{"id":18330,"date":"2021-07-05T16:00:31","date_gmt":"2021-07-05T14:00:31","guid":{"rendered":"https:\/\/idibell.cat\/?p=18330"},"modified":"2021-07-05T16:33:31","modified_gmt":"2021-07-05T14:33:31","slug":"una-intervencio-infermera-augmenta-ladherencia-al-tractament-en-pacients-grans-despres-dun-infart","status":"publish","type":"post","link":"https:\/\/idibell.cat\/2021\/07\/una-intervencio-infermera-augmenta-ladherencia-al-tractament-en-pacients-grans-despres-dun-infart\/","title":{"rendered":"Una intervenci\u00f3 infermera augmenta l\u2019adher\u00e8ncia al tractament en pacients grans despr\u00e9s d\u2019un infart"},"content":{"rendered":"<p>El treball, encap\u00e7alat per Elena Calvo, infermera gestora d\u2019hemodin\u00e0mica de l\u2019\u00c0rea de Malalties del Cor de l\u2019Hospital de Bellvitge i investigadora de l\u2019IDIBELL, s\u2019ha publicat a International <em><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0020748921001206?via%3Dihub#!\">Journal of Nursing Studies<\/a><\/em>, la revista amb major factor d&#8217;impacte en l&#8217;\u00e0mbit d&#8217;infermeria.<\/p>\n<p>L\u2019envelliment de la poblaci\u00f3 est\u00e0 fent que hi hagi un nombre creixent de pacients grans amb infart agut de miocardi. Aquests pacients tenen un risc m\u00e9s alt de complicacions i de baixa adher\u00e8ncia a la medicaci\u00f3, cosa que, alhora, implica l\u2019\u00fas de m\u00e9s recursos sanitaris.<\/p>\n<p>Aquest estudi va comparar dos grups de pacients de m\u00e9s de 75 anys despr\u00e9s de ser sotmesos a una intervenci\u00f3 coron\u00e0ria percut\u00e0nia per infart de miocardi al nostre centre. Mentre que un grup va rebre el seguiment habitual, l\u2019altre va rebre una intervenci\u00f3 infermera espec\u00edfica dissenyada per refor\u00e7ar l\u2019adher\u00e8ncia al tractament.<\/p>\n<p>Concretament, al cap de tres mesos de rebre el tractament se\u2019ls va realitzar una entrevista educativa per part d\u2019infermeres capacitades. Familiars i cuidadors dels pacients van assistir igualment a aquesta visita per rebre tamb\u00e9 instruccions. En el cas dels pacients que no es podien moure, l&#8217;equip d&#8217;infermeria es va dirigir al seu domicili per fer la intervenci\u00f3, o b\u00e9 la van realitzar per tel\u00e8fon. La durada d\u2019aquesta entrevista va ser d&#8217;aproximadament 40 minuts i es va centrar en algunes mesures i recomanacions per millorar o mantenir l&#8217;adher\u00e8ncia. Tamb\u00e9 es va efectuar una trucada de recordatori als 6 mesos.<\/p>\n<p>Al cap de 12 mesos, es va mesurar l\u2019adher\u00e8ncia aconseguida aplicant de manera combinada dos tests de valoraci\u00f3, les dades d\u2019assist\u00e8ncia a visites, i les dades de retirada de medicaments de la farm\u00e0cia.<\/p>\n<p>Els resultats van mostrar que, mentre que nom\u00e9s el 21,5% dels pacients amb el seguiment habitual van assolir una bona adher\u00e8ncia, en el cas dels pacients que van rebre la intervenci\u00f3 infermera espec\u00edfica el percentatge es va elevar fins al 51,9%.<\/p>\n<p>Aquests resultats confirmen la import\u00e0ncia de la infermeria en el treball relacionat amb l\u2019adher\u00e8ncia dels pacients, especialment pel seu car\u00e0cter educatiu. La infermeria juga un paper fonamental en la tasca d&#8217;informar, motivar i empoderar el pacient, afavorint que tingui un paper actiu i sigui protagonista de la seva salut, un element clau per fomentar l\u2019adher\u00e8ncia.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em>L\u2019Institut d&#8217;Investigaci\u00f3 Biom\u00e8dica de Bellvitge (IDIBELL) \u00e9s un centre de recerca en biomedicina creat l\u2019any 2004. Est\u00e0 participat per l&#8217;Hospital Universitari de Bellvitge i l\u2019Hospital de Viladecans de l&#8217;Institut Catal\u00e0 de la Salut, l&#8217;Institut Catal\u00e0 d&#8217;Oncologia, la Universitat de Barcelona i l\u2019Ajuntament de l\u2019Hospitalet de Llobregat.<\/em><\/p>\n<p><em>L\u2019IDIBELL \u00e9s membre del Campus d&#8217;Excel\u00b7l\u00e8ncia Internacional de la Universitat de Barcelona HUBc i forma part de la instituci\u00f3 CERCA de la Generalitat de Catalunya. L&#8217;any 2009 es va convertir en un dels cinc primers centres d\u2019investigaci\u00f3 espanyols acreditats com a institut d\u2019investigaci\u00f3 sanit\u00e0ria per l\u2019Instituto de Salud Carlos III. A m\u00e9s, forma part del programa \u201cHR Excellence in Research\u201d de la Uni\u00f3 Europea i \u00e9s membre de EATRIS i REGIC. Des de l\u2019any 2018, l\u2019IDIBELL \u00e9s un Centro Acreditado de la Fundaci\u00f3n Cient\u00edfica AECC (FCAECC).<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Un estudi liderat per professionals d\u2019infermeria de l\u2019Hospital Universitari de Bellvitge i de l\u2019IDIBELL ha demostrat que una intervenci\u00f3 infermera espec\u00edfica aconsegueix m\u00e9s adher\u00e8ncia al tractament dels pacients grans complexos que han patit un infart de miocardi.<\/p>\n","protected":false},"author":8,"featured_media":18331,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1,476,334,469],"tags":[],"class_list":["post-18330","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categorizar","category-infermeria","category-medicina-translacional","category-p-de-sistema-digestiu-diagnostic-farmacogenetica-infermeria-i-prevencio-clinica"],"publishpress_future_action":{"enabled":false,"date":"2025-01-25 07:06:12","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/18330","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/comments?post=18330"}],"version-history":[{"count":0,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/18330\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media\/18331"}],"wp:attachment":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media?parent=18330"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/categories?post=18330"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/tags?post=18330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}