<?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>2216-0973</journal-id>
<journal-title><![CDATA[Revista Cuidarte]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuid]]></abbrev-journal-title>
<issn>2216-0973</issn>
<publisher>
<publisher-name><![CDATA[Programa de Enfermería, Facultad de Ciencias de la Salud, Universidad de Santander UDES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2216-09732020000300319</article-id>
<article-id pub-id-type="doi">10.15649/cuidarte.1062</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Validación de un instrumento para medir la adherencia al tratamiento en hipertensión y diabetes]]></article-title>
<article-title xml:lang="en"><![CDATA[Validation of an instrument to measure treatment adherence in hypertension and diabetes]]></article-title>
<article-title xml:lang="pt"><![CDATA[Validação de um instrumento para medir a adesão ao tratamento em hipertensão e diabetes]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guevara]]></surname>
<given-names><![CDATA[Sandra Lucrecia Romero]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Parra]]></surname>
<given-names><![CDATA[Dora Inés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[Zayne Milena Roa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[Lyda Z.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander Facultad de Salud Escuela de Enfermería]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Industrial de Santander Facultad de Salud Escuela de Enfermería]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Industrial de Santander Facultad de Salud Escuela de Enfermería]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,University of Bern Institute of Social and Preventive Medicine ]]></institution>
<addr-line><![CDATA[Bern ]]></addr-line>
<country>Switzerland</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Industrial de Santander Facultad de Salud Escuela de Enfermería]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Fundación Cardiovascular de Colombia Centro de Investigación ]]></institution>
<addr-line><![CDATA[Floridablanca ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>11</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2216-09732020000300319&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2216-09732020000300319&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2216-09732020000300319&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción  La hipertensión y la diabetes mellitus son enfermedades crónicas que representan una importante carga tanto económica como social. El manejo de estas patologías requiere de estrategias que involucran cambios en el estilo de vida, cumplimiento del tratamiento farmacológico y monitoreo eficaz de la enfermedad. Usualmente, la medición del cumplimiento se enfoca en el tratamiento farmacológico, dejando de lado el enfoque integral que involucra diferentes recomendaciones que son clave para el adecuado control de estas enfermedades.  Objetivo  Determinar la validez de constructo y reproducibilidad de la etiqueta de resultado de enfermería &#8220;Conducta terapéutica: enfermedad o lesión (1609)&#8221; para medir la adherencia al régimen terapéutico en personas con hipertensión arterial y diabetes mellitus tipo 2.  Materiales y Métodos  Estudio de corte transversal realizado en 500 usuarios de programas de riesgo cardiovascular en Bucaramanga-Colombia. Se diseñó un instrumento para medir la adherencia al tratamiento con base en la taxonomía Clasificación de Resultados de Enfermería, recomendaciones vigentes de la literatura científica y la experiencia de los investigadores. La validez de constructo fue evaluada a través de un análisis factorial de componentes principales y bajo la metodología Rasch. La reproducibilidad por medio del coeficiente de correlación intraclase en 100 usuarios.  Resultados  Se obtuvo un instrumento de 13 ítems que representan 5 indicadores de la etiqueta de resultado de enfermería 1609, los cuales explicaron el 67.62% de la variación total y se ajustaron al modelo Rasch (unidimensionalidad del constructo adherencia). La reproducibilidad fue del 0.63 (IC 95% 0.46 - 0.75).  Discusión y Conclusiones  Se encontró evidencia de la validez de constructo del instrumento que operacionaliza la etiqueta de resultado de enfermería (1609) para la medición de la adherencia al régimen terapéutico en pacientes con hipertensión y diabetes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction  Hypertension and diabetes mellitus are chronic diseases imposing a significant economic and social burden. Managing these diseases requires lifestyle changes, adherence to drug treatment and effective disease monitoring. Measuring compliance usually focuses on drug treatment, leaving aside the comprehensive approach which involves different key recommendations for appropriate control of these diseases.  Objective  To determine the construct and reproducibility validity of the Nursing Outcomes Classification label &#8220;Therapeutic behavior: illness or injury (1609)&#8221; to measure adherence to the therapeutic regimen in people with hypertension and type 2 diabetes mellitus.  Materials and Methods  A cross-sectional study was conducted among 500 users of cardiovascular risk reduction programs in Bucaramanga, Colombia. An instrument was designed to measure adherence to treatment based on the Nursing Outcomes Classification taxonomy, current recommendations from scientific literature and researchers experience. Construct validity was assessed using a principal component factor analysis based on the Rasch model. Reproducibility was validated using the intraclass correlation coefficient in 100 users.  Results  A 13-item instrument comprising 5 indicators of the Nursing Outcome Classification label (1609) was developed, which explained 67.62% of the total variation, fitting the Rasch model (unidimensionality of the adherence construct). Reproducibility was 0.63 (95% CI 0.46-0.75).  Conclusions  Evidence was found for the construct validity of the instrument operationalizing the Nursing Outcomes Classification label (1906) for the measurement of adherence to the therapeutic regimen in patients with hypertension and diabetes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução  Hipertensão arterial e diabetes mellitus são doenças crônicas que representam uma carga econômica e social significativa. A gestão das doenças requer estratégias que envolvam mudanças no estilo de vida, adesão ao tratamento medicamentoso e monitoramento eficaz das doenças. Normalmente, a medição da conformidade se concentra no tratamento medicamentoso, deixando de lado a abordagem integral que envolve diferentes recomendações que são fundamentais para o controle adequado dessas doenças.  Objetivo  Determinar a validade da construção e reprodutibilidade da etiqueta de Classificação dos Resultados de Enfermagem "Conduta terapêutica: doença ou lesão (1609)" para medir a adesão ao regime terapêutico de pessoas com pressão alta e diabetes mellitus tipo 2.  Materiais e Métodos  Estudo transversal realizado entre 500 usuários de programas de risco cardiovascular em Bucaramanga-Colômbia. Um instrumento foi projetado para medir a adesão ao tratamento com base na taxonomia da Classificação dos Resultados de Enfermagem, recomendações atuais da literatura científica e experiência dos pesquisadores. A validade da construção foi avaliada através de uma análise dos principais fatores componentes de acordo com a metodologia Rasch. A reprodutibilidade foi validada por meio do coeficiente de correlação intraclasse em 100 usuários.  Resultados  Foi obtido um instrumento de 13 itens contendo 5 indicadores da Etiqueta de Resultados de Enfermagem 1609, que explicou 67,62% da variação total e se encaixa no modelo Rasch (unidimensionalidade da construção de adesão). A reprodutibilidade foi de 0,63 (IC de 95% 0,46 - 0,75).  Conclusões  Encontramos evidências da validade da construção do instrumento que operacionaliza a etiqueta de Classificação dos Resultados de Enfermagem (1609) para medir a adesão ao regime terapêutico de pacientes com hipertensão e diabetes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Estudios de Validación]]></kwd>
<kwd lng="es"><![CDATA[Encuestas y Cuestionarios]]></kwd>
<kwd lng="es"><![CDATA[Terminología Normalizada de Enfermería]]></kwd>
<kwd lng="es"><![CDATA[Cumplimiento y Adherencia al Tratamiento]]></kwd>
<kwd lng="es"><![CDATA[Hipertensión]]></kwd>
<kwd lng="es"><![CDATA[Diabetes Mellitus Tipo 2]]></kwd>
<kwd lng="en"><![CDATA[Validation Studies]]></kwd>
<kwd lng="en"><![CDATA[Surveys and Questionnaires]]></kwd>
<kwd lng="en"><![CDATA[Standardized Nursing Terminology]]></kwd>
<kwd lng="en"><![CDATA[Treatment Adherence and Compliance]]></kwd>
<kwd lng="en"><![CDATA[Hypertension]]></kwd>
<kwd lng="en"><![CDATA[Diabetes Mellitus, Type 2]]></kwd>
<kwd lng="pt"><![CDATA[Estudos de Validação]]></kwd>
<kwd lng="pt"><![CDATA[Inquéritos e Questionários]]></kwd>
<kwd lng="pt"><![CDATA[Terminologia Padronizada em Enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[Cooperação e Adesão ao Tratamento]]></kwd>
<kwd lng="pt"><![CDATA[Hipertensão]]></kwd>
<kwd lng="pt"><![CDATA[Diabetes Mellitus Tipo 2]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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