<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1657-5997</journal-id>
<journal-title><![CDATA[Aquichan]]></journal-title>
<abbrev-journal-title><![CDATA[Aquichan]]></abbrev-journal-title>
<issn>1657-5997</issn>
<publisher>
<publisher-name><![CDATA[Universidad de La Sabana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1657-59972019000200005</article-id>
<article-id pub-id-type="doi">10.5294/aqui.2019.19.2.5</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The Dialogic Bond that Relieves: Encounter to Transcend Therapeutic Adherence]]></article-title>
<article-title xml:lang="es"><![CDATA[El vínculo dialógico que alivia: encuentro para transcender la adherencia terapéutica]]></article-title>
<article-title xml:lang="pt"><![CDATA[O vínculo dialógico que alivia: encontro para transcender a adesão terapêutica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arango Restrepo]]></surname>
<given-names><![CDATA[María Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Ochoa]]></surname>
<given-names><![CDATA[Ana Maritza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>19</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-59972019000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1657-59972019000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1657-59972019000200005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective:  This work sought to describe the meanings constructed by patients with coronary disease (PCD) 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 Medellin, Colombia. Data reliability was guaranteed.  Results:  Construction of a theoretical postulate: &#8220;Reconstructing the significance of treatment: from the indifference to reviving with a dialogic bond that relieves&#8221;. The process faced by PCD, derived from the communication process, goes from &#8220;living in ignorance&#8221;, &#8220;experiencing rupture with the treatment&#8221; to &#8220;reconstructing: finding sense&#8221; and, finally, &#8220;finding a state of harmony: new learnings&#8221;. This last achievement is obtained when creating awareness in the &#8220;dialogic bond that relieves&#8221;.  Conclusions:  The meaning granted by PCD to the communication process for therapeutic adherence is established when reaching transformation and expanding the conscience (creating awareness) in a &#8220;dialogic bond that relieves&#8221;; likewise, when this process is full of apathy and indifference, the sense of the treatment is lost.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  describir los significados que construye el paciente con enfermedad coronaria del proceso comunicativo utilizado por la enfermera en la transición del hospital (unidad de cuidados coronarios) al hogar, para la adherencia terapéutica.  Método:  el artículo corresponde a un estudio cualitativo, en el que se usó un abordaje a través de la teoría fundamentada. Los participantes fueron doce informantes de la ciudad de Medellín, Colombia. Se garantizó la confiabilidad de los datos.  Resultados:  la construcción de un postulado teórico: &#8220;Reconstruyendo el significado del tratamiento: de la indiferencia a renacer con un vínculo dialógico que alivia&#8221;. El proceso que enfrentan los pacientes con enfermedad coronaria, derivado del proceso comunicativo, va desde &#8220;viviendo en el desconocimiento&#8221;, &#8220;experimentando ruptura con el tratamiento&#8221; hasta &#8220;reconstruyendo: encontrando sentido&#8221; y, finalmente, &#8220;encontrando un estado de armonía: nuevos aprendizajes&#8221;. Este último logro lo obtienen al crear conciencia en el &#8220;vínculo dialógico que alivia&#8221;.  Conclusiones:  el significado que le otorgan los pacientes con enfermedad coronaria al proceso comunicativo para la adherencia terapéutica se establece al alcanzar transformación y expandir la conciencia (crear conciencia) en un &#8220;vínculo dialógico que alivia&#8221;; asimismo, cuando este proceso se encuentra colmado de apatía e indiferencia, se pierde el sentido del tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Objetivo:  descrever os significados que o paciente com doença coronária constrói do processo comunicativo utilizado pela enfermeira na transição do hospital (unidade de cuidados coronários) ao lar para a adesão terapêutica.  Método:  este artigo corresponde a um estudo qualitativo, no qual foi utilizada uma abordagem por meio da teoria fundamentada. Participaram 12 informantes da cidade de Medellín, Colômbia. Garantiu-se a confiabilidade dos dados.  Resultados:  a construção de uma premissa teórica &#8220;Reconstruindo o significado do tratamento: da indiferença a renascer com um vínculo dialógico que alivia&#8221;. O processo que os pacientes com doença coronária enfrentam, derivado do processo comunicativo, vai desde &#8220;vivendo no desconhecimento&#8221;, &#8220;experimentando ruptura com o tratamento&#8221;, até &#8220;reconstruindo: encontrando sentido&#8221; e, finalmente, &#8220;encontrando um estado de harmonia: novas aprendizagens&#8221;. Este último é atingido ao criar consciência sobre o &#8220;vínculo dialógico que alivia&#8221;.  Conclusões:  o significado que os pacientes com doença coronária outorgam ao processo comunicativo para a adesão terapêutica é estabelecido ao alcançar transformação da consciência e sua expansão (conscientizar) em um &#8220;vínculo dialógico que alivia&#8221;; além disso, quando esse processo se encontra permeado de apatia e indiferença, perde-se o sentido do tratamento.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Communication]]></kwd>
<kwd lng="en"><![CDATA[bonding]]></kwd>
<kwd lng="en"><![CDATA[adhesion]]></kwd>
<kwd lng="en"><![CDATA[treatment adherence and compliance]]></kwd>
<kwd lng="en"><![CDATA[nursing]]></kwd>
<kwd lng="en"><![CDATA[coronary disease]]></kwd>
<kwd lng="es"><![CDATA[Comunicación]]></kwd>
<kwd lng="es"><![CDATA[vínculo]]></kwd>
<kwd lng="es"><![CDATA[adherencia]]></kwd>
<kwd lng="es"><![CDATA[cumplimiento y adherencia al tratamiento]]></kwd>
<kwd lng="es"><![CDATA[enfermería]]></kwd>
<kwd lng="es"><![CDATA[enfermedad coronaria]]></kwd>
<kwd lng="pt"><![CDATA[Comunicaçao]]></kwd>
<kwd lng="pt"><![CDATA[vínculo]]></kwd>
<kwd lng="pt"><![CDATA[aderência]]></kwd>
<kwd lng="pt"><![CDATA[cooperação e adesão ao tratemento]]></kwd>
<kwd lng="pt"><![CDATA[enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[doença das coronárias]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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