<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-4500</journal-id>
<journal-title><![CDATA[Avances en Enfermería]]></journal-title>
<abbrev-journal-title><![CDATA[av.enferm.]]></abbrev-journal-title>
<issn>0121-4500</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-45002020000100009</article-id>
<article-id pub-id-type="doi">10.15446/av.enferm.v38n1.75993</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Toma de decisiones para el manejo de los síntomas de falla cardíaca: protocolo de intervención]]></article-title>
<article-title xml:lang="pt"><![CDATA[Tomada de decisões para o gerenciamento dos sintomas de insuficiência cardíaca: protocolo de intervenção]]></article-title>
<article-title xml:lang="en"><![CDATA[Decision-making for managing heart failure symptoms: intervention protocol]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera Guerra]]></surname>
<given-names><![CDATA[Eugenia del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Céspedes Cuevas]]></surname>
<given-names><![CDATA[Viviana Marycel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Córdoba Facultad Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Córdoba ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia Facultad de Enfermería ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>38</volume>
<numero>1</numero>
<fpage>9</fpage>
<lpage>17</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-45002020000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-45002020000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-45002020000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Dar a conocer el diseño, implementación y evaluación de una intervención de enfermería: "Toma de decisiones para el manejo de los síntomas en adultos con falla cardíaca".  Métodos: Se realizó un proceso sistemático propuesto por Sidani y Braden que contempla cuatro fases: diseño de la intervención, operacionalización de la intervención en un manual de intervención, estudio de aceptabilidad, viabilidad y efectividad de la intervención y traducción de la intervención.  Resultados: Se diseñó la intervención según los postulados de la teoría de situación específica autocuidado en falla cardíaca, centrada en la toma de decisiones para el manejo de los síntomas en adultos con falla cardíaca. Los expertos (n = 5) evaluaron satisfactoriamente el nivel teórico del protocolo (índice de cumplimiento 90 %). La tasa de reclutamiento de los participantes fue exitosa (91,6 %). En una muestra final para el análisis (n = 105) se halló una mejora significativa en el grupo de intervención (n = 53) en el mantenimiento del autocuidado [F (1,103) = 719,6; p = 0,000; &#951;  2  p = 0,88 (f de Cohen's = 2,65)] y en la gestión del autocuidado [F (174) = 23501,07; p = 0,000; &#951;  2  p = 0,97 (f de Cohen's = 5,6)] comparado con el grupo de control (n = 52) que recibió la atención habitual.  Conclusiones: Se demuestra la fidelidad teórica y operacional, la factibilidad y efectividad del protocolo de una intervención de enfermería para mejorar el autocuidado en adultos con falla cardíaca con un tamaño de efecto grande.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo: Apresentar a criação, a implementação e a avaliação de uma intervenção de enfermagem: "Tomada de decisões para o gerenciamento dos sintomas em adultos com insuficiência cardíaca".  Métodos: Realizou-se um processo sistemático proposto por Sidani e Braden que contempla quatro fases: criação da intervenção, operacionalização da intervenção em um manual de intervenção, estudo de aceitabilidade, viabilidade e efetividade da intervenção e tradução da intervenção.  Resultados: Criou-se a intervenção segundo os postulados da teoria de situação específica autocuidado em insuficiência cardíaca, centrada na tomada de decisões para o gerenciamento dos sintomas em adultos com insuficiência cardíaca. Os especialistas (n = 5) avaliaram satisfatoriamente o nível teórico do protocolo (índice de cumprimento 90 %). A taxa de recrutamento dos participantes foi bem-sucedida (91,6 %). Em uma amostra final para a análise (n = 105), descobriu-se uma melhora significativa no grupo de intervenção (n = 53) na manutenção do autocuidado [F (1,103) = 719,6; p = 0,000; &#951;  2  p =0,88 (f de Cohen's = 2,65)] e na gestão do auto-cuidado [F (1,74) = 23501,07; p = 0,000; &#951;  2  p =0,97 (f de Cohen's = 5,6)] comparado com o grupo de controle (n = 52) que recebeu atendimento habitual.  Conclusões: Demonstra-se a fidelidade teórica e operacional, a facti-bilidade e a efetividade do protocolo de uma intervenção de enfermagem para melhorar o autocuidado em adultos com insuficiência cardíaca com um tamanho de efeito grande.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To expose the design, implementation, and evaluation of a nursing intervention: "Decision-making for the management of symptoms in adults with heart failure".  Methods: We realized a systematic process proposed by Sidani and Braden that contemplates four phases: design of the intervention, operationalization of the intervention in an intervention manual, study of acceptability, feasibility, and effectiveness of the intervention and translation of the intervention.  Results: The intervention was designed according to the postulates of the specific situation theory self-care in heart failure, focused on decision-making for the management of symptoms in adults with heart failure. Experts (n = 5) successfully assessed the theoretical level of the protocol (compliance rate 90 %). The recruitment rate of the participants was successful (91.6 %). In a final sample for the analysis (n = 105), a significant improvement was found in the intervention group (n = 53) in the maintenance of self-care [F (1.103) = 719.6; p = 0.000; &#951;  2  p = 0.88 (Cohen's f = 2.65)] and in the management of self-care [F (174) = 23501.07; p = 0.000; &#951;  2  p = 0.97 (Cohen's f = 5.6)] compared to the control group (n = 52) that received the usual attention.  Conclusions: It demonstrates the theoretical and operational fidelity, feasibility, and effectiveness of the protocol of a nursing intervention to improve self-care in adults with heart failure with a large effect size.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Educación en Salud]]></kwd>
<kwd lng="es"><![CDATA[Auto-cuidado]]></kwd>
<kwd lng="es"><![CDATA[Enfermedades Cardiovasculares]]></kwd>
<kwd lng="es"><![CDATA[Insuficiencia Cardíaca (fuente: DeCS, BIRE-ME)]]></kwd>
<kwd lng="pt"><![CDATA[Educação em Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Auto-cuidado]]></kwd>
<kwd lng="pt"><![CDATA[Doenças Cardiovasculares]]></kwd>
<kwd lng="pt"><![CDATA[Insuficiência Cardíaca (fonte: DeCS, BIREME)]]></kwd>
<kwd lng="en"><![CDATA[Health Education]]></kwd>
<kwd lng="en"><![CDATA[Self-Care]]></kwd>
<kwd lng="en"><![CDATA[Cardiovascular Disease]]></kwd>
<kwd lng="en"><![CDATA[Heart Failure (source: DeCS, BIREME)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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