Atypical nature of coronary artery disease in women: a proposal for measurement and classification

Objective: To identify subgroups of women with Acute Coronary Syndrome according to symptom experience: perception, evaluation and response, based on the Symptom Management Conceptual Model.Methodology: Quantitative, descriptive, exploratory, cross-sectional study. The sample was made of 380 women p...

Full description

Autores:
Céspedes Cuevas, Viviana Marycel
Tipo de recurso:
Article of journal
Fecha de publicación:
2015
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/61696
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/61696
http://bdigital.unal.edu.co/60507/
Palabra clave:
61 Ciencias médicas; Medicina / Medicine and health
Scales
Coronary Disease
Women’s Health
Escalas
Enfermedad Coronaria
Salud de la Mujer
balança
A doença cardiovascular
Saúde da Mulher
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional
id UNACIONAL2_000d380f31e07312916e900b0bf0e419
oai_identifier_str oai:repositorio.unal.edu.co:unal/61696
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Atypical nature of coronary artery disease in women: a proposal for measurement and classification
title Atypical nature of coronary artery disease in women: a proposal for measurement and classification
spellingShingle Atypical nature of coronary artery disease in women: a proposal for measurement and classification
61 Ciencias médicas; Medicina / Medicine and health
Scales
Coronary Disease
Women’s Health
Escalas
Enfermedad Coronaria
Salud de la Mujer
balança
A doença cardiovascular
Saúde da Mulher
title_short Atypical nature of coronary artery disease in women: a proposal for measurement and classification
title_full Atypical nature of coronary artery disease in women: a proposal for measurement and classification
title_fullStr Atypical nature of coronary artery disease in women: a proposal for measurement and classification
title_full_unstemmed Atypical nature of coronary artery disease in women: a proposal for measurement and classification
title_sort Atypical nature of coronary artery disease in women: a proposal for measurement and classification
dc.creator.fl_str_mv Céspedes Cuevas, Viviana Marycel
dc.contributor.author.spa.fl_str_mv Céspedes Cuevas, Viviana Marycel
dc.subject.ddc.spa.fl_str_mv 61 Ciencias médicas; Medicina / Medicine and health
topic 61 Ciencias médicas; Medicina / Medicine and health
Scales
Coronary Disease
Women’s Health
Escalas
Enfermedad Coronaria
Salud de la Mujer
balança
A doença cardiovascular
Saúde da Mulher
dc.subject.proposal.spa.fl_str_mv Scales
Coronary Disease
Women’s Health
Escalas
Enfermedad Coronaria
Salud de la Mujer
balança
A doença cardiovascular
Saúde da Mulher
description Objective: To identify subgroups of women with Acute Coronary Syndrome according to symptom experience: perception, evaluation and response, based on the Symptom Management Conceptual Model.Methodology: Quantitative, descriptive, exploratory, cross-sectional study. The sample was made of 380 women positively diagnosed with Acute Coronary Syndrome, hospitalized in two institutions in Bogotá, Colombia. A measurement instrument was designed and validated.Results: Final instrument was made of 37 items that reported content validity, scale validity, discriminant validity, and construct validity. A Cronbach’s Alpha coefficient of 0,76 was obtained, which guarantees homogeneity in the measurementaccording to the Maximum Validity-Maximum Reliability Model.A total of 11 subgroups of women with Acute Coronary Syndrome were identified, those were characterized by atypical coronary heart disease symptomatology, evaluation processesrelated to extra-cardiac causes and inadequate symptom management strategies. It was possible to demonstrate that psychosocial factors, previous coronary heart disease and delays were variables making a significant influence on the components of symptom experience.Conclusions: Women with Acute Coronary Syndrome, belonging to the 11 subgroups that were identifiedand studied, showed atypical symptoms. The instrument designed features a proven psychometric quality; it was valid, reliable, and useful for clinical research and practice.
publishDate 2015
dc.date.issued.spa.fl_str_mv 2015-01-01
dc.date.accessioned.spa.fl_str_mv 2019-07-02T20:44:23Z
dc.date.available.spa.fl_str_mv 2019-07-02T20:44:23Z
dc.type.spa.fl_str_mv Artículo de revista
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/article
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.coarversion.spa.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/ART
format http://purl.org/coar/resource_type/c_6501
status_str publishedVersion
dc.identifier.issn.spa.fl_str_mv ISSN: 2346-0261
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/61696
dc.identifier.eprints.spa.fl_str_mv http://bdigital.unal.edu.co/60507/
identifier_str_mv ISSN: 2346-0261
url https://repositorio.unal.edu.co/handle/unal/61696
http://bdigital.unal.edu.co/60507/
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.spa.fl_str_mv https://revistas.unal.edu.co/index.php/avenferm/article/view/47855
dc.relation.ispartof.spa.fl_str_mv Universidad Nacional de Colombia Revistas electrónicas UN Avances en Enfermería
Avances en Enfermería
dc.relation.references.spa.fl_str_mv Céspedes Cuevas, Viviana Marycel (2015) Atypical nature of coronary artery disease in women: a proposal for measurement and classification. Avances en Enfermería, 33 (1). pp. 10-18. ISSN 2346-0261
dc.rights.spa.fl_str_mv Derechos reservados - Universidad Nacional de Colombia
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.license.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.spa.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
Derechos reservados - Universidad Nacional de Colombia
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá - Facultad de Enfermería
institution Universidad Nacional de Colombia
bitstream.url.fl_str_mv https://repositorio.unal.edu.co/bitstream/unal/61696/1/47855-256320-1-PB.pdf
https://repositorio.unal.edu.co/bitstream/unal/61696/2/47855-256320-1-PB.pdf.jpg
bitstream.checksum.fl_str_mv ef771a4da92b99c640f2979b534cff3e
64e6bfdebfaecdebb80ab463f9915ba8
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
repository.name.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
repository.mail.fl_str_mv repositorio_nal@unal.edu.co
_version_ 1814089281650556928
spelling Atribución-NoComercial 4.0 InternacionalDerechos reservados - Universidad Nacional de Colombiahttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Céspedes Cuevas, Viviana Marycel31edc9bb-19e2-429d-bdba-e783d742f0bd3002019-07-02T20:44:23Z2019-07-02T20:44:23Z2015-01-01ISSN: 2346-0261https://repositorio.unal.edu.co/handle/unal/61696http://bdigital.unal.edu.co/60507/Objective: To identify subgroups of women with Acute Coronary Syndrome according to symptom experience: perception, evaluation and response, based on the Symptom Management Conceptual Model.Methodology: Quantitative, descriptive, exploratory, cross-sectional study. The sample was made of 380 women positively diagnosed with Acute Coronary Syndrome, hospitalized in two institutions in Bogotá, Colombia. A measurement instrument was designed and validated.Results: Final instrument was made of 37 items that reported content validity, scale validity, discriminant validity, and construct validity. A Cronbach’s Alpha coefficient of 0,76 was obtained, which guarantees homogeneity in the measurementaccording to the Maximum Validity-Maximum Reliability Model.A total of 11 subgroups of women with Acute Coronary Syndrome were identified, those were characterized by atypical coronary heart disease symptomatology, evaluation processesrelated to extra-cardiac causes and inadequate symptom management strategies. It was possible to demonstrate that psychosocial factors, previous coronary heart disease and delays were variables making a significant influence on the components of symptom experience.Conclusions: Women with Acute Coronary Syndrome, belonging to the 11 subgroups that were identifiedand studied, showed atypical symptoms. The instrument designed features a proven psychometric quality; it was valid, reliable, and useful for clinical research and practice.Objetivo: Identificar subgrupos de mujeres con Síndrome Coronario Agudo según la experiencia del síntoma: percepción, evaluación y respuesta, a partir del Modelo Conceptual del Manejo del Síntoma. Metodología: Estudio cuantitativo, descriptivo, exploratorio, transversal. La muestra fue de 380 mujeres con diagnóstico confirmado de Síndrome Coronario Agudo, hospitalizadas en dos instituciones de la ciudad de Bogotá, Colombia. Para la recolección de la información se desarrolló un instrumento de medición validado. Resultados: El instrumento final constó de 37 ítems que reportaron validez de contenido, validez de escala, validez discriminante y de constructo. Se obtuvo un Coeficiente de Alpha de Crombach de 0,76, el cual garantizó homogeneidad en la medición de acuerdo con los valores de referencia del Modelo de Máxima Validez-Máxima Confiabilidad. Se identificaron 11 subgrupos de mujeres con Síndrome Coronario Agudo, caracterizados por sintomatología atípica de enfermedad coronaria, procesos de evaluación relacionados con orígenes extra-cardíacos y estrategias inadecuadas de manejo de los síntomas. Se evidenció que los factores psicosociales, la enfermedad coronaria previa y los tiempos de demora fueron variables influyentes sobre los componentes de la experiencia del síntoma. Conclusiones: Los 11 subgrupos identificados evidenciaron atipicidad en las mujeres estudiadas con Síndrome Coronario Agudo. El instrumento desarrollado obtuvo una calidad psicométrica demostrada; fue válido, confiable y útil para la investigación y la práctica clínica.ResumoObjetivo: Identificar os subgrupos de mulheres com síndrome coronariana aguda na experiência da percepção dos sintomas , avaliação e resposta , de Modelo Conceitual de Gestão Sintoma Metodologia:  quantitativa , descritivo, exploratório , transversal . A amostra incluiu 380 mulheres com síndrome coronariana aguda confirmada hospitalizado em duas instituições da cidade de Bogotá, Colômbia diagnóstico . Para a coleta de dados de um instrumento de medição foi desenvolvidoResultados: O instrumento final foi composta por 37 itens que relatam a validade de conteúdo , validade da escala , discriminante e validade de construto . Um coeficiente de Cronbach Alpha de 0,76 , o que garante consistência na medição de acordo com os valores de referência Modelo Validade de alta confiabilidade elevada foi obtida . 11 subgrupos de mulheres com síndrome coronariana aguda , caracterizada por sintomas atípicos de doença coronária, foram identificados processos de avaliação relacionados com extra- cardíacas inadequadas estratégias de gerenciamento de origens e sintomas. Era evidente que os fatores psicossociais , doenças coronárias e atraso vezes anteriores , foram variáveis influentes sobre os componentes da experiência do sintoma.Conclusões: Os 11 subgrupos identificados mostram atípica estudado em mulheres com síndrome coronariana aguda . O instrumento desenvolvido provou qualidade psicométrica , válido, confiável e útil para a investigação e prática clínica.application/pdfspaUniversidad Nacional de Colombia - Sede Bogotá - Facultad de Enfermeríahttps://revistas.unal.edu.co/index.php/avenferm/article/view/47855Universidad Nacional de Colombia Revistas electrónicas UN Avances en EnfermeríaAvances en EnfermeríaCéspedes Cuevas, Viviana Marycel (2015) Atypical nature of coronary artery disease in women: a proposal for measurement and classification. Avances en Enfermería, 33 (1). pp. 10-18. ISSN 2346-026161 Ciencias médicas; Medicina / Medicine and healthScalesCoronary DiseaseWomen’s HealthEscalasEnfermedad CoronariaSalud de la MujerbalançaA doença cardiovascularSaúde da MulherAtypical nature of coronary artery disease in women: a proposal for measurement and classificationArtículo de revistainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttp://purl.org/redcol/resource_type/ARTORIGINAL47855-256320-1-PB.pdfapplication/pdf166034https://repositorio.unal.edu.co/bitstream/unal/61696/1/47855-256320-1-PB.pdfef771a4da92b99c640f2979b534cff3eMD51THUMBNAIL47855-256320-1-PB.pdf.jpg47855-256320-1-PB.pdf.jpgGenerated Thumbnailimage/jpeg6637https://repositorio.unal.edu.co/bitstream/unal/61696/2/47855-256320-1-PB.pdf.jpg64e6bfdebfaecdebb80ab463f9915ba8MD52unal/61696oai:repositorio.unal.edu.co:unal/616962023-04-13 23:07:59.05Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.co