Palabras clave
primary care nursing
myocardial infarction
Job Satisfaction
Secondary Care
Cómo citar
Resumen
Objetivo: Describir la satisfacción de los pacientes y las enfermeras de atención primaria que han llevado un programa de seguimiento intensivo y protocolizado de pacientes que han tenido un infarto de miocardio (IAM) reciente.
Metodología: Estudio descriptivo transversal dentro de un cuasi-experimental, multicéntrico, antes y después sin grupo control. Se incluyeron 219 pacientes, entre 40-70 años diagnosticados de IAM. Finalizan el programa 132. Intervinieron 59 enfermeras de centros de salud. Se realizó un seguimiento intensivo durante 12 meses con 11 consultas de enfermería. Utilizaron un Cuaderno de Autocuidados Cardiovasculares como herramienta en el autocontrol de la enfermedad cardiovascular. El nivel de satisfacción se midió al finalizar el programa con un cuestionario ad hoc con preguntas cerradas y abiertas valorando el protocolo de seguimiento y el uso del cuaderno de autocuidados.
Resultados: Las enfermeras consideraron pertinente el seguimiento protocolizado y los cuidados prestados (90,1%). Más del 85% valoraron mucho/bastante la mejora de la relación terapéutica. El cuaderno fue muy útil y beneficioso como apoyo al seguimiento del paciente (90,1%) y en mejorar el cumplimiento de autocuidados. Los pacientes confirmaron que estaban muy satisfechos (87,8%) con la profesionalidad y el tiempo dedicado. 88,8% aumentaron sus conocimientos y adherencia en autocuidados. El 96,9% recomendarían el programa.
Conclusiones: Los pacientes y enfermeras, valoraron muy positivo realizar un adecuado seguimiento intensivo lo antes posible tras sufrir un IAM, ya que los pacientes percibieron una mejoría en el manejo de su enfermedad, mientras que las enfermeras observaron un mejor empoderamiento de los autocuidados cardiovasculares.
Citas
Bibliografía
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