Motivación para el seguimiento terapéutico de las enfermedades cardiovasculares: revisión integradora
DOI:
https://doi.org/10.15517/b5t9sy52Palabras clave:
Cumplimiento y adherencia al tratamiento, Motivación, Enfermedades cardiovascularesResumen
Introducción: Las enfermedades cardiovasculares son una preocupación importante para la salud mundial. La falta de seguimiento terapéutico de estas enfermedades se asocia con un alto riesgo de eventos cardiovasculares. Comprender los elementos que motivan esta adherencia puede impulsar el desarrollo de intervenciones más efectivas.
Objetivo: Identificar los elementos reguladores de la motivación para el seguimiento terapéutico de las enfermedades cardiovasculares.
Métodos: Se trata de una revisión integradora, siguiendo los lineamientos de Whitemore y Knafl. La selección de artículos se realizó entre diciembre de 2020 y enero de 2021 en las bases de datos LILACS, SciELO, MEDLINE y Cochrane Library. El marco temporal establecido para la selección fue de 2011 a 2021 y los idiomas fueron portugués, inglés y español. Se excluyeron artículos de revisión, reflexiones, guías, protocolos de investigación y artículos repetidos. Se seleccionaron 19 artículos.
Resultados: Estudios de 12 países mostraron los reguladores de la motivación para el tratamiento de enfermedades cardiovasculares en cinco categorías: apoyo social, salud física, autodeterminación, reguladores psicoemocionales y sistemas de atención.
Conclusión: En esencia, la motivación tiene regulaciones complejas que movilizan y mejoran el comportamiento humano. Los resultados pueden orientar los cuidados de enfermería y las acciones intencionales que influyen en el seguimiento terapéutico de las enfermedades cardiovasculares, mejorando los resultados de salud.
Descargas
Referencias
1. Amini M, Zayeri F, Salehi M. Trend analysis of cardiovascular disease mortality, incidence, and mortality-to-incidence ratio: results from global burden of disease study 2017. BMC Publ. Health. 2021;21(1):401. doi: 10.1186/s12889-021-10429-0
2. Massa KHC, Duarte YAO, Chiavegatto Filho ADP. Análise da prevalência de doenças cardiovasculares e fatores associados em idosos, 2000-2010. Ciênc Saúde Colet. 2019;24(1):105-14. doi: 10.1590/1413-81232018241.02072017
3. Zhao D. Epidemiological features of cardiovascular disease in Asia. JACC Asia. 2021;1(1):1-13. doi: 10.1016/j.jacasi.2021.04.007
4. Şahin B, Ilgün G. Risk factors of deaths related to cardiovascular diseases in World Health Organization (WHO) member countries. Health Soc. Care Community. 2020;30, 73–80. doi: 10.1111/hsc.13156
5. Lee H, Yano Y, Cho SMJ, et al. Adherence to antihypertensive medication and incident cardiovascular events in young adults with hypertension. Hypertension. 2021;77:1341–1349. doi: 10.1161/HYPERTENSIONAHA.120.16784
6. Klimis H, Thakkar J, Chow CK. Breaking barriers: mobile health interventions for cardiovascular disease. Can J Cardiol. 2018;34(7):905-913. doi: 10.1016/j.cjca.2018.02.012
7. Chow CK, Redfern J, Hillis GS, Thakkar J, Santo K, Hackett ML, et al. Effect of lifestyle-focused text messaging on risk factor modification in patients with coronary heart disease: a randomized clinical trial.JAMA. 2015;314:1255–1263. doi: 10.1001/jama.2015.10945
8. Barker-Collo S, Krishnamurthi R, Witt E, et al. Improving adherence to secondary stroke prevention strategies through motivational interviewing: randomized controlled trial. Stroke. 2015;46: 3451–3458. doi: 10.1161/STROKEAHA.115.011003
9. Vogel B, Acevedo M, Appelman Y, Bairey Merz CN, Chieffo A, Figtree GA, et al. The Lancet Women and Cardiovascular Disease Commission: Reducing the Global Burden by 2030. Lancet. 2021;397(10292):2385-438. doi: 10.1016/S0140-6736(21)00684-X
10. Sant Anna M, Paula C, Mendonça R, Beccaria L, Contrin L, Werneck A. Morbidity and mortality rate among men and women diagnosed with myocardial infarction. Revista Enfermagem UERJ. 2021;29(1), e53001. doi: 10.12957/reuerj.2021.53001
11. Marcon SS, Ganassin GS, Arruda GO, Téston EF, Barreto, MS, Marquete VF, Ferreira PC. Intervenção educativa no local de trabalho: promoção da saúde e prevenção cardiovascular com homens metalúrgicos. Revista Baiana De Enfermagem. 2021; 35. doi: 10.18471/rbe.v35.38619
12. Gama GGG, Portela PP, Pires CGS, Mendes AS, Moraes MA, Mussi FC. Associação de características sociodemográficas com fatores de risco cardiovascular em homens hipertensos. Revista Baiana De Enfermagem. 2022;36. doi: 10.18471/rbe.v36.45904
13. Hanna A, Yael EM, Hadassa L, Iris E, Eugenia N, Lior G, et al. It’s up to me with a little support - Adherence after myocardial infarction: A qualitative study. Int J Nurs Stud. 2020;101(103416):103416. doi: 10.1016/j.ijnurstu.2019.103416
14. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-bein. American Psychologist. 2000;55(1):68-78. doi: 10.1037/0003-066X.55.1.68.
15. Ryan RM; Deci EL. Active human nature: Self-determination theory and the promotion and maintenance of sport, exercise, and health. Intrinsic motivation and self-determination in exercise and sport. 2007; 12(6). doi: 10.5040/9781718206632.0007
16. Ryan RM; Deci EL. Brick by brick: The origins, development, and future of self-determination theory. In: Advances in motivation science. Elsevier. 2019;(6)111-156. doi: 10.1016/bs.adms.2019.01.001
17. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53. doi: 10.1111/j.1365-2648.2005.03621.x
18. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: 10.1136/bmj.n71
19. Aromataris E, Munn Z. JBI Manual for Evidence Synthesis [Internet]. JBI; 2020 [acesso em 2022 jul. 22]. Available from: https://synthesismanual.jbi.global
20. Popay J, Roberts H, Sowden A, Petticrew M, Arai L, Rodgers M, et al. Guidance on the conduct of narrative synthesis in systematic reviews. [Internet] Prod ESRC Methods Programme Version; 2006. Available from: https://www.academia.edu/download/39246301/02e7e5231e8f3a6183000000.pdf
21. Heidemann ITSB, Cypriano CC, Gastaldo D, et al. Estudo comparativo de práticas de promoção da saúde na atenção primária em Florianópolis, Santa Catarina, Brasil e Toronto, Ontário, Canadá. Cad. Saúde Pública. 2018;34(4):1-13. doi: 10.1590/0102-311X00214516
22. Bruun C, Guassora AD, Nielsen AB, Siersma V, Holstein PE, de Fine Olivarius N. Motivation, effort and life circumstances as predictors of foot ulcers and amputations in people with Type 2 diabetes mellitus. Diabet Med. 2014;31:1468-76. doi: 10.1111/dme.12551
23. Jurkiewicz MT, Marzolini S, Oh P. Adherence to a home-based exercise program for individuals after stroke. Top Stroke Rehabil. 2011;18(3):277–84. doi: 10.1310/tsr1803-277
24. Kähkönen O, Kankkunen P, Saaranen T, Miettinen H, Kyngäs H, Lamidi ML. Motivation is a crucial factor for adherence to a healthy lifestyle among people with coronary heart disease after percutaneous coronary intervention. J Adv Nurs. 2015;71:2364–2373. doi: 10.1111/jan.12708
25. Abotalebidariasari G, Memarian R, Vanaki Z, Kazemnejad A, Naderi N. Self-care motivation among patients with heart failure: A qualitative study based on Orem's theory. Res Theory Nurs Pract. 2016;30:320–32. doi: 10.1891/1541-6577.30.4.320
26. Herrera PA, Moncada L, Defey D. Understanding non-adherence from the inside: hypertensive patients’ motivations for adhering and not adhering. Qual Health Res. 2017;27(7):1023–34. doi: 10.1177%2F1049732316652529
27. Mair V, Breda A, Boquembuzo M, Nagem L. Avaliação da aderência ao programa de reabilitação cardiaca em um hospital particular geral. Evaluating compliance to a cardiac rehabilitation program in a private general hospital. Einstein. 2013;11(3):278-84. doi: 10.1590/S1679-45082013000300004
28. Busnello FM, Bodanese LC, Pellanda LC, Santos ZEA. Intervenção nutricional e o impacto na adesão ao tratamento em pacientes com síndrome metabólica. Arq Bras Cardiol. 2011;97(3):217-24. doi: 10.1590/S0066-782X2011005000077
29. Martin AM, Woods CB. What sustains long-term adherence to structured physical activity after a cardiac event? J Aging Phys Act. 2012;20(2):135–47. doi: 10.1123/japa.20.2.135
30. Alhalaiqa F, Deane KH, Gray R. Hypertensive patients' experience with adherence therapy for enhancing medication compliance: a qualitative exploration. Journal of clinical nursing. 2013;22(13–14):2039–52. doi: 10.1111/j.1365-2702.2012.04321.x
31. D’Angelo ME, Pelletier LG, Reid RD, Huta V. The roles of self-efficacy and motivation in the prediction of short- and long-term adherence to exercise among patients with coronary heart disease. Health Psychol. 2014;33:1344–53. doi: 10.1037/hea0000094
32. Deka P, Pozehl B, Williams MA, Norman JF, Khazanchi D, Pathak D. MOVE-HF: An internet-based pilot study to improve adherence to exercise in patients with heart failure. Eur J Cardiovasc Nurs. 2018;18(2):122–131. doi: 10.1177/1474515118796613
33. Peleg S, Vilchinsky N, Fisher WA, Khaskia A, Mosseri M. Personality makes a difference: Attachment orientation moderates Theory of Planned Behavior prediction of cardiac medication adherence. Journal of personality. 2017;85(6):867-879. doi: 10.1111/jopy.12294
34. Silva MH, Jesus MCP, Tavares RE, Caldeira EAC, Oliveira DM, Merighi MAB. Experience of adults and older people with adherence to venous ulcer care. Rev Gaucha Enferm. 2019;40:e20180024. doi: 10.1590/1983-1447.2019.20180024
35. Kahkonen O, Saaranen T, Kankkunen P, Miettinen H, Kyngas H. Adherence to treatment of female patients with coronary heart disease after a percutaneous coronary intervention. J Cardiovasc Nurs. 2019;34(5):410-7. doi: 10.1097/JCN.0000000000000592
36. O’Connor A, Ladebue A, Peterson J, Davis R, Jung Grant S, McCreight M, et al. Creating and testing regulatory focus messages to enhance medication adherence. Chronic Illness. 2019;15(2): 124-137. doi: 10.1177%2F1742395317753882
37. Tinsel I, Siegel A, Schmoor C, Poguntke I, Maun A, Niebling W. Encouraging self-management in cardiovascular disease prevention: A randomized controlled study of a structured advice and patient activation intervention in primary care. Deutsches Ärzteblatt International. 2018;115(27-28):469. doi: 10.3238%2Farztebl.2018.0469
38. Swinnen E, Lefeber N, Willaert W, Neef F, Bruyndonckx L, Spooren A, et al. Motivation, expectations, and usability of a driven gait orthosis in stroke patients and their therapists. Top Stroke Rehabil. 2017;24(4):299–308. doi: 10.1080/10749357.2016.1266750
39. Harris KM, Anderson DR, Landers JD, Emery CF. Higher anxiety and will to live are associated with poorer adherence to cardiac rehabilitation. J. Cardpulm. Rehabil. Prev. 2019;39:381–385. doi: 10.1097/HCR.0000000000000438
40. Freitas KP, Alvarenga MRM. Polypharmacy and high Medication Regimen Complexity Index in the elderly assisted in primary health care. Rev Enferm UFPI. 2020;9:e10992. doi: 10.26694/reufpi.v9i0.10992
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2023 Haylla Simone Almeida Pacheco, Beatriz Barros de Vasconcelos, Leandro Cardozo dos Santos Brito, Antonieldo Freitas, Antonio Werbert Costa, José Wicto Pereira Borges
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
Los autores de esta revista tendrán derecho de copiar sus documentos sin restricción, así como también mantendran los derechos de publicación en sus artículos.
