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Treatment adherence in heart failure patients followed up by nurses in two specialized clinics

Andressa Freitas da Silva1, Ana Carla Dantas Cavalcanti2, Mauricio Malta1

  • 1Instituto de Cardiologia do Rio Grande do Sul, Porto Alegre, RS, Brazil.

Revista Latino-Americana De Enfermagem
|October 22, 2015
PubMed

Insights

Treatment adherence in heart failure (HF) patients was satisfactory in less than half of those studied. Living with family and frequent nursing appointments improved adherence, while hypertension worsened it.

Area of Science:

  • Cardiology
  • Nursing
  • Public Health

Background:

  • Heart failure (HF) management requires consistent patient adherence to treatment.
  • Understanding factors influencing treatment adherence is crucial for improving patient outcomes.

Purpose of the Study:

  • To analyze treatment adherence in heart failure patients.
  • To investigate the association between adherence and patient characteristics like previous appointments, family structure, and comorbidities.

Main Methods:

  • A cross-sectional study was conducted at two specialized HF clinics.
  • A 10-item questionnaire assessed adherence, with ≥18 points (70%) considered adequate.
  • 340 patients were included in the analysis.

Main Results:

  • The mean adherence score was 16 (±4) points, with 36.5% of patients achieving ≥70% adherence.
  • Patients living with family and those with ≥3 previous nursing appointments showed higher adherence.
  • Hypertension was significantly associated with lower treatment adherence (p=0.023).

Conclusions:

  • Treatment adherence in specialized HF clinics was satisfactory in less than half of the patients.
  • Living with family and frequent nursing appointments positively impacted adherence.
  • Hypertension emerged as a factor negatively associated with treatment adherence.
Abstract

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