Adherencia a la Nutrición Enteral Domiciliaria

  1. Carmina Wanden-Berghe 1
  2. Kamila Cheikh Moussa 2
  3. Javier Sanz-Valero 3
  1. 1 Hospital General Universitario de Alicante
    info

    Hospital General Universitario de Alicante

    Alicante, España

    ROR https://ror.org/02ybsz607

  2. 2 Instituto de Investigación Sanitaria y Biomédica de Alicante ISABIAL – FISABIO , Alicante, España.
  3. 3 Universidad Miguel Hernández de Elche
    info

    Universidad Miguel Hernández de Elche

    Elche, España

    ROR https://ror.org/01azzms13

Show affiliations +
Journal:
Hospital a Domicilio

ISSN: 2530-5115

Year of publication: 2018

Volume: 2

Issue: 1

Pages: 11-18

Type: Article

DOI: 10.22585/HOSPDOMIC.V2I1.33 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Hospital a Domicilio

Abstract

Objective: To develop a questionnaire that allows to evaluate the therapeutic adherence of the patients with home enteral nutrition (NED). Method: Generation and validation of a questionnaire to evaluate medication adherence to NED. The internal consistency was verified by the Kuder-Richardson Formula 20 statistics. The construct validity was analyzed with the Varimax Rotation method with Kaiser normalization. The intra-observer and inter-observer concordance was calculated using the Kappa index. Results: Six items of dichotomous response were determined (yes.no) by consensus grouped into two categories: knowledge and difficulties. These items offered a final score related to the adherence from 0 a 2 = low; 3 a 4 = moderate; 5 a 6 = high. The intra-observer reliability obtained a concordance equal to 1 and inter-observers 0.93. The internal consistency was 0.721. Construct validity analyzed by factor analysis by principal component with Varimax Rotation method with Kaiser normalization identified 2 main components that grouped the items in the two dimensions of the questionnaire. Conclusion: The nutritional adherence questionnaire developed has been shown to be reliable and useful in obtaining information on adherence to nutritional treatment, with high content validity, internal consistency, construct validity and stability

Bibliographic References

  • Rodríguez-Marín J, Martínez M y Valcárcel MP. Psicología Social y Psicología de la Salud. En: Rodríguez-Marín J, coordinador. Aspectos psicosociales de la salud y la comunidad. Barcelona, España: PPU Editorial; 1990.
  • Bishop GD. Health Psychology: Integrating Mind and Body. Boston, USA: Allyn and Bacon; 1994.
  • World Health Organization. The World Health Report 2002: Reducing Risks, Promoting Healthy Life. Geneva, Switzerland: World Health Organization; 2002.
  • Meichenbaum D, Turk D. Facilitating treatment adherence. Nueva York, USA: Plenum Press; 1987.
  • Haynes RB, Sackett DL. Compliance in health care. 2nd edition. Baltimore, USA: Johns Hopkins University Press; 1979.
  • Rand CS. Measuring adherence with therapy for chronic diseases: implications for the treatment of heterozygous familial hypercholesterolemia. Am J Cardiol. 1993;72(10):68–74D. DOI: 10.1016.0002-9149(93)90014-4; PMID: 8213501
  • Sabaté E, editor. Adherence to long-term therapies: evidence for action. Geneva, Switzerland: World Health Organization; 2003.
  • ASPEN Board of Directors and the Clinical Guidelines Task Force. Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. JPEN J Parenter Enteral Nutr. 2002;26(1):1SA–138SA. PMID: 11841046
  • Howard P, Jonkers-Schuitema C, Furniss L, Kyle U, Muehlebach S, Od-lund-Olin A, et al. Managing the patient journey through enteral nutritional care. Clin Nutr. 2006;25(2):187–95. DOI: 10.1016.j.clnu.2006.01.013; PMID: 16697502
  • van den Broek PWJH, Rasmussen-Conrad EL, Naber AHJ, Wanten GJA. What you think is not what they get: significant discrepancies between prescribed and administered doses of tube feeding. Br J Nutr. 2009;101(1):68–71. DOI: 10.1017.S0007114508986852; PMID: 18768101
  • Villar Alvarez F, Estrada Lorenzo JM, Peréz Andrés C, Rebollo Rodrí-guez MJ. Estudio bibliométrico de los artículos originales de la Revista Española de Salud Pública (1991-2000). Parte tercera: análisis de las referencias bibliográficas. Rev Esp Salud Pública. 2007;81(3):247–59. DOI: 10.1590.S1135-57272007000300002; PMID: 17694632
  • Castera VT, Sanz Valero J, Juan-Quilis V, Wanden-Berghe C, Culebras JM, García de Lorenzo y Mateos A, et al. Estudio bibliométrico de la revista Nutrición Hospitalaria en el periodo 2001 a 2005: parte 2, análisis de consumo; las referencias bibliográficas. Nutr Hosp. 2008;23(6):541–6. PMID: 19132261
  • Sanz-Valero J, Wanden-Berghe C. Análisis bibliométrico de la producción científica, indizada en MEDLINE, sobre los servicios de salud proporcionados por las unidades de hospitalización a domicilio. Hosp Domic. 2017; 1(1):21-34. DOI: 10.22585.hospdomic.v1i1.3
  • Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74. DOI: 10.2307.2529310; PMID: 843571
  • Sabaté E. WHO Adherence Project: Toward Policies for Action. Geneva, Switzerland: World Health Organization; 2001.
  • Hubbard GP, Buchan B, Sanders K, Brothers S, Stratton RJ. Improved compliance and increased intake of energy and protein with a high energy density, low volume multi-nutrient supplement. Proc Nutr Soc. 2010;69(OCE2):E164. DOI: 10.1017.S0029665109993600
  • Gianotti L, Braga M, Nespoli L, Radaelli G, Beneduce A, Di Carlo V. A randomized controlled trial of preoperative oral supplementation with a specialized diet in patients with gastrointestinal cancer. Gastroenterology. 2002;122(7):1763–70. DOI: 10.1053.gast.2002.33587; PMID: 12055582
  • Fearon KCH, Von Meyenfeldt MF, Moses AGW, Van Geenen R, Roy A, Gouma DJ, et al. Effect of a protein and energy dense N-3 fatty acid enriched oral supplement on loss of weight and lean tissue in cancer cachexia: a randomised double blind trial. Gut. 2003;52(10):1479–86. DOI: 10.1136.gut.52.10.1479; PMID: 12970142
  • Basterra Gabarró M. El cumplimiento terapéutico. Pharm Care Esp. 1999;1:97–106.
Data source: Dialnet