Relación entre representación de enfermedad, representación del tratamiento y adherencia en adultos con asma: Una revisión

• Lugo González, Isaías Vicente ^[1] ; Vega Valero, Cynthia Zaira
  1. [1] Universidad Nacional Autónoma de México

     Universidad Nacional Autónoma de México

     México

     
• Localización: Revista digital internacional de psicología y ciencia social, ISSN-e 2448-8119, Vol. 6, Nº. 1, 2020 (Ejemplar dedicado a: La investigación para la acción y el cambio social), págs. 41-63
• Idioma: español
• DOI: 10.22402/j.rdipycs.unam.6.1.2020.200.41-63
• Títulos paralelos:
  • Relationship between disease representation, treatment representation and adherence in adults with asthma: A review
• Enlaces
  • Texto completo
• Resumen
  • español

    Las conductas de adherencia a los inhaladores de control son el pilar fundamental para el control del asma, sin embargo, se ha identificado que una representación negativa de la enfermedad y el tratamiento limitan que los adultos se adhieran adecuadamente a su tratamiento. Se planteó realizar una revisión narrativa para identificar los estudios empíricos sobre representación de enfermedad, representación del tratamiento y adherencia a inhaladores de control en adultos con asma, desde el Modelo de Sentido Común y Representación de la Enfermedad (MSCRE). Se recolectaron un total de 17 estudios divididos en estudios transversales y longitudinales (12), experimentales (3) y de intervención (2), reportando que las principales dimensiones del MSCRE que se asocian, predicen y se emplean para favorecer conductas de adherencia a inhaladores de control son la necesidad del tratamiento, preocupación, control de la enfermedad y del tratamiento, temporalidad crónica de la enfermedad y consecuencias. Se concluye que el MSCRE, incluidas las dimensiones de necesidad y preocupación, es un modelo psicológico que tiene aplicaciones importantes en el terreno de la investigación y atención clínica centrada en el paciente, para explicar y promover conductas de adherencia a inhaladores de control en adultos con asma.

  • English

    Adherence to control medication is the fundamental pillar for the control of asthma, however, it has identified that a negative illness representation and the treatment have a negative impact on it. A narrative review was conducted to identify the empirical studies on illness representation, treatment representation and adherence to control medication in adults with asthma, from the Common-Sense Model and Disease Representation (CSM). We identified 17 studies divided into cross-sectional and longitudinal (12), experimental (3) and intervention (2), reporting that the main dimensions of the CSM linked with adherence are the necessity for treatment, concern, illness control and treatment, chronic temporality and consequences. It is concluded that the CSM is a psychological model that has applications in clinical research and attention to explain and promote adherence behaviors to control medications in adults with asthma

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