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Published on: February 16, 2011
Ineffective health control: concept analysis
Wenysson Noleto Dos Santos1, Rudval Souza da Silva2, Francisca Marta de Lima Costa Souza1
1Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil.
Objectives:
to identify and synthesize the concept of Ineffective Health Control.
Methods:
Concept Analysis from the perspective of Walker and Avant, operationalized by an integrative review in the databases Scopus, LILACS, PubMed, CINAHL, Web of Science, Science Direct e Cochrane, using the descriptors: Adhesion to Medication; Cooperation and Adherence to Treatment and Acquired Immunodeficiency Syndrome.
Results:
five critical attributes were identified for the concept, namely: patient's refusal to follow the therapeutic plan; abandoning treatment and worsening signs and symptoms; difficulty in reaching agreed goals; difficulty following health professionals' guidelines; multifactorial and dynamic process.
Conclusions:
the concept of Ineffective Health Control is characterized by a multifactorial and dynamic process evidenced by the patient's refusal to follow a therapeutic plan, favouring the abandonment of treatment and resulting in the worsening of signs and symptoms and failure to reach goals.
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