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Published on: April 19, 2019
[Self-care agency and adherence to treatment in people having cardiovascular risk]
Anita Velandia-Arias1, Luz N Rivera-Alvarez
1Unidad de Cuidado Intermedio, Hospital Tunjuelito, Bogotá, Colombia. anita_velandia@hotmail.com
Insights
Patients with cardiovascular risk factors demonstrated a moderate positive correlation between self-care agency and treatment adherence. Enhancing self-care agency can improve adherence to both pharmacological and non-pharmacological treatments.
Area of Science:
- Cardiology
- Public Health
- Behavioral Science
Context:
- Cardiovascular risk factors (obesity, sedentary lifestyle, hypertension, diabetes mellitus) are prevalent.
- Effective management requires patient engagement and treatment adherence.
- Tunjuelito hospital in Bogota serves a population with these risk factors.
Purpose:
- To determine the relationship between self-care agency and adherence to treatment.
- To evaluate self-care agency ability and treatment adherence in patients with cardiovascular risk factors.
- To identify potential interventions for improving patient outcomes.
Summary:
- A descriptive and correlational study assessed 201 patients with cardiovascular risk factors.
- Self-care agency and adherence to pharmacological/non-pharmacological treatments were measured.
- A moderate positive correlation (0.413) was found between self-care agency and treatment adherence.
Impact:
- Findings suggest that strengthening self-care agency can enhance treatment adherence.
- This highlights the importance of patient empowerment in managing cardiovascular health.
- Results can inform clinical practice and public health strategies for cardiovascular disease prevention and management.
Objective:
Determining the relationship between self-care agency and adherence to pharmacological and non-pharmacological treatment in patients having cardiovascular risk factors at the Tunjuelito hospital in Bogota.
Methodology:
This study involved a descriptive and correlational design which evaluated self-care agency ability and adherence to treatment in a random sample of 201 people having the following cardiovascular risk factors: being obese, having a sedentary lifestyle, arterial hypertension and diabetes mellitus. The patients being studied were attending Tunjuelito hospital's chronic-patient programme. Appraisal of self-care agency (ASA) scale and a questionnaire for evaluating behaviour regarding adherence to pharmacological and non-pharmacological treatment from the NOC taxonomy were carried out in the research.
Results:
62.6 % of the people having cardiovascular risk factors had regular self-care agency ability, whilst 77 % presented good adherence to pharmacological and nonpharmacological treatment. Spearman's coefficient revealed a 0.413 correlation between self-care agency ability and adherence to pharmacological and non-pharmacological treatment, indicating moderate and positive correlation.
Conclusions:
Self-care agency involves an individual's active and tacit participation in discerning, decision-making and taking self-care action for maintaining and improving her/his health (i.e. adhering to prescribed treatment).
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Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...

