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

Authors

  • Andressa Freitas da Silva Instituto de Cardiologia do Rio Grande do Sul
  • Ana Carla Dantas Cavalcanti Universidade Federal do Rio Grande do Sul; Escola de Enfermagem
  • Mauricio Malta Instituto de Cardiologia do Rio Grande do Sul
  • Cristina Silva Arruda Instituto Estadual de Cardiologia Aloysio de Castro
  • Thamires Gandin Instituto de Cardiologia do Rio Grande do Sul
  • Adriana da Fé Universidade Federal do Rio Grande do Sul; Escola de Enfermagem
  • Eneida Rejane Rabelo-Silva Universidade Federal do Rio Grande do Sul; Escola de Enfermagem

DOI:

https://doi.org/10.1590/0104-1169.0268.2628

Abstract

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.

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Published

2015-10-01

Issue

Vol. 23 No. 5 (2015)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Treatment adherence in heart failure patients followed up by nurses in two specialized clinics . (2015). Revista Latino-Americana De Enfermagem, 23(5), 888-894. https://doi.org/10.1590/0104-1169.0268.2628