Action and coping plans related to the behavior of adherence to drug therapy among coronary heart disease outpatients

Abstract

Objective: to analyze the action and coping plans related to the behavior of adhering to drug therapy, developed by coronary heart disease (CHD) outpatients, and to identify the barriers perceived to adopting this behavior. Methods: the participants (n=59) were invited to formulate action plans and coping plans for the behavior of adhering to the cardioprotective medications and the symptom-relief medications. Results: specific action plans for taking the medications associated with temporal markers and the sleep-wake cycle were shown. The most frequently reported obstacles were forgetfulness and absence of routine in daily living activities. The coping plans for overcoming forgetfulness were the most specific. Conclusion Planes de acción y de enfrentamiento de obstáculos relacionados al comportamiento de adhesión a la terapia medicamentosa en pacientes con coronariopatíaObjetivo: analizar los planes de acción y de enfrentamiento de obstáculos relacionados al comportamiento de adhesión a la terapia medicamentosa, elaborados por pacientes con coronariopatía en seguimiento de ambulatorio e identificar las barreras percibidas para adopción de este comportamiento. Método: los participantes (n=59) fueron invitados a elaborar planes de acción (action planning) y de enfrentamiento de obstáculos (coping planning) para el comportamiento de adhesión a los medicamentos cardio-protectores y de alivio de los síntomas. Resultados: fueron evidenciados planes de acción específicos para la tomada de los medicamentos que asociaron el comportamiento a marcadores temporales y al ciclo vigilia sueño. Los obstáculos más frecuentemente relatados fueron el olvido y la ausencia de rutina en las actividades de vida diaria. Los planes de enfrentamiento elaborados para superar el olvido fueron los más específicos. Conclusión: los hallazgos de este estudio subvencionan la aplicación de la implementación de la intención para optimizar la adhesión de pacientes con coronariopatía a la terapia medicamentosa.

Competências do enfermeiro na promoção da saúde de indivíduos com cardiopatias crônicas

“…Catalyzing change -Promote health education (14)(15)(16)(18)(19)21,26,(29)(30) -Promote empowerment (13)(14)(15)(19)(20)26,28,30) -Develop activities to promote healthy habits (17)(18)(19)23) Leadership -Encourage communication between nurse and patient (15)(16)28) Evaluation -Evaluate the psychosocial context (perception of quality of life and social support) (11,24) -Evaluate social support (11) -Identify cardiovascular risk factors (13,18,20,27,29) -Evaluate lifestyle (17,23) -Identify barriers for the treatment (19,21) To be continued …”

“…Plannning -Plan workable strategies for health promotion (12)(13)(14)(15)(16)(17)(18)(19)(20)23,26,28,30) -Use systematic process in care planning (3,14,22,25) -Develop action plans and coping (21) Implementation -Monitor telehealth (12,16,(18)(19)26) -Develop empowerment actions (12)(13)16,20,26,28,30) -Promote strategies to access health services (13)(14)20) -Implement cardiac rehabilitation program (home visits) (15)(16)28) -Cope with obstacles (17,21) -Implement behavioral intervention program (promotion of physical activity) (17) -Analyze health data (29) Assessment -Assess the use of hard technologies for health promotion (12,19,26,29) -Assess the use of light technologies for health promotion and disease prevention (13)(14)…”

Importance of body weight and skin color in determining appropriate vitamin D3 supplement doses for children and adolescents

“…Finally, forgetfulness is the reason most often given for not taking supplements (25)(26)(27). Implementation intentions, which are plans for when, where, and how an action will be taken, have been shown to be helpful in thwarting forgetfulness in this context (27); however, health professionals must do more than simply tell the patient to make plans (28).…”

“…Implementation intentions, which are plans for when, where, and how an action will be taken, have been shown to be helpful in thwarting forgetfulness in this context (27); however, health professionals must do more than simply tell the patient to make plans (28). Asking the patient questions such as, "Which drug store will you visit to buy these?…”

“…", and "How will you remember?" can be a simple but effective way to increase adherence, particularly if the patient makes a plan to take the supplement at the same time as a regular activity, such as waking up, going to bed, or at a specific meal (27). Because of the way vitamin D is metabolized and stored in the human body, it is even possible for a healthcare provider to ask a patient to take up to a 3-month dose in the provider's presence to ensure adherence (29).…”