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INTRODUCCIÓN: La Insuficiencia Cardiaca se ha descrito como un síndrome de proporciones epidémicas, con una prevalencia de un 1-3% de la población adulta mundial menor de 60 años. Las conductas de autocuidado constituyen una estrategia clave en la elaboración de intervenciones exitosas que disminuyan la re-hospitalización, mortalidad y mejoren la calidad de vida. OBJETIVO: Adaptar y validar la Escala Revisada de Comportamientos de Autocuidado en Falla Cardiaca (Revised Heart Failure Self Care Behavior Scale) en personas con insuficiencia cardíaca, que se encuentran en seguimiento ambulatorio, en dos Hospitales Públicos chilenos. METODOLOGÍA: Estudio transversal de adaptación y análisis psicométrico del instrumento de medición Escala de Valoración de Comportamientos de Autocuidado en personas con Insuficiencia Cardíaca diseñada por Nancy Artinian. Emplazamiento: Unidades ambulatorias de seguimiento en Hospitales Públicos chilenos. Participantes: Usuarios con Insuficiencia Cardíaca que asistieron a dos Policlínicos de seguimiento de Insuficiencia Cardiaca de dos Centros de Salud de nivel secundario de dos comunas de Santiago en Chile. Método: Se realizó juicio de expertos para la adaptación cultural del instrumento, se aplicó el análisis factorial exploratorio con rotación oblicua. RESULTADOS: Escala Chilena de Valoración Comportamientos de Automanejo en Insuficiencia Cardiaca presentó una adecuada adaptación cultural, pruebas sicométricas que garantizan su validez de constructo y fiabilidad adecuada, con Alfa de Cronbach del Instrumento de 0,84 IC [0,80-0,88]. CONCLUSIONES: Se proporciona un instrumento que permite conocer conductas de autocuidado de los pacientes con IC, esto le permite ser utilizado por los profesionales que atienden a personas que padecen de IC en Chile.

INTRODUCTION: Heart failure (HF) has been described as a syndrome of epidemic proportions, with a prevalence of 1-3% amongst the global adult population under 60 years of age. Self-care behaviors are a key strategy in the development of successful interventions that reduce re-hospitalization, mortality and improve quality of life. OBJECTIVE: To adapt and validate the Revised Heart Failure Self-Care Behavior Scale in people with heart failure, who are in outpatient follow-up, in two Chilean public hospitals. DESIGN: Cross-sectional study of adaptation and psychometric analysis of the measuring instrument Scale of Assessment of Self-Care Behavior in Persons with Heart Failure, designed by Nancy Artinian. Location: Outpatient follow-up units in Chilean public hospitals. Participants: Patients with Heart Failure who attended two heart failure outpatient follow-up clinics within two secondary healthcare centers located in two districts of Santiago, Chile. Method: Expert judgments were made for the cultural adaptation of the instrument, followed by exploratory factor analysis with oblique rotation. RESULTS: The Chilean Scale of Assessment of Self-Management Behaviors in Heart Failure presented adequate cultural adaptation, psychometric tests that guarantee its validity in terms of its construction and adequate reliability. Cronbach's Alpha of the Instrument was 0,84 IC [0,80-0,88] CONCLUSIONS: The study provides a tool that allows us to ascertain the self-care behaviors of patients with HF, allowing it to be used by professionals who care for people with HF in Chile.

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The purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach's alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach's alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.

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AIMS: Examine the associations of depression and self-esteem on self-care activities and care received among Mexicans with diabetes. METHODS: Using data from the Mexican Nutrition and Health Survey 2012, logistic regression models were fit to test the associations between each self-care activity and diabetes care, and self-esteem and depression. RESULTS: People with low self-esteem were less likely to follow a diet, but no other associations were found. Contrary to what was expected, there were no relationships between depression and quality of care received or self-care behaviors. CONCLUSION: Current findings support the importance of looking at mental health and emotional state among older adults with diabetes. Future studies should explore the relationship between different psychological barriers to proper diabetes management.

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En este artículo se describe el examen psicométrico de la Escala de Conductas de Autocuidado para psicólogos clínicos (EAP; Guerra, Rodríguez, Morales & Betta, 2008). Este instrumento fue diseñado para medir la frecuencia de emisión de conductas de autocuidado en psicólogos que trabajan realizando psicoterapia. Una muestra de 159 psicólogos clínicos chilenos respondió la EAP y una serie de instrumentos destinados a evaluar la validez convergente de la escala. La EAP reveló ser un instrumento confiable y válido. En particular, esta escala obtuvo adecuados índices de consistencia interna y adoptó una estructura unifactorial coherente con la teoría que la sustenta. Además, la escala mostró adecuados índices de validez convergente, al correlacionar del modo esperado las tres dimensiones del síndrome de burnout, con los niveles de ansiedad y con una puntuación general de la calidad de vida de los participantes. Finalmente se discuten las implicancias de estos resultados.

This study describes the psychometric examination of the Self-Care Behaviors Scale for Clinical Psychologists (EAP; Guerra, Rodríguez, Morales & Betta, 2008) a scale designed to measure the frequency of self-care behaviors in psychologists dedicated to treat patients. A sample of 159 clinical psychologists from Chile completed the EAP and a series of instruments destined to evaluate the convergent validity of the scale. The EAP showed to be a reliable and valid instrument. In particular, the scale showed adequate indexes of internal consistency and adopted a unifactorial configuration coherent with the theory. In addition the scale showed convergent validity when correlating, as expected, with the levels of three dimensions of the burnout, with the levels of anxiety, with the levels of secondary traumatic stress and with a general score of the quality of life of the participants. Finally the consequences of these results are discussed.

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En la presente investigación se evalúa la efectividad de un taller de autocuidado de orientación cognitivo conductual diseñado para ser aplicado a psicólogos clínicos con altos niveles de estrés traumático secundario. El objetivo del taller es aumentar la frecuencia de emisión de conductas de autocuidado y disminuir los niveles de estrés traumático secundario en los psicólogos. Mediante un diseño cuasi-experimental se evalúan los efectos del taller. Los resultados indican que, después de las 5 sesiones que dura el taller, los psicólogos que participaron en él (n=9) aumentaron significativamente sus conductas de autocuidado y disminuyeron significativamente sus niveles de desgaste. En cambio, los psicólogos que no participaron del taller (n=12) no variaron en la frecuencia del autocuidado y aumentaron el estrés traumático secundario. En virtud de estos resultados se concluye que el taller es efectivo y se constituye como una alternativa para prevenir y tratar el desgaste laboral en psicólogos clínicos.

In the present investigation, we evaluate the effectiveness of a group therapy program for self-care with cognitive-behavioral orientation, designed to be used on clinical psychologists with high levels of secondary traumatic stress. The object of this group therapy program is to increase the frequency of emissions of self-care behaviors and decrease the levels of secondary traumatic stress in psychologists. By a quasi-experimental design, we evaluate the group therapy program effects. The results indicate that, after 5 sessions that lasts the group therapy program, the psychologists that participated in it (n = 9) increased significantly their self-care behaviors and decreased significantly their secondary traumatic stress levels. Instead, the psychologists that did not participate in the group therapy program (n = 12) did not show variation on self-care frequency and they increased secondary traumatic stress. These results are conclusive that the group therapy program is effective and it represents an alternative to prevent and treat work related burnout in clinical psychologists.

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