The dialogic bond that relieves: Encounter to transcend therapeutic adherence

Abstract

Objective: This work sought to describe the meanings constructed by patients with coronary disease of the communication process used by nurses during the transition from the hospital (coronary care unit) to the home for therapeutic adherence. Method: The article corresponds to a qualitative study, which used an approach through grounded theory. The participants were 12 informants from the city of Medellín, Colombia. Data reliability was guaranteed. Results: Construction of a theoretical postulate: “Reconstructing the significance of treatment: from the indifference to reviving with a dialogic bond that relieves”. The process faced by patients with coronary disease, derived from the communication process, goes from “living in ignorance”, “experiencing rupture with the treatment” to “reconstructing: finding sense” and, finally, “finding a state of harmony: new learnings”. This last achievement is obtained when creating awareness in the “dialogic bond that relieves”. Conclusions: The meaning granted by patients with coronary disease to the communication process for therapeutic adherence is established when reaching transformation and expanding the conscience (creating awareness) in a “dialogic bond that relieves”; likewise, when this process is full of apathy and indifference, the sense of the treatment is lost.