Sobre la adherencia al tratamiento: Análisis de un caso clínico a la luz del modelo transteórico / PATIENT'S ADHESION TO TREATMENT: ANALYSIS OF A CLINICAL CASE REFERRED TO A TRANSTHEORETICAL MODEL
Prensa méd. argent
;
103(1): 33-41, 20170000.
Article
in Spanish
| LILACS, BINACIS
| ID: biblio-1380030
RESUMEN
Antecedentes Determinadas patologías crónicas, asociadas con hábitos perniciosos y con las que convive el enfermo durante muchos años afectando cada vez más su calidad de vida y eventualmente amenazando su vida misma, requieren abordajes terapéuticos interdisciplinarios que modifiquen la resistencia a su corrección. Objetivo:
demostrar la utilidad del modelo transteórico.Diseño:
observacional-descriptivo de un caso clìnico. Lugar de aplicación Hospital Universitario de atención terciaria.Método:
consta de cinco etapas Precontemplación, Contemplación, Preparación para la acción, Acción y Mantenimiento del cambio logrado (Método Transteórico de Prochaska y Di Clemente).Resultado:
Se logró la adhesión del paciente a conductas e indicaciones rechazadas en un principio. Logrando mejorar su control metabólico, y de otros factores de riesgo.Conclusiones:
el modelo terapéutico aplicado a este paciente con una enfermedad de evolución crónica sin conciencia de la misma, resultó eficazABSTRACT
Background:
Certain chronic diseases associated with harmful habits with which some patients live for many years that affect both their quality of life and eventually threaten life itself, require multidisciplinary therapeutic approaches that change the patient´s resistance to habits being corrected.Objective:
To show the benefits of the transtheoretical model.Design:
Observation of case reportSetting:
tertiary care at University HospitalMethod:
The method consists of five stages Precontemplation, Contemplation, Preparation for action, Action, and Maintenance of the achieved change (The Transtheoretical Model by Prochaska & Di Clemente)Result:
The patient´s adhesion to behaviour and medical advice which had initially been rejected was achieved. The insulin dose was reduced obtaining adequate glycaemic control, there was an improvement in the lipid profile, and adhesion to the nutritional treatment strengthened. This led to the beginning of body weight loss and the treatment of an ulcer on the sole of the patient´s foot.Conclusions:
The therapeutic model applied to this patient with a chronic disease without awareness was effective
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Epidemiology, Descriptive
/
Feeding Behavior
/
Treatment Adherence and Compliance
/
Transtheoretical Model
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
/
Male
Language:
Spanish
Journal:
Prensa méd. argent
Journal subject:
Medicine
Year:
2017
Type:
Article
Affiliation country:
Argentina
Institution/Affiliation country:
Universidad de Buenos Aires/AR
Similar
MEDLINE
...
LILACS
LIS