• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Nursing forum >Concept analysis of adherence in the context of cardiovascular risk reduction.
【24h】

Concept analysis of adherence in the context of cardiovascular risk reduction.

机译：降低心血管风险的背景下依从性的概念分析。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

TOPIC: Cardiovascular disease is the number one cause of death in the United States. Examination of the concept of adherence is essential to provide informed patient-centered care to prevent the development and progression of this largely preventable disease. OBJECTIVE: The purpose of this concept analysis is to explore and clarify the concept of adherence. This analysis will provide a framework for those seeking a better understanding of patient decision-making, reduction of relapse to unhealthy behaviors, and increased long-term adherence to cardiovascular health recommendations. Reviews of major theories related to health behavior are reviewed in the second part of the article and are linked to the concept of adherence. METHOD: Following a review of the literature, Morse's guidelines were utilized to present a concept analysis of adherence and the related terms concordance and compliance from the disciplines of nursing, health psychology, ethics, pharmacy, and medicine. RESULTS: Adherence is dependent on the collaborative relationship between patient and healthcare provider. Adherence is influenced by the meaning of health, heart disease, and sense of personal risk as well as socioeconomic status, decision support, motivation, and desire for change, self-efficacy, and sources of credible health information. Attributes of successful adherence include alignment of patient behavior and health recommendations, mastery of new health knowledge and behavior, continued collaborative relationships between the patient and healthcare provider, and ability to meet outcome targets. CONCLUSION: Adherence is defined as persistence in the practice and maintenance of desired health behaviors and is the result of active participation and agreement. Adherence is dependent on the development of a concordant relationship and its measurement should be specific utilizing the correct tools. Special attention should be paid to shared decision-making between patient and healthcare provider.
机译：主题：心血管疾病是美国第一大死亡原因。依从性概念的检查对于提供以患者为中心的知情护理以防止这种可预防的疾病的发生和发展至关重要。目的：本概念分析的目的是探索和阐明依从性的概念。该分析将为寻求更好地了解患者决策，减少不良行为复发和增加长期遵守心血管健康建议的人们提供一个框架。在文章的第二部分中，对与健康行为有关的主要理论进行了综述，并将其与依从性概念联系在一起。方法：在对文献进行回顾之后，利用莫尔斯的指南对护理，健康心理学，伦理学，药学和医学等学科的依从性和相关术语的一致性和顺应性进行了概念分析。结果：依从性取决于患者与医疗保健提供者之间的协作关系。遵从性受到健康，心脏病和个人风险感以及社会经济地位，决策支持，动机以及对变革的渴望，自我效能以及可靠的健康信息来源的含义的影响。成功遵守的属性包括患者行为和健康建议的一致性，对新健康知识和行为的掌握，患者与医疗保健提供者之间持续的协作关系以及达到结果目标的能力。结论：坚持被定义为坚持和维持期望的健康行为，是积极参与和达成共识的结果。坚持性取决于和睦关系的发展，应使用正确的工具对其进行具体衡量。应特别注意患者与医疗保健提供者之间的共同决策。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号