%0 Journal Article %T Improvement of self-care behaviors after a nursing educational intervention with patients with heart failure Mejoramiento en los comportamientos de autocuidado despu谷s de una intervenci車n educativa de enfermer赤a con pacientes con falla card赤aca Melhoramento nos comportamentos de autocuidado depois de uma interven o educativa de enfermagem com pacientes com falha card赤aca %A Edith Arredondo Holgu赤n %A Mar赤a de los 芍ngeles Rodr赤guez G芍zquez %A Lina Marcela Higuita Urrego %J Investigaci車n y Educaci車n en Enfermer赤a %D 2012 %I Universidad de Antioquia %X Objective. To evaluate the improvement in self-care behaviors after a nursing educational intervention in patients with heart failure. Methodology. The study had the participation of 29 patients over 30 years of age, who attended in 2010 the cardiovascular healthcare program of a hospital institution in Medell赤n (Colombia) and who signed the informed consent and received for nine months a nursing educational intervention consisting of group educational meetings, telenursing sessions, home visits, and support leaflet. The study applied Artinian's Self-care scale validated in the field, composed of 28 items distributed in four dimensions (request for help, adaptation to disease, and adherence to pharmacological and non-pharmacological treatments). To evaluate changes in these behaviors, the scale was applied at the beginning and end of the study. Results. Bearing in mind that the maximum possible score in the scale is 84, the patients had initial and final median scores of 40 and 53 (p < 0.05). The dimensions in which the most positive changes were observed were: request for help, adaptation to the disease, and adherence to the pharmacological treatment; regarding adherence to the non-pharmacological treatment, two behaviors did not obtain favorable changes (reduction in salt intake and measurement of the amount of urine eliminated). Conclusion. The nursing educational intervention conducted in our study had beneficial effects on most of the self-care behaviors assessed in individuals with HF. Objetivo. Evaluar el mejoramiento en los comportamientos de autocuidado despu谷s de una intervenci車n educativa de enfermer赤a en pacientes con Falla Cardiaca (FC). Metodolog赤a. Participaron 29 pacientes de 30 y m芍s a os quienes asistieron en 2010 al programa de salud cardiovascular de una instituci車n hospitalaria de Medell赤n (Colombia). A su vez, firmaron el consentimiento informado y recibieron durante nueve meses una intervenci車n educativa de enfermer赤a consistente en encuentros educativos grupales, sesiones de teleenfermer赤a, visitas domiciliarias y cartilla de apoyo. Se aplic車 la Escala de autocuidado de Artinian validada en el medio, compuesta por 28 赤tems distribuidos en cuatro dimensiones (solicitud de ayuda, adaptaci車n a la enfermedad y adherencia a los tratamientos farmacol車gico y no farmacol車gico). Para la evaluaci車n de los cambios en estos comportamientos, se aplic車 al inicio y terminaci車n del estudio. Resultados. Teniendo en cuenta que el puntaje m芍ximo posible de obtener en la escala es de 84, los pacientes tuvieron una mediana en los puntajes inicial y fi %K insuficiencia card赤aca %K autocuidado %K educaci車n en enfermer赤a %K insufici那ncia card赤aca %K autocuidado %K educa o em enfermagem %K heart failure %K self-care %K education %K nursing %U http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-53072012000200003