![[ Visit Client Website ]](images/banner.gif)
Learning Objective 1: Identify subgroups of women with acute coronary syndrome on the basis of the Symptom Management Conceptual Model.
Learning Objective 2: Describe the process to validate a instrument of measurement of the management of the symptoms of coronary disease in the woman.
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
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.
See more of: World Academy of Nursing Science: Oral Paper & Posters