Comportamientos de autocuidado y adherencia terapéutica en personas con enfermedad coronaria que reciben atención en una institución hospitalaria de Ibagué, Colombia.

Objective: To assess self-care behaviors and adherence to treatment of a group of people with coronary heart disease who received care in Ibague, Colombia, in 2013.Method: descriptive cross-sectional study in a sample of 55 patients with coronary artery disease treated at the outpatient service at a fourth-level health providing institution in the city of Ibague, between September and November 2013. The information was collected using the The European Heart Failure Self-care Behavior scale(adjusted) and the Instrument of Adhesion, third version by Bonilla and De-Royal, and the statistical analysis was performed using SPSS program v 19. Results: The average selfcare generated from the sample was: ordinary self-care with 32 points (SD 7.04); Distributed in 7.27% to low self-care, ordinary self-care 61.81% and 30.3% for good self-care. By analyzing adherence an average of 53.96 points (SD: 5.01) of risk to nonadherence to treatment was obtained; ie 3.63% of people have no compliance, 65.45% are at risk of non-adherence and 30.9% are in advantage of adhesion. Conclusions: self-care behaviors that relate to an ordinary self-care performance especially affect the development of daily activities such as weighing every day, reducing fluid intake and exercising regularly. Thus, more than half of the surveyed population is at risk of non-adherence, manifested in the difficulty of taking action to follow pharmacologic and non-pharmacologic recommendations. And measuring the phenomena of selfcare and adherence to specific patient groups serves as a guiding element of nursing care, and therefore it is important to carry out similar studies in larger populations. [ABSTRACT FROM AUTHOR]