Self-care stances, relations and significance of high blood pressure

Introduction: In clinical practice, the question is frequently posed about why some patients with chronic diseases do not follow the recommendations given by health professionals, despite the information that they obtain about the disease. Objective: To understand how self-care stances are construct...

Full description

Autores:
Higuera Dagovett, Elkin
Garzón, Dora Isabel
Tipo de recurso:
Article of journal
Fecha de publicación:
2019
Institución:
Universidad de Ciencias Aplicadas y Ambientales U.D.C.A
Repositorio:
Repositorio Institucional UDCA
Idioma:
eng
OAI Identifier:
oai:repository.udca.edu.co:11158/2451
Acceso en línea:
https://www.scopus.com/search/form.uri?display=basic
Palabra clave:
Relaciones Médico-Paciente
Hipertensión
Autocuidado
Presión arterial
Doctor-patient relation
Hypertension
Medication compliance
Self-care
Rights
openAccess
License
Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales
Description
Summary:Introduction: In clinical practice, the question is frequently posed about why some patients with chronic diseases do not follow the recommendations given by health professionals, despite the information that they obtain about the disease. Objective: To understand how self-care stances are constructed and their articulation with the meaning of arterial hypertension and the doctor-patient relationship. Method: Qualitative study, with narrative design. Conversational spaces were analyzed with patients and health professionals. Results: The construction of the experience in the conversational healthcare space does not have a convergence point, since it is part of unidirectional conversations centered on the experience of the physician in front of the patient and the latter's dialogue with himself/herself about his/her illness, experiences not leading to sustainable transformations in lifestyle over time and favoring the emergence of limiting labels for the construction of relationships that enable patients to assume their self-care. Conclusions: Dialogue in the doctor-patient relationship facilitates the emergence of new meanings of the disease and the activation of processes, by which people can assume the experience from responsibility and self-care.