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Personal and social factors regarding medical non-compliance in cardiac failure patients

Sayed Fayaz Mujtaba1, Tariq Masood, Danial Khalid

  • 1National Institute of Cardiovascular Diseases (NICVD), Karachi.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|November 15, 2011
PubMed

Insights

Medical non-compliance is prevalent in heart failure patients, with over 70% non-compliance observed. Factors like illiteracy and lack of self-engagement in therapy significantly contribute to this issue.

Area of Science:

  • Cardiology
  • Public Health
  • Patient Adherence

Background:

  • Medical non-compliance is a significant challenge in managing chronic conditions like heart failure.
  • Understanding contributing factors is crucial for developing effective interventions.

Purpose of the Study:

  • To investigate the prevalence of medical non-compliance in cardiac failure patients.
  • To identify personal and social factors associated with non-compliance.

Main Methods:

  • A cross-sectional, observational study was conducted at the National Institute of Cardiovascular Diseases (NICVD), Karachi.
  • Data was collected via questionnaire from 267 cardiac failure patients regarding demographics, education, self-engagement, and compliance.
  • Statistical analysis included Fisher's exact test and chi-square, with significance set at p < 0.05.

Main Results:

  • A high rate of non-compliance was observed, with 194 (72.7%) of 267 patients being non-compliant.
  • Patients who were educated, actively engaged in their therapy, and knew their medication names demonstrated higher compliance rates.

Conclusions:

  • Medical non-compliance is a widespread issue among heart failure patients.
  • Illiteracy and a lack of patient self-engagement in therapy are strongly associated with increased non-compliance.
Abstract

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