Abstract

ACHURY SALDANA, Diana Marcela. Self-care and Adherence Among Patients with Heart Tailure. Aquichan [online]. 2007, vol.7, n.2, pp.139-160. ISSN 1657-5997.

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.

Keywords : Self care; Aftercare; chronic disease.

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