Cognitive predictors and decision-making in the experience of coronary syndrome symptoms

Enfermeria intensiva Pub Date : 2024-04-01 DOI:10.1016/j.enfie.2023.06.003

C.Y. Bernal-Cárdenas RN, MSc, PhD , V.M. Céspedes-Cuevas RN, MSc, PhD , J. Rojas-Reyes RN, MSc, PhD

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Abstract

Objective

To determine the predictive value of Cognitive Assessment, Symptom Severity, Personal Control and Self-Efficacy on decision making in the experience of Acute Coronary Syndrome symptoms.

Method

Quantitative study of cross-sectional analytical design, a probabilistic sampling was carried out for 256 participants diagnosed with coronary syndrome in three health institutions. The effects between the independent variables Cognitive Assessment, Symptom Severity, Personal Control, Self-Efficacy and the dependent Decision-Making were analyzed. Using inferential statistics, a Generalized Linear Regression Model was carried out, which allowed establishing the causal relationships between the variables.

Results

Two predictive models were obtained between decision making and cognitive evaluation, in which personal control, severity of symptoms, sex and context were significant. Self-efficacy was not reported as a predictor variable. The values of the independent variables showed a behavior directly proportional to the Decision Making score.

Conclusion

A verification of the conceptual model for the management of symptoms was carried out.

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冠状动脉综合征症状体验中的认知预测和决策。

目的确定认知评估、症状严重程度、个人控制和自我效能对急性冠状动脉综合征症状决策的预测价值：方法：采用横断面分析设计的定量研究，对三家医疗机构中确诊为冠状动脉综合征的 256 名参与者进行概率抽样。研究分析了自变量认知评估、症状严重程度、个人控制、自我效能和因变量决策之间的影响。利用推理统计法，建立了一个广义线性回归模型，从而确定了变量之间的因果关系：结果：在决策和认知评估之间得到了两个预测模型，其中个人控制、症状严重程度、性别和环境具有重要意义。自我效能感未作为预测变量。自变量的值与决策得分成正比：对症状管理的概念模型进行了验证。

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Enfermeria intensiva

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