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[Assessment of treatment adherence among black Africans with heart failure]

M P B N'Cho-Mottoh1, B Boka2, K Yayehd3

  • 1Institut de cardiologie d'Abidjan, 04 BP 64, 04 Abidjan, Côte d'Ivoire.

Medecine Et Sante Tropicales
|January 9, 2016
PubMed

Insights

Heart failure patient adherence is poor in African cardiology patients, significantly impacted by traditional medicine use. Therapeutic education is vital for improving patient knowledge and treatment adherence.

Area of Science:

  • Cardiology
  • Public Health
  • Pharmacology

Background:

  • Heart failure (HF) is a significant global health concern.
  • Patient adherence to treatment is crucial for managing HF and improving outcomes.
  • Understanding factors influencing adherence in diverse populations, such as in African cardiology departments, is essential.

Purpose of the Study:

  • To investigate patient-related factors affecting treatment adherence in heart failure patients within an African cardiology setting.
  • To identify specific influences, including traditional medicine use, on adherence to medication, follow-up, and lifestyle modifications.

Main Methods:

  • A prospective observational study conducted at the Abidjan cardiology institute.
  • Inclusion of 121 patients with chronic heart failure hospitalized for decompensated HF.
  • Utilized the revised heart failure compliance questionnaire and multiple linear regression analysis.

Main Results:

  • Overall poor adherence was observed in 88.4% of heart failure patients.
  • Use of traditional medicine was significantly associated with poor adherence in medication intake, follow-up appointments, and sodium restrictions.
  • Increased hospitalizations correlated with improved adherence, even after adjusting for demographic and other alternative medicine factors.

Conclusions:

  • Adherence to heart failure treatment remains a significant challenge in Black African populations.
  • Traditional medicine use is a key factor negatively impacting adherence.
  • Enhanced therapeutic education is critical to improve patient understanding and adherence to heart failure management.
Abstract

Keywords:
Ivory Coastadherenceheart failuretreatment

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