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Experiences of Facilitators and Inhibitors to Treatment Adherence in Patients with Heart Failure

Seyede Fatemeh Gheiasi1, Mohammad Ali Cheraghi1, Mahdieh Dastjerdi2

  • 1Tehran University of Medical Sciences, Iran.

Clinical Nursing Research
|February 14, 2023
PubMed

Insights

Understanding heart failure (HF) treatment adherence requires examining patient experiences. Key facilitators include family support and health literacy, while barriers involve psychological issues and lack of self-care knowledge.

Area of Science:

  • Cardiology
  • Qualitative Health Research

Background:

  • Treatment adherence is crucial for effective heart failure (HF) management.
  • Identifying factors influencing adherence is essential for improving patient outcomes.

Purpose of the Study:

  • To explore facilitators and inhibitors of treatment adherence in patients with heart failure.
  • To understand the lived experiences of patients, caregivers, and healthcare professionals regarding HF treatment adherence.

Main Methods:

  • Descriptive qualitative study design.
  • Purposeful sampling of patients with HF, family caregivers, physicians, and nurses.
  • Semi-structured interviews and thematic analysis of collected data.

Main Results:

  • Two primary themes emerged: 'driving forces' and 'deterrent forces' of treatment adherence.
  • Facilitators included supportive families, positive personality traits, and health literacy.
  • Inhibitors encompassed negligence, psychological issues, socioeconomic challenges, physical limitations, and insufficient self-care knowledge.

Conclusions:

  • Nurses and healthcare providers can leverage identified facilitators to enhance HF treatment adherence.
  • Addressing identified inhibitors through targeted interventions is vital for improving patient self-management and care.
  • Findings inform the design of tailored educational and care programs for heart failure patients.

Keywords:
heart failurepatient compliancethematic analysistreatment adherence

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