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Negotiating compliance in heart failure: remaining issues and questions
Marcia J E Leventhal1, Barbara Riegel, Beverly Carlson
1Institute of Nursing Science, University of Basel, Division of Clinical Nursing Science, University Hospital of Basel, CH-4056 Basel, Switzerland.
European Journal of Cardiovascular Nursing
|May 17, 2005
Summary
Patient non-compliance with heart failure (HF) treatment significantly contributes to rehospitalization. Improving patient-provider partnerships is crucial for better HF management and outcomes.
Area of Science:
- Cardiology
- Patient Adherence Research
Background:
- Heart failure (HF) is a chronic illness with increasing prevalence due to improved cardiovascular care and an aging population.
- High rehospitalization rates are a significant challenge for patients with HF.
- Patient non-compliance with prescribed HF treatment is a major factor contributing to hospital readmissions, ranging from 20-64%.
Purpose of the Study:
- To review the literature on heart failure non-compliance.
- To examine the prevalence, barriers, consequences, and long-term outcomes of non-compliance with HF therapy.
- To identify remaining issues and questions in HF management regarding patient adherence.
Main Methods:
- Literature review of original studies published in English or German from 1966 to June 2004.
- Search strategy combined terms related to patient compliance, non-compliance, adherence, self-care, rehospitalization, patient education, and management programs with heart failure.
Main Results:
- Non-compliance is a prevalent issue in heart failure management.
- Various barriers contribute to patient non-compliance with HF treatment.
- Non-compliance has significant negative consequences on patient outcomes and increases rehospitalization rates.
Conclusions:
- Addressing patient non-compliance is critical for improving clinical outcomes in heart failure.
- Creative approaches are needed to foster a true partnership between healthcare providers and patients.
- Further research is needed to understand and overcome barriers to HF treatment adherence.