22">SYMPTOMS</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: acute coronary syndrome (ACS) is characterized by different symptoms, so the experience varies from person to person. Dodd's Conceptual Model of Symptom Management addresses this aspect that requires testing within nursing practice. Objective: to test the postulates of the symptom experience dimension of Dodd's Conceptual Model of Symptom Management in persons with acute coronary syndrome. Methods: theoretical testing by means of structural equations. A total of 256 individuals with a diagnosis of acute coronary syndrome, selected by stratified probability sampling, participated. Clinical and sociodemographic data were collected, and symptom assessment and response were measured with five valid instruments. Statistical analysis was performed with absolute adjustment, incremental adjustment and parsimony adjustment from which a structural equation model was derived. Results: the bidirectional relationship between symptom severity (assessment) and decision making (symptom response) was tested. A model was formed that explains 44% of the variance on decision making. This variable is also influenced by other variables such as cognitive evaluation and personal control. Conclusion: this conceptual model allowed us to understand the dimension of symptom experience in patients with acute coronary syndrome, proving its postulates in practice. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: el síndrome coronario agudo (SCA) se caracteriza por diferentes síntomas, por lo cual la experiencia varía de persona a persona. El Modelo conceptual del manejo de los síntomas (MCMS) de Dodd aborda este aspecto que requiere ser comprobado dentro de la práctica de enfermería. Objetivo: comprobar los postulados de la dimensión de la experiencia de los síntomas del Modelo conceptual de Dodd en personas con síndrome coronario agudo. Métodos: comprobación teórica por medio de ecuaciones estructurales. Participaron 256 individuos con diagnóstico de síndrome coronario agudo, seleccionados por muestreo probabilístico estratificado. Se recolectaron datos clínicos, sociodemográficos y se midió la evaluación y respuesta a los síntomas con cinco instrumentos válidos. Se realizó un análisis estadístico con ajuste absoluto, ajuste incremental y ajuste de parsimonia del cual derivó un modelo de ecuaciones estructurales. Resultados: se comprobó la relación bidireccional entre la severidad del síntoma (evaluación) y la toma de decisiones (respuesta al síntoma). Se conformó un modelo que explica el 44 % de la varianza sobre la toma de decisiones. Sobre esta variable también influyen otras variables como la evaluación cognitiva y el control personal. Conclusión: este modelo conceptual permitió comprender la dimensión de la experiencia del síntoma en pacientes con síndrome coronario agudo, comprobando sus postulados en la práctica. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: Introdução: Síndromes coronarianas agudas (SCA) caracterizam-se por diferentes sintomas, pelo que a experiência muda de pessoa para pessoa. O Modelo conceitual do manejo dos sintomas (MCMS) de Dodd aborda esse aspecto que precisa testes na prática de enfermagem. Objetivo: verificar os postulados da dimensão da experiência dos sintomas do Modelo conceitual de Dodd em pacientes com síndrome coronariana aguda. Métodos: verificação teórica por meio de equações estruturais. Participaram 256 indivíduos com diagnóstico de síndrome coronariana aguda, selecionados por amostragem probabilística estratificada. Dados clínicos e sociodemográficos foram coletados e a avaliação e resposta aos sintomas foi medida com cinco instrumentos válidos. Foi realizada análise estatística com ajuste absoluto, ajuste incremental e ajuste de parcimônia que derivou num modelo de equaciones estruturais. Resultados: verificou-se o relacionamento bidirecional entre a gravidade do sintoma (avaliação) e a tomada de decisão (resposta ao sintoma). Um modelo que explica 44% da variância sobre a tomada de decisão foi conformado. Sobre essa variável também influem outras variáveis como a avaliação cognitiva e o controlo pessoal. Conclusão: este modelo conceitual permitiu compreender a dimensão da experiência do sintoma em doentes com síndrome coronariana aguda, verificando seus postulados na prática. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Investigación en Enfermería: Imagen y Desarrollo is the property of Pontificia Universidad Javeriana and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.11144/Javeriana.ie25.essc
    Languages:
      – Code: spa
        Text: Spanish
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 1
    Subjects:
      – SubjectFull: STRUCTURAL equation modeling
        Type: general
      – SubjectFull: STATISTICS
        Type: general
      – SubjectFull: RESEARCH
        Type: general
      – SubjectFull: MATHEMATICAL models
        Type: general
      – SubjectFull: ACUTE coronary syndrome
        Type: general
      – SubjectFull: EXPERIENCE
        Type: general
      – SubjectFull: SEVERITY of illness index
        Type: general
      – SubjectFull: THEORY
        Type: general
      – SubjectFull: DECISION making
        Type: general
      – SubjectFull: DESCRIPTIVE statistics
        Type: general
      – SubjectFull: STATISTICAL sampling
        Type: general
      – SubjectFull: SOCIODEMOGRAPHIC factors
        Type: general
      – SubjectFull: DATA analysis
        Type: general
      – SubjectFull: STATISTICAL correlation
        Type: general
      – SubjectFull: COGNITIVE testing
        Type: general
      – SubjectFull: CARDIOVASCULAR disease nursing
        Type: general
      – SubjectFull: DISEASE management
        Type: general
      – SubjectFull: CONTROL (Psychology)
        Type: general
      – SubjectFull: MEDICAL education
        Type: general
      – SubjectFull: SYMPTOMS
        Type: general
    Titles:
      – TitleFull: Experiencia del síntoma en el Síndrome Coronario Agudo: comprobación de un modelo conceptual.
        Type: main
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            NameFull: Bernal Cárdenas, Carlos Yecid
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            NameFull: Céspedes Cuevas, Viviana Marycel
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            NameFull: Rojas Reyes, Jennifer
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          Dates:
            – D: 01
              M: 01
              Text: 2023
              Type: published
              Y: 2023
          Identifiers:
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              Value: 25
          Titles:
            – TitleFull: Investigación en Enfermería: Imagen y Desarrollo
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