<?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>0864-2125</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina General Integral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Gen Integr]]></abbrev-journal-title>
<issn>0864-2125</issn>
<publisher>
<publisher-name><![CDATA[ECIMED]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-21252019000200008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Posturas de autocuidado, relaciones y significado de la hipertensión arterial]]></article-title>
<article-title xml:lang="en"><![CDATA[Self-care Stances, Relations and Significance of High Blood Pressure]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Higuera-Dagovett]]></surname>
<given-names><![CDATA[Elkin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garzón]]></surname>
<given-names><![CDATA[Dora Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Aplicadas y ambientales  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Santo Tomás, Dora Isabel Garzón de Laverde  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></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>35</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-21252019000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-21252019000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-21252019000200008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: En la práctica clínica es frecuente la pregunta acerca del porqué algunos pacientes con enfermedades crónicas no siguen las recomendaciones dadas por los profesionales de la salud, a pesar de la información que obtienen acerca de la enfermedad.  Objetivo: Comprender como se construyen las posturas de autocuidado y su articulación con el significado de hipertensión arterial y la relación médico-paciente.  Método:  Estudio cualitativo, con diseño narrativo. Se analizaron espacios conversacionales con pacientes y profesionales de la salud.  Resultados: La construcción de la experiencia en el espacio conversacional asistencial no tiene un punto de convergencia; ya que es parte de conversaciones unidireccionales centradas en la vivencia del médico frente al paciente y el diálogo de este último consigo mismo acerca de su enfermedad, experiencias que no logran transformaciones en el estilo de vida sostenibles en el tiempo, y que favorecen la emergencia de rótulos limitantes para la construcción de relaciones que posibiliten al paciente asumir su autocuidado.  Conclusiones:  El diálogo en la relación médico-paciente facilita el surgimiento de nuevos significados de la enfermedad y la activación de procesos, donde las personas pueden asumir la experiencia desde la responsabilidad y el autocuidado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  In clinical practice, the question is frequently posed about why some patients with chronic diseases do not follow the recommendations given by health professionals, despite the information that they obtain about the disease.  Objective:  To understand how self-care stances are constructed and their articulation with the meaning of arterial hypertension and the doctor-patient relationship.  Method: Qualitative study, with narrative design. Conversational spaces were analyzed with patients and health professionals.  Results: The construction of the experience in the conversational healthcare space does not have a convergence point, since it is part of unidirectional conversations centered on the experience of the physician in front of the patient and the latter's dialogue with himself/herself about his/her illness, experiences not leading to sustainable transformations in lifestyle over time and favoring the emergence of limiting labels for the construction of relationships that enable patients to assume their self-care.  Conclusions:  Dialogue in the doctor-patient relationship facilitates the emergence of new meanings of the disease and the activation of processes, by which people can assume the experience from responsibility and self-care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Autocuidado]]></kwd>
<kwd lng="es"><![CDATA[relación médico-paciente]]></kwd>
<kwd lng="es"><![CDATA[hipertensión]]></kwd>
<kwd lng="es"><![CDATA[cumplimiento de la medicación]]></kwd>
<kwd lng="en"><![CDATA[Self-care]]></kwd>
<kwd lng="en"><![CDATA[doctor-patient relation]]></kwd>
<kwd lng="en"><![CDATA[hypertension]]></kwd>
<kwd lng="en"><![CDATA[medication compliance]]></kwd>
</kwd-group>
</article-meta>
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