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

Revista Latino-Americana de Enfermagem

Andressa Freitas Da Silva¹  Ana Carla Dantas Cavalcanti¹  Mauricio Malta¹  Cristina Silva Arruda¹  Thamires Gandin¹  Adriana Da Fé¹  Eneida Rejane Rabelo-silva¹ 

关键词: Heart Failure;    Nursing;    Patient Compliance;    Insuficiência Cardíaca;    Enfermagem;    Cooperação do Paciente;    Insuficiencia Cardíaca;    Enfermería;    Cooperación del Paciente;   

DOI  :  10.1590/0104-1169.0268.2628

来源: SciELO

【 摘 要 】

Objectives: to analyze treatment adherence in heart failure (HF) patients followed up by the nursing staff at specialized clinics and its association with patients' characteristics such as number of previous appointments, family structure, and comorbidities.Methods: a cross-sectional study was conducted at two reference clinics for the treatment of HF patients (center 1 and center 2). Data were obtained using a 10-item questionnaire with scores ranging from 0 to 26 points; adherence was considered adequate if the score was ≥ 18 points, or 70% of adherence.Results: a total of 340 patients were included. Mean adherence score was 16 (±4) points. Additionally, 124 (36.5%) patients showed an adherence rate ≥ 70%. It was demonstrated that patients who lived with their family had higher adherence scores, that three or more previous nursing appointments was significantly associated with higher adherence (p<0.001), and that hypertension was associated with low adherence (p=0.023).Conclusions: treatment adherence was considered satisfactory in less than a half of the patients followed up at the two clinics specialized in HF. Living with the family and attending to a great number of nursing appointments improved adherence, while the presence of hypertension led to worse adherence.

【 授权许可】

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