The socio-cultural factor is determined by changes in life habits of the patient, affecting their self-image, often with a deterioration in physical appearance of oneself, motor disability or even loss of mental faculties. Together with this there is a parallel shift in family life, work and social relationships. Labor problems often pass an economic sphere and affect the family, the patients may have fears, fears and guilt for not being able to address that until now was a normal situation and what marked their role. Learning to live with the disease is a learning process and each patient used different strategies for carrying it to term, so have individuals who are best suited to chronic disease than others. This chronic process is framed on three factors: learning, socialization and experiences.
The disease motivated to accept the role of patient while it tries to understand the meaning of their illness. The disease according to previous experience may be considered: natural Done that can occur in life, a test to assess their resistance to suffering or to a punishment for their attitude and behavior-for example, the case of smokers who have a chronic bronchitis, which may not be accepted by society. Therefore, the psychosocial aspects of patient will be important to the extent that it accepts his new role as chronically ill. Contribute their cultural, physical, memory capacity to understand and remember treatment guidelines. The patient’s beliefs respect to the consequences of the disease. The ability of the person to carry out necessary and effective response to optimal treatment adherence. The patient’s motivation to improve their health, social support from family, friends or even self-help groups, improve the monitoring because they get to encourage and reinforce good behavior.
The patient who best controls the psychosocial aspects will therefore have better treatment adherence, adapting to the new situation and set to improve with therapy, while acquiring control of himself and accepts his new role. By nursing professionals will be more therapeutic communication to contact the patient within the professional role, will be the basis of nursing. For any treatment or intervention the principal will establish and maintain a relationship of support and therapy that is effective at all times. By creating a therapeutic relationship, establishing a specific nurse-patient space, a language in which you can begin to carry out all other therapeutic interventions from the aspect of nursing. Every word, every glance, every thought you have the nurse to the chronic patient, you need to aim the creation of a communicative and open space, whose end is that the therapy is effective.