El rompecabezas de la adherencia al tratamiento. La mirada de los actores: pacientes, familias-cuidadores y equipo de salud.

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Title: El rompecabezas de la adherencia al tratamiento. La mirada de los actores: pacientes, familias-cuidadores y equipo de salud.
Alternate Title: The puzzle of adherence to treatment. The actors' view: patients, family members, caregivers and health team.
Authors: Herrera Delgado, Carolina1, Vargas Olano, Marco Orlando2 orlandoacademica@gmail.com, Rocha-Nieto, Lilia Mercedes3
Source: Enfermería en Cardiologia. 2019, Vol. 26 Issue 78, p57-58. 12p.
Subjects: HEART diseases, MORTALITY, PATIENTS, CARDIAC rehabilitation, INTERDISCIPLINARY education
Abstract (English): Heart disease is the most prevalent and with the highest mortality in the world and in Colombia. Despite the fact that cardiac rehabilitation has proven to be effective in secondary prevention, its effectiveness is limited because of the poor patients' adherence to treatment, especially in the outpatient phase, when they do not have any direct supervision from health professionals, which conditions a deterioration of their health and quality of life. In this study, by means of focus groups, facilitating factors and barriers for selfmanagement of the disease and other categories associated with the development of adherence are identified from the actors' perspective (patients, family members and professionals with skill in cardiac rehabilitation). These findings are discussed together with contributions from various areas of knowledge, and guidelines are proposed to develop intervention proposals that improve therapeutic adherence, an interdisciplinary view being necessary for increasing it. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La enfermedad cardiaca es la de mayor prevalencia y mortalidad en el mundo y en Colombia. Pese a que la rehabilitación cardiaca ha probado su eficacia en la prevención secundaria, su efectividad es limitada por la baja adherencia de los pacientes al tratamiento, especialmente en la fase extrahospitalaria, cuando no tienen supervisión directa de los profesionales de la salud, lo que condiciona deterioro de su salud y la calidad de vida. En este estudio, mediante grupos focales se identifican desde la perspectiva de los actores (pacientes, familiares y profesionales expertos en rehabilitación cardiaca) factores facilitadores y barreras para la autogestión de la enfermedad y otras categorías asociadas con el desarrollo de la adherencia. Estos hallazgos se discuten junto con contribuciones de diversas áreas del conocimiento y se proponen pautas para elaborar propuestas de intervención que mejoren la adherencia terapéutica, para cuyo incremento es necesaria una mirada interdisciplinar. [ABSTRACT FROM AUTHOR]
Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: El rompecabezas de la adherencia al tratamiento. La mirada de los actores: pacientes, familias-cuidadores y equipo de salud.
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  Data: The puzzle of adherence to treatment. The actors' view: patients, family members, caregivers and health team.
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  Data: <searchLink fieldCode="AR" term="%22Herrera+Delgado%2C+Carolina%22">Herrera Delgado, Carolina</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Vargas+Olano%2C+Marco+Orlando%22">Vargas Olano, Marco Orlando</searchLink><relatesTo>2</relatesTo><i> orlandoacademica@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Rocha-Nieto%2C+Lilia+Mercedes%22">Rocha-Nieto, Lilia Mercedes</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Enfermería+en+Cardiologia%22">Enfermería en Cardiologia</searchLink>. 2019, Vol. 26 Issue 78, p57-58. 12p.
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  Data: <searchLink fieldCode="DE" term="%22HEART+diseases%22">HEART diseases</searchLink><br /><searchLink fieldCode="DE" term="%22MORTALITY%22">MORTALITY</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENTS%22">PATIENTS</searchLink><br /><searchLink fieldCode="DE" term="%22CARDIAC+rehabilitation%22">CARDIAC rehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22INTERDISCIPLINARY+education%22">INTERDISCIPLINARY education</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Heart disease is the most prevalent and with the highest mortality in the world and in Colombia. Despite the fact that cardiac rehabilitation has proven to be effective in secondary prevention, its effectiveness is limited because of the poor patients' adherence to treatment, especially in the outpatient phase, when they do not have any direct supervision from health professionals, which conditions a deterioration of their health and quality of life. In this study, by means of focus groups, facilitating factors and barriers for selfmanagement of the disease and other categories associated with the development of adherence are identified from the actors' perspective (patients, family members and professionals with skill in cardiac rehabilitation). These findings are discussed together with contributions from various areas of knowledge, and guidelines are proposed to develop intervention proposals that improve therapeutic adherence, an interdisciplinary view being necessary for increasing it. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: La enfermedad cardiaca es la de mayor prevalencia y mortalidad en el mundo y en Colombia. Pese a que la rehabilitación cardiaca ha probado su eficacia en la prevención secundaria, su efectividad es limitada por la baja adherencia de los pacientes al tratamiento, especialmente en la fase extrahospitalaria, cuando no tienen supervisión directa de los profesionales de la salud, lo que condiciona deterioro de su salud y la calidad de vida. En este estudio, mediante grupos focales se identifican desde la perspectiva de los actores (pacientes, familiares y profesionales expertos en rehabilitación cardiaca) factores facilitadores y barreras para la autogestión de la enfermedad y otras categorías asociadas con el desarrollo de la adherencia. Estos hallazgos se discuten junto con contribuciones de diversas áreas del conocimiento y se proponen pautas para elaborar propuestas de intervención que mejoren la adherencia terapéutica, para cuyo incremento es necesaria una mirada interdisciplinar. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: Spanish
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        PageCount: 12
        StartPage: 57
    Subjects:
      – SubjectFull: HEART diseases
        Type: general
      – SubjectFull: MORTALITY
        Type: general
      – SubjectFull: PATIENTS
        Type: general
      – SubjectFull: CARDIAC rehabilitation
        Type: general
      – SubjectFull: INTERDISCIPLINARY education
        Type: general
    Titles:
      – TitleFull: El rompecabezas de la adherencia al tratamiento. La mirada de los actores: pacientes, familias-cuidadores y equipo de salud.
        Type: main
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          Name:
            NameFull: Herrera Delgado, Carolina
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            NameFull: Vargas Olano, Marco Orlando
      – PersonEntity:
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            NameFull: Rocha-Nieto, Lilia Mercedes
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              M: 09
              Text: 2019
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              Y: 2019
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            – TitleFull: Enfermería en Cardiologia
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