Self-care and Adherence Among Patients with Heart Tailure

Authors

  • Diana Marcela Achury Saldaña Author Facultad de Enfermería. Pontificia Universidad Javeriana

Keywords:

Self care, Aftercare, chronic disease.

Abstract

Objective: Determine adherence to treatment among hospitalized patients with heart failure, following the implementation of an educational plan to promote self-care.

Method: A quasi-experimental study (nurse-patient interviews) was carried out between December 2004 and May 2006 with a convenience sample of 50 patients. An instrument was designed to assess the patients' behavior based on a set of adherence results and their respective NOC indicators (Nursing Outcomes Classification). Adherence to treatment was measured at two points in time: the first during hospitalization, followed by application of the educational plan prior to release, which provided information on management of the patient's illness from a physical, psychological and social perspective that promotes self-care; and the second, one month after release, in the patient's home.

Results: Statistically significant differences (P=0.0001) showing how total adherence to treatment can be achieved by training the patient to manage his/her pharmacological and non-pharmacological treatment, by establishing a healthy relationship between the nursing professional and the patient, and by involving the family.

Conclusions: An educational process, coupled with continuous, personalized follow-up that motivates the patient and makes him/her aware of their leading role in the care and management of their illness is necessary for total adherence to treatment by a patient with heart failure.

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Author Biography

Diana Marcela Achury Saldaña, Facultad de Enfermería. Pontificia Universidad Javeriana

Facultad de Enfermería. Pontificia Universidad Javeriana. Carrera 7 No. 40 - 62, Bogotá, Colombia

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Published

2009-07-07

How to Cite

Achury Saldaña, D. M. (2009). Self-care and Adherence Among Patients with Heart Tailure. Aquichan, 7(2). Retrieved from https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/109

Issue

Vol. 7 No. 2 (2007)

Section

Articles

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