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

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...

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Main Authors: Andressa Freitas da Silva, Ana Carla Dantas Cavalcanti, Mauricio Malta, Cristina Silva Arruda, Thamires Gandin, Adriana da Fé, Eneida Rejane Rabelo-Silva
Format: Article
Language:English
Published: Universidade de São Paulo 2015-10-01
Series:Revista Latino-Americana de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692015000500888&lng=en&tlng=en
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author Andressa Freitas da Silva
Ana Carla Dantas Cavalcanti
Mauricio Malta
Cristina Silva Arruda
Thamires Gandin
Adriana da Fé
Eneida Rejane Rabelo-Silva
author_facet Andressa Freitas da Silva
Ana Carla Dantas Cavalcanti
Mauricio Malta
Cristina Silva Arruda
Thamires Gandin
Adriana da Fé
Eneida Rejane Rabelo-Silva
author_sort Andressa Freitas da Silva
collection DOAJ
description 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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spelling doaj.art-3f820d8009d542e49fedd02fa09674702022-12-22T01:26:23ZengUniversidade de São PauloRevista Latino-Americana de Enfermagem1518-83452015-10-0123588889410.1590/0104-1169.0268.2628S0104-11692015000500888Treatment adherence in heart failure patients followed up by nurses in two specialized clinicsAndressa Freitas da SilvaAna Carla Dantas CavalcantiMauricio MaltaCristina Silva ArrudaThamires GandinAdriana da FéEneida Rejane Rabelo-SilvaObjectives: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692015000500888&lng=en&tlng=enInsuficiencia CardíacaEnfermeríaCooperación del Paciente
spellingShingle Andressa Freitas da Silva
Ana Carla Dantas Cavalcanti
Mauricio Malta
Cristina Silva Arruda
Thamires Gandin
Adriana da Fé
Eneida Rejane Rabelo-Silva
Treatment adherence in heart failure patients followed up by nurses in two specialized clinics
Revista Latino-Americana de Enfermagem
Insuficiencia Cardíaca
Enfermería
Cooperación del Paciente
title Treatment adherence in heart failure patients followed up by nurses in two specialized clinics
title_full Treatment adherence in heart failure patients followed up by nurses in two specialized clinics
title_fullStr Treatment adherence in heart failure patients followed up by nurses in two specialized clinics
title_full_unstemmed Treatment adherence in heart failure patients followed up by nurses in two specialized clinics
title_short Treatment adherence in heart failure patients followed up by nurses in two specialized clinics
title_sort treatment adherence in heart failure patients followed up by nurses in two specialized clinics
topic Insuficiencia Cardíaca
Enfermería
Cooperación del Paciente
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692015000500888&lng=en&tlng=en
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