La educación a pacientes y su corresponsabilidad como herramientas terapéuticas

Molina, Dora I.; Valencia-Uribe, Santiago; Agudelo-Rojas, Lina María

doi:10.1016/j.rccar.2016.07.013

Cited by 5 publications

(4 citation statements)

References 32 publications

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“…Many patients perceive that there is no benefit to treatment because hypertension is asymptomatic, so it is important for healthcare professionals to educate patients about the role of BP in end-organ damage and cardiovascular events. There is now considerable evidence that effective patient education can have a significant impact on cardiovascular risk factors and outcomes [ 54 ]. Visual aids, such as risk charts, can help patients to see the personal impact of BP on risk [ 55 ].…”

Section: Issues In Hypertension Managementmentioning

confidence: 99%

“…They may also avoid intensification because of concerns about potential side effects or interactions [ 61 ]. Some of these “soft” barriers to treatment intensification may be overcome by effective patient–physician communication, which can change patients’ beliefs about medication, and enhance adherence and self-care among patients with hypertension [ 54 , 62 – 64 ]. Qualitative research among Colombian patients with hypertension has shown that patients want to build a trusting relationship with their physician and to have better communication with them [ 53 ].…”

Section: Issues In Hypertension Managementmentioning

confidence: 99%

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The Rationale for Using Fixed-Dose Combination Therapy in the Management of Hypertension in Colombia: A Narrative Review

Molina de Salazar,

Coca,

Alcocer

et al. 2024

Am J Cardiovasc Drugs

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Hypertension is a major risk factor for cardiovascular disease and the leading cause of death in Colombia. While the rate of hypertension awareness in Colombia is generally high, rates of treatment initiation, adherence, and blood pressure (BP) control are suboptimal. Major international hypertension guidelines recommend starting treatment with a combination of antihypertensive agents, and the use of a single-pill combination (SPC) to maximize adherence. In contrast, Colombian hypertension guidelines recommend starting treatment with diuretic monotherapy in most patients, and only initiating combination therapy in those with BP > 160/100 mmHg. Therefore, the aim of the current narrative review is to examine the rationale for using SPCs to treat hypertension in Colombia, in the context of the major issues for BP control there. There is evidence of widespread therapeutic inertia in hypertension management, particularly in primary care, in Colombia. Moreover, combination therapy, angiotensin-converting enzyme inhibitors, and long-acting calcium channel blockers, which are internationally recommended as first-line drug therapies, are underutilized there. Adherence to antihypertensive therapy is low in Colombia and may be enhanced by use of SPCs as well as better patient education and follow-up. While there are promising national initiatives to improve BP management, more needs to be done by individual physicians. Antihypertensive SPCs are available on the national essential medicines list and may help to overcome some of the problems with suboptimal adherence, therapeutic inertia, and low rates of BP control that contribute to the high cardiovascular death rate in Colombia.

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Section: Issues In Hypertension Managementmentioning

confidence: 99%

Section: Issues In Hypertension Managementmentioning

confidence: 99%

The Rationale for Using Fixed-Dose Combination Therapy in the Management of Hypertension in Colombia: A Narrative Review

Molina de Salazar,

Coca,

Alcocer

et al. 2024

Am J Cardiovasc Drugs

View full text Add to dashboard Cite

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“…En un centro de salud en Perú, los adultos mayores reciben ayuda material directa o servicios por parte de la red donde se encuentran, haciendo uso de esta para conseguir objetivos y metas (18). Así, el apoyo instrumental dado por folletos, ayuda directa en casa, videos y audios son una alternativa educativa en el abordaje para el autocuidado, el incremento de las tasas de adherencia y efectividad de los tratamientos farmacológicos instaurados y la disminución de complicaciones y aparición de comorbilidades relacionadas con su enfermedad base (19).…”

Section: Discussionunclassified

La autopercepción del apoyo social del paciente con enfermedad crónica, mediado por tecnología

Bustos

Martínez

Rodriguez

2019

Investg. Enferm. Imagen Desarollo.

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Introdución: El apoyo social ha sido un componente fundamental para el cuidado de la persona con enfermedad crónica; por lo tanto, conocer la percepción que se tiene de este y cómo la tecnología es un medio para fortalecerlo es relevante en la formulación de los planteamientos de cuidado que se implementan en las instituciones de salud. Objetivo: Determinar el efecto de la intervención Alguien apoya al que cuida en las percepciones de apoyo social que tienen los enfermos crónicos de un servicio de consulta externa en una institución pública de Girardot (Cundinamarca, Colombia). Método: Estudio de tipo cuantitativo-preexperimental, con una muestra de 116 personas con enfermedad crónica. Se realizó una caracterización sociodemográfica, de condiciones para el cuidado y nivel de apropiación de las tecnologías de los pacientes usando la ficha Caracterización de la Persona con Enfermedad Crónica o GCPC-UN-P. Como estrategia se desarrollaron tres talleres aplicando la intervención Alguien apoya al que cuida al grupo experimental y se midió la percepción de apoyo social antes de la intervención y después de esta, utilizando el Cuestionario MOS de Soporte Social Percibido Resultados: El efecto de la intervención fue estadísticamente significativo (p < 0,05) y cada uno de los factores que la componen: apoyo emocional, informacional, apoyo instrumental e interacción positiva afectiva. Conclusiones: Las intervenciones con el uso de recursos audiovisuales son efectivas como apoyo para los pacientes; y aquí la televisión y la radio son los medios en los cuales se encuentra mayor apropiación en esta población.

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“…Moreover, different guidelines propose specific topics that should be taught to patients with cardiomyopathies [8,9]. However, there is a lack of consensus about the most effective method for delivering this educational content effectively [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Effects of a WhatsApp-Assisted Health Educational Intervention for Cardiac Rehabilitation: A Randomized Controlled Clinical Trial Protocol

Jacome-Hortua,

Rincon-Rueda,

Sanchez-Ramirez

et al. 2024

MPs

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Although the effectiveness of cardiac rehabilitation (CR) programs in secondary prevention is well-recognized, there is a lack of studies exploring the potential of mobile health to enhance educational interventions within CR. The objective is to assess the impact of a structured WhatsApp-assisted health educational intervention, in conjunction with the usual care, compared to the usual care alone among participants enrolled in a CR program. The trial will recruit 32 participants enrolled in a CR program, who will be randomly assigned to a structured WhatsApp-assisted health educational intervention plus usual care or usual care alone group. The intervention will span 4 weeks, with assessments at baseline, 4 weeks, and 3, 6, and 12 months. The primary outcome measure is the cardiovascular risk factors knowledge score. Secondary outcomes include physical activity levels, anxiety and depression, and quality of life. Expected results include improved knowledge of cardiovascular risk factors, increased physical activity levels, and better mental health outcomes in the intervention group. Additionally, an enhancement in the overall quality of life is anticipated. These findings are expected to underscore the value of integrating mHealth with traditional CR methods, potentially shaping future approaches in chronic disease management and prevention.

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La educación a pacientes y su corresponsabilidad como herramientas terapéuticas

Cited by 5 publications

References 32 publications

The Rationale for Using Fixed-Dose Combination Therapy in the Management of Hypertension in Colombia: A Narrative Review

The Rationale for Using Fixed-Dose Combination Therapy in the Management of Hypertension in Colombia: A Narrative Review

La autopercepción del apoyo social del paciente con enfermedad crónica, mediado por tecnología

Effects of a WhatsApp-Assisted Health Educational Intervention for Cardiac Rehabilitation: A Randomized Controlled Clinical Trial Protocol

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