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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;2= 0.88 (Cohen’s f = 2.65)] and in themanagement of self-care [F (1.74) = 23501.07;p = 0.000; 2= 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.

Toma de decisiones para el manejo de los síntomas de falla cardíaca: protocolo de intervención