Abandonment to therapeutic diet on patients at risk cardiovascular in a health care clinic
| dc.contributor.author | Fayh, Ana Paula Trussardi | |
| dc.contributor.author | Galdino, Tatiana Pizzato | |
| dc.contributor.author | Lima, Vanessa Cristina Oliveira de | |
| dc.contributor.author | Souza, Iasmin Matias de | |
| dc.date.accessioned | 2023-12-13T17:41:16Z | |
| dc.date.available | 2023-12-13T17:41:16Z | |
| dc.date.issued | 2016-11 | |
| dc.description.abstract | Introducción: las enfermedades cardiovasculares son la causa principal de muerte entre los adultos y las medidas para revertir esta situación se aplican a través de cambios en el estilo de vida, entre ellos, adoptar una alimentación saludable a través de orientación profesional. Para hacer esto, necesitamos mantener al paciente comprometido con el tratamiento, ya que el abandono de dicho tratamiento es un factor de riesgo importante en esta población. Objetivos: evaluar el abandono al tratamiento con dieta de pacientes con riesgo cardiovascular tratados de manera ambulatoria e identifi car las razones del abandono del tratamiento. Métodos: los participantes eran pacientes entre 18 y 70 años de edad, de ambos sexos, que recibieron su primera consulta nutricional y poseían dos o más factores de riesgo cardiovascular. Un contacto telefónico se realizó aplicando un cuestionario al abandono sobre las razones para el tratamiento, y aconsejándolos que regresaran al servicio de salud comprobando si efectivamente regresaban a los tres meses del contacto telefónico. Resultados: de los 142 pacientes con riesgo cardiovascular, 61,26% no regresó al servicio posterior a la primera visita, un porcentaje similar al encontrado en otros estudios, y fueron contactados por teléfono 64,37% de ellos. En relación a la razón principal para el retiro o abandono, difi cultades siguiendo la dieta y características individuales/de comportamiento del paciente fueron los aspectos que contribuyeron al abandono (57,14%), corroborando los hallazgos que muestran la infl uencia de factores culturales y socioeconómicos en la adherencia al tratamiento. Aunque el 92,86% de los pacientes mostraron estar satisfechos con el servicio y 75% han reportado interés en retomar el tratamiento, solo 5.36% de los pacientes regresaron al servicio posterior al contacto telefónico. Conclusión: hubo un alto abandono del tratamiento nutricional, principalmente debido a la difi cultad de organización requerida para seguir la dieta. La intervención motivacional no fue sufi ciente para motivar un regreso al tratamiento | pt_BR |
| dc.description.resumo | Background: Cardiovascular diseases are the leading cause of death among adults and measures to reverse this situation go through changes in lifestyle, among them adopt healthy eating through professional counseling. To do this we need to keep the patient engaged in treatment, and the abandonment of treatment is an important risk factor in this population. Objectives: To assess abandonment to dietary treatment of patients with cardiovascular risk treated on an outpatient basis, and identify the reasons for the abandonment of treatment. Methods: Participants were patients between 18 and 70 years, of both sexes, who held their fi rst nutritional consultation and had two or more cardiovascular risk factors. A telephone contact was made by applying a questionnaire on the withdrawal of reasons for treatment and encouraging them to return to the health service by checking the return after three months of telephone contact. Results: Of the 142 patients with cardiovascular risk, 61.26% did not return to the service after the fi rst visit, a percentage similar to that found in other studies, and contacted by telephone 64.37% of them. Regarding the main reasons for the withdrawal, diffi culty following the diet and individual/behavioral characteristics of the patient were the aspects that contributed to the abandonment (57.14%), corroborating the fi ndings that show the infl uence of cultural and socioeconomic factors on the therapeutic adherence. Although 92.86% of patients have been satisfi ed with the service and 75% have reported interest in resuming treatment, only 5.36% patients returned to service after the phone contact. Conclusion: There was a high drop-out from nutritional treatment, mainly because of the diffi culty of organization required to follow the diet. The motivational intervention was not enough to motivate a return to treatment | pt_BR |
| dc.identifier.citation | GALDINO, Tatiana Pizzato; LIMA, Vanessa Cristina Oliveira de; SOUZA, Iasmin Matias de; FAYH, Ana Paula Trussardi. Abandonment to therapeutic diet on patients at risk cardiovascular in a health care clinic. Nutrición Hospitalaria, [S.l.], v. 33, p. 1400-1404, nov. 2016. DOI: 10.20960/nh.801. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28000472. Acesso em: 6 dez. 2023. | pt_BR |
| dc.identifier.doi | https://doi.org/10.20960/nh.801 | |
| dc.identifier.uri | https://repositorio.ufrn.br/handle/123456789/55876 | |
| dc.language | en | pt_BR |
| dc.publisher | Nutrición Hospitalaria | pt_BR |
| dc.rights | Attribution-NonCommercial-ShareAlike 3.0 Brazil | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/3.0/br/ | * |
| dc.subject | Adherence | pt_BR |
| dc.subject | Abandonment | pt_BR |
| dc.subject | Diet therapy | pt_BR |
| dc.subject | Cardiovascular disease | pt_BR |
| dc.subject | Counseling | pt_BR |
| dc.subject | Adherencia | pt_BR |
| dc.subject | Abandono | pt_BR |
| dc.subject | Terapia de dieta | pt_BR |
| dc.subject | Enfermedad cardiovascular | pt_BR |
| dc.subject | Orientación | pt_BR |
| dc.title | Abandonment to therapeutic diet on patients at risk cardiovascular in a health care clinic | pt_BR |
| dc.title.alternative | Abandono de la dieta en pacientes con riesgo cardiovascular en una clínica de cuidado de la salud | pt_BR |
| dc.type | article | pt_BR |
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