Concept Analysis of Adherence in the Context of Cardiovascular Risk Reduction

Cohen, Shannon Munro

doi:10.1111/j.1744-6198.2009.00124.x

Cited by 53 publications

(51 citation statements)

References 43 publications

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“…Now concordance, which suggests equality, sharing of power, and ongoing negotiation and interaction respecting the beliefs of the patient [3]. A nice concept analysis of compliance, adherence and concordance can be found in a review by Cohen in the context of cardiovascular risk reduction [4]. Even though it looks like a somewhat evolutionary transition, the real life situation even today is a mix of all three concepts, and the concepts are even used interchangeably [5].…”

Section: Introductionmentioning

confidence: 97%

“Patients don’t lie”; a view on adherence in asthma

2010

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Section: Introductionmentioning

confidence: 97%

“Patients don’t lie”; a view on adherence in asthma

2010

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“…The effects of health-related behavior for actual health are crucial in terms of preventing morbidity and mortality [4]–[6]. However, the significance of health-related behavior is also emphasized with regard to those who have already developed a disease, as patients' behavioral patterns, habits or actions are frequently able to slow down the progress of a disease or to prevent aggravations and relapses [7]–[9]. Various factors have been reported as associated with the likelihood of both preventive and risky health-related behavior, including socioeconomic status, personality, emotional and cognitive factors [10].…”

Section: Introductionmentioning

confidence: 99%

Health-Related Behavior, Profile of Health Locus of Control and Acceptance of Illness in Patients Suffering from Chronic Somatic Diseases

et al. 2013

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PurposeThe purpose of the study was to determine health-related behaviors, profile of health locus of control (HLC), and to assess the relationships between these constructs among patients suffering from chronic somatic diseases.Material and MethodsThree-hundred adult patients suffering from various chronic diseases participated in the study. The patients' mean age was 54.6 years (SD = 17.57).ResultsNo statistically significant differences were found between the different clinical groups in health-related behavior, acceptance of illness, internal HLC or chance HLC. Patients with neurologic conditions showed slightly lower powerful others HLC than did some other clinical groups. Health-related behavior was significantly positively related to all three categories of HLC, with most prominent associations observed with powerful others HLC. Only one type of health-related behavior – preventive behavior – correlated significantly and negatively with acceptance of illness. Differences in the frequency of health-related behavior were also found due to gender (women showing more healthy nutritional habits than men), age (older subjects showing more frequent health-promoting behavior), education (higher education was associated with less frequent health-promoting behavior) and marital status (widowed subjects reporting more frequent health-promoting behavior).ConclusionsHealth-related behavior in patients with chronic diseases seems to be unrelated to a specific diagnosis; however it shows associations with both internal and external HLC. Sociodemographic factors are also crucial factors determining frequency of health-related behavior in such patients.

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“…Compliance with the care is influenced by the meaning attributed by patients to health, heart disease and personal risk, as well as by socioeconomic status, motivation and desire for change, self-efficiency, and by sources of health information considered reliable, sendo constituída de uma relação concordante between health care professional and patient by means of da da use of appropriate tools in the interactive process (19) .…”

Section: According To Research Carried Out In the Cardiacmentioning

confidence: 99%

Understanding the process of living as signified by myocardial revascularization surgery patients

Erdmann

Lanzoni

Callegaro³

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: To understand the meanings for the process of living, for patients undergoing myocardial revascularization surgery, and to construct an explanatory theoretical model. Method: Grounded Theory was used, with data collection undertaken between October 2010 and May 2012, in a health institution which specializes in cardiac surgery, located in the south of Brazil. Thirty-three subjects were interviewed (patients, health care professionals and family members), distributed in four sample groups. Result: The explanatory theoretical model was comprised of 11 categories and the central phenomenon. The specialized service and the cardiac rehabilitation program formed the context, the discovery of the cardiac disease and the feelings experienced during the perioperative period were the cause and intervening conditions in the process of experiencing the myocardial revascularization surgery. The strategies were relying on the family's support, having faith and hope, and participating in the rehabilitation program. This process's main consequences were the confrontation of the changes and the resulting limitations, difficulties and adaptations to the new lifestyle after surgery. Conclusion: The process of experiencing the myocardial revascularization surgery constitutes an opportunity for maintaining the patient's life associated with the needs for confronting the significant changes in lifestyle.

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Concept Analysis of Adherence in the Context of Cardiovascular Risk Reduction

Cited by 53 publications

References 43 publications

“Patients don’t lie”; a view on adherence in asthma

“Patients don’t lie”; a view on adherence in asthma

Health-Related Behavior, Profile of Health Locus of Control and Acceptance of Illness in Patients Suffering from Chronic Somatic Diseases

Understanding the process of living as signified by myocardial revascularization surgery patients

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