The Dialogic Bond that Relieves: Encounter to Transcend Therapeutic Adherence
DOI:
https://doi.org/10.5294/aqui.2019.19.2.5Keywords:
Communication, bonding, adhesion, treatment adherence and compliance, nursing, coronary diseaseAbstract
El vínculo dialógico que alivia: encuentro para transcender la adherencia terapéutica
O vínculo dialógico que alivia: encontro para transcender a adesão terapêutica
Objective: This work sought to describe the meanings constructed by patients with coronary disease (PCD) the communication process used by nurses during the transition from the hospital (coronary care unit) to the home for therapeutic adherence. Method: The article corresponds to a qualitative study, which used an approach through grounded theory. The participants were 12 informants from the city of Medellin, Colombia. Data reliability was guaranteed. Results: Construction of a theoretical postulate: “Reconstructing the significance of treatment: from the indifference to reviving with a dialogic bond that relieves”. The process faced by PCD, derived from the communication process, goes from “living in ignorance”, “experiencing rupture with the treatment” to “reconstructing: finding sense” and, finally, “finding a state of harmony: new learnings”. This last achievement is obtained when creating awareness in the “dialogic bond that relieves”. Conclusions: The meaning granted by PCD to the communication process for therapeutic adherence is established when reaching transformation and expanding the conscience (creating awareness) in a “dialogic bond that relieves”; likewise, when this process is full of apathy and indifference, the sense of the treatment is lost.
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Arango MC, Gómez AM. The Dialogic Bond that Relieves: Encounter to Transcend Therapeutic Adherence. Aquichan 2019; 19(2): e1925. DOI: 10.5294/aqui.2019.19.2.5
Received: 22/01/2019
Approved: 25/04/2019
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References
Organización Mundial de la Salud. Informe sobre la situación mundial de las enfermedades no transmisibles [Internet]. 2014. Available in: https://apps.who.int/iris/bitstream/handle/10665/149296/WHO_NMH_NVI_15.1_spa.pdf;jsessionid=D9F6D2E5B400BC65290ADCBB955D2BE3?sequence=1
Iuga AO, McGuire MJ. Adherence and health care costs. Risk Manag Health Policy. 2014 Feb. 20; 7:35-44. DOI: 10.2147/RMHP.S19801
Conthe P et al. Adherencia terapéutica en la enfermedad crónica: estado de la situación y perspectiva de futuro. Rev Clin Esp. 2014. DOI: 10.1016/j.rce.2014.03.008
Pisano M, González A. La modificación de los hábitos y la adherencia terapéutica, clave para el control de la enfermedad crónica. Enferm Clin. 2014; 24 (1):59-66. DOI: 10.1016/j.enfcli.2013.10.006
Brown MT, Bussell J, Dutta S, Davis K, Strong S, Mathew S. Medication adherence: truth and consequences. Am J Med Sci. 2016 Apr. 351(4):387-99. DOI: 10.1016/j.amjms.2016.01.010
Linn AJ et al. The value of nurses’ tailored communication when discussing medicines: Exploring the relationship between satisfaction, beliefs and adherence. J Health Psychol. 2014. p. 9. DOI: 10.1177/1359105314539529
Zullig L, Shaw R, Shah B, Peterson E, Lindquist J, Crowley M. Patient-provider communication, self-reported medication adherence, and race in a post-myocardial infarction population. Patient Prefer Adherence. 2015, 9:311-331. 10.2147/PPA.S75393
Zolnierek K, Dimatteo M. Physician communication and patient adherence to treatment: a meta-analysis. Med Care. 2009; 47 (8):826-34. DOI: 10.1097%2FMLR.0b013e31819a5acc
Shannon C, Weaver W. Teoría matemática de la comunicación. Madrid: Forja; 1981.
Corbin J, Strauss A. Basics of qualitative research. 4th ed. Los Ángeles: Sage; 2014.
Strauss A, Corbin J. Bases de la investigación cualitativa. Técnicas y procedimientos para desarrollar teoría fundamentada. Medellín: Universidad de Antioquia; 2002.
Blumer H. Symbolic interactionism: Perspective and method. University of California Press; 1969. p. 4.
Valles MS. Técnicas cualitativas de investigación social. Reflexión metodológica y práctica profesional. [Internet]. Madrid: Síntesis; 1999.
Chiovitti R, Piran N. Rigor and grounded theory research. J adv nurs. 2003; 44(4):430. 10.1046/j.0309-2402.2003.02822.x
Charmaz K. Constructing grounded theory. 2nd ed. Los Angeles: Sage; 2014.
Arango MC. Significados del proceso comunicativo enfermera-paciente con enfermedad coronaria para la adherencia terapéutica [Masters thesis]. [Bogotá (COL)]: Universidad Nacional de Colombia; 2018. Available in: http://bdigital.unal.edu.co/72006/1/Tesis%20final%20MCAR.pdf
Diccionario de la Lengua Española; 2017. Available in: http://dle.rae.es/?id=DgIqVCc
Bowlby J. Attachment and Loss (III). La pérdida afectiva. Buenos Aires: Paidós SAICF; 1983.
Enrique Pichon-Rivière. Vinculo y teoría de las tres D (depositante, depositario y depositado). Rol y status. The International Journal of Psychoanalysis (in Spanish), 2017 3 (1): 177-186. DOI: 10.1080/2057410X.2017.1490564
Meleis A. Theoretical nursing: development and progress. Lippincott: Williams and Wilkins; 2011.
Dexheimer M. Theory of health as expanding consciousness. In: Smith M, Parker M. Nursing theories and nursing practice. FA Davis, 2015, p. 279-300.
Noddings N. Caring: A relational approach to ethics moral education. Los Angeles, London: University of California Press; 2013.
Acosta GL, Garcés A. El diálogo de saberes en comunicación o el giro del pensamiento y de la acción en las prácticas de comunicación para la movilización y el cambio social. In: Acosta GL, Pinto MC y Tapias CA (eds.), Diálogo de saberes en comunicación: colectivos y academia. Medellín; CIESPAL; 2016. p. 23-56.
Ramírez P, Álvarez M, Cabello D, Riquelme A, Guerra M. Vínculo terapéutico, expectativas, impacto y adherencia al tratamiento según la percepción de los usuarios del Cosam puente alto en tratamiento por adicciones. Rev GPU 2018; 14; 2: 193-201. Available in: http://www.revistagpu.cl/GPU-dic-2018.pdf#page=101
Flórez I, Ruidiaz R, Hernández J. Valoración de la incertidumbre en paciente con cardiopatía isquémica. Actualizaciones en Enfermería. 2014, 17(3):15-21. Available in: https://encolombia.com/medicina/revistas-medicas/enfermeria/ve173/valoracion-cardiopatia-isquemica/
Colle R. Teoría cognitiva sistémica de la comunicación: de la materia a la conciencia. Universidad Diego Portales: Santiago de Chile; 2002.
Peplau H. Relaciones interpersonales en enfermería. Un marco de referencia conceptual para la enfermería psicodinámica. Barcelona: Salvat; 1990.
King I. A theory for nursing: systems, concepts, process. Albany, Nueva York: Delmar; 1981.
Daley DJ, Deane KH, Gray RJ, Hill R, Myint PK. Qualitative evaluation of adherence therapy in Parkinson’s disease: a multidirectional model. Patient Prefer Adherence. 2015 Jul. 10; 9:989-98. DOI: 10.2147/PPA.S80158
Arnow BA, Steidtmann D. Harnessing the potential of the therapeutic alliance. World Psychiatry. 2014 Oct. 13(3):238-40. DOI: 10.1002/wps.20147
Vélez AJ. Relación entre el bienestar psicológico de los psicoterapeutas y el vínculo terapéutico [Masters thesis; on line]. [Medellín]: Universidad de Antioquia; 2014.
Durif-Bruckert C, Roux P, Rousset H. Medication and the patient-doctor relationship: a qualitative study with patients suffering from fibromyalgia. Health Expectations. 2014, 18(6):2584-2594. DOI: 10.1111/hex.12230
Cófreces P, Ofman S, Stefani D. La comunicación en la relación médico-paciente. Análisis de la literatura científica entre 1990 y 2010. Revista de Comunicación y Salud, 2014 4:19-34. Available in: revistadecomunicacionysalud.org/index.php/rcys/article/download/53/72
Weinstein N, De Haan C. On the mutuality of human motivation and relationships. In: Netta W. Human motivation and interpersonal: theory, research, and applications. Nueva York, Londres: Springer; 2014. p. 3-24.
Zill JM, Christalle E, Müller E, Härter M, Dirmaier J, Scholl I. Measurement of physician-patient communication: a systematic review. 2014. PLOS ONE, 9(12). Available in: 10.1371/journal.pone.0112637
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