Velandia-Arias Anita, Rivera-Alvarez Luz N
Unidad de Cuidado Intermedio, Hospital Tunjuelito, Bogotá, Colombia.
Rev Salud Publica (Bogota). 2009 Aug;11(4):538-48. doi: 10.1590/s0124-00642009000400005.
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.
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.
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.
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).
确定波哥大市通朱埃利托医院有心血管危险因素的患者自我护理能力与药物及非药物治疗依从性之间的关系。
本研究采用描述性和相关性设计，对201名具有以下心血管危险因素的患者进行随机抽样，评估其自我护理能力和治疗依从性：肥胖、久坐不动的生活方式、动脉高血压和糖尿病。所研究的患者均参加通朱埃利托医院的慢性病患者项目。研究中使用了自我护理能力评估量表（ASA）以及一份根据护理结局分类法（NOC）编制的用于评估药物及非药物治疗依从性行为的问卷。
62.6%有心血管危险因素的患者具备常规自我护理能力，而77%的患者对药物及非药物治疗表现出良好的依从性。斯皮尔曼系数显示自我护理能力与药物及非药物治疗依从性之间的相关性为0.413，表明存在中度正相关。
自我护理能力涉及个体积极且默契地参与辨别、决策及采取自我护理行动，以维持和改善自身健康（即坚持规定治疗）。
