Produção Nacional
Revisado por pares
Treatment adherence in heart failure patients followed up by nurses in two specialized clinics
2015; UNIVERSIDADE DE SÃO PAULO; Volume: 23; Issue: 5 Linguagem: Inglês
10.1590/0104-1169.0268.2628
ISSN1518-8345
AutoresAndressa Freitas da Silva, Ana Carla Dantas Cavalcanti, Maurício Manera Malta, Cristina Silva Arruda, Thamires Oliveira Gandin, Adriana da Fé, Eneida Rejane Rabelo,
Tópico(s)Heart Failure Treatment and Management
ResumoObjectives: 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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