摘要：This paper studies psychological aspects involved in the adherence process to the physiotherapeutic treatment after abdominal surgeries in six patients, in a hospital of São Paulo city. During the three months of the clinical-qualitative investigation, the patients were submitted to consultation within the hospitalization period and trained in doing home exercises. A routine of physiotherapy training was used during the hospitalization period; a clinical interview based on the health conviction model was used by the occasion of outpatient consulting. The content analysis of interviews was based on the model of "human motivation factors". The emotion "fear of dying", common to patient’s disease, was a motivating factor to compliance, responsible to two adherent patients taken away from dangerous situations and therefore more committed to their treatment. Emotion was also responsible for the non-compliance – a threatening condition that prevents the patients to cope with her disease. It is observed that in non-adherence situation there were many difficulties concerning susceptibility to health condition, to stay in contact with the disease, and considering subjective experience of physical and emotional chance. It was concluded that some psychological aspects may be soften by therapist facilitating as a compliance tool, and aiding patients in diminishing anxiety and increasing his best coping styles.
关键词：patient noncompliance;motivation;physiotherapy;social behavior (coping styles);attachment behavior.;cooperación del paciente;motivación;fisioterapia;comportamiento social;comportamiento de apego.;cooperation du patiente (adhésion au traitement) ;motivation ;physiothérapie ;comportement social et d’attachement (relations thérapeute et patient).;cooperação do paciente;motivação;fisioterapia;comportamento social;comportamento de apego.
