Prevalence and Predictors of Adherence to Self-Care Practices among Heart Failure Patients: A Cross-Sectional Study
Journal of Advances in Medicine and Medical Research,
Page 82-90
DOI:
10.9734/jammr/2021/v33i130798
Abstract
Aims: Congestive heart failure affects about five million Americans and has become an increasingly frequent reason for hospital admission during the last two decades. It represents a significant health problem. The aim of this study was to enumerate the frequency of self-care and to study the factors affecting adherence to self-care in patients with heart failure.
Study Design: Cross-sectional study.
Place and Duration of Study: Department of Cardiology and Department of Medicine in three public sector hospitals of Karachi, between March 2020 and September 2020.
Methodology: In this study, 187 heart failure patients from three hospitals were surveyed with consent. Demographic details of the participants were also collected, which included gender, mean age, BMI, education, living and marital status, smoking history, an ejection fraction <40, cancer, chronic kidney disease, diabetes mellitus, hypertension, dyslipidemia, atrial fibrillation, and coronary artery bypass graft procedure in patients. The data were analyzed through SPSS v. 25.0 using an adherence scale. A cumulative score of ≥32/40 (80%) was termed as good adherence. In an individual question, a score of four or five and zero to three inclusive was taken as good and poor adherence, respectively.
Results: It was found that patients who were not educated (65.8%, n=123), with age > 65years (67.4%, n=126) and with no history of coronary artery bypass grafting surgery (94.1%, n=176) had a significantly bad impact on heart-failure self-care (P-value<0.05). Good adherence was seen in 16.6% of the patients (n=31). Hence, most of the patients were non-adherent.
Conclusion: There is an urgent need to counsel patients regarding heart failure self-care for a better prognosis of the disease. Government and doctors together should take part in enlightening the issue.
Keywords:
- Adherence
- congestive heart failure
- self-care.
How to Cite
References
Conrad N, Judge A, Tran J, Mohseni H, Hedgecott D, Crespillo AP, et al. Temporal trends and patterns in heart failure incidence: A population-based study of 4 million individuals. Lancet. 2018;391(10120):572-580.
Townsend N, Bhatnagar P, Wilkins E, Wickramasinghe K, Rayner M. Cardiovascular disease statistics. London: British Heart Foundation; 2015.
Ho KK, Pinsky JL, Kannel WB, Levy D. The epidemiology of heart failure: The Framingham Study. J Am Coll Cardiol. 1993;22(4 Suppl A):6-13.
Levy D, Kenchaiah S, Larson MG, Benjamin EJ, Kupka MJ, Ho KK, et al. Long-term trends in the incidence of and survival with heart failure. N Engl J Med. 2002;347(18):1397-402.
Benjamin EJ, Virani SS, Callaway CW, Chamberlain AM, Chang AR, Cheng S, et al. American heart association council on epidemiology and prevention statistics committee and stroke statistics subcommittee. Heart disease and stroke statistics update: A report from the american heart association. Circulation. 2018;137(12):67-492.
World Health Organization. The top 10 Causes of Death; 2018.
Accessed 15 July 2020.
Available:https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, et al. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2013 update: A report from the American Heart Association. Circulation. 2013;127(1):6-245.
De Geest S. Another perspective in understanding adherence: Qualitative research in unraveling the behavioral dimension of heart failure management. J Cardiopulm Rehabil. 2005;25(3):164-5.
Riegel B, Moser DK, Anker SD, Appel LJ, Dunbar SB, Grady KL, et al. American heart association council on cardiovascular nursing; American heart association council on cardiovascular nursing; American heart association council on clinical cardiology; American heart association council on nutrition, physical activity, and metabolism; American heart association interdisciplinary council on quality of care and outcomes research. State of the science: Promoting self-care in persons with heart failure: A scientific statement from the American Heart Association. Circulation. 2009;120(12): 1141-63.
Held C, Iqbal R, Lear SA, Rosengren A, Islam S, Mathew J, et al. Physical activity levels, ownership of goods promoting sedentary behaviour and risk of myocardial infarction: Results of the Interheart study. Eur Heart J. 2012;33(4):452-66.
Wijndaele K, Brage S, Besson H, Khaw KT, Sharp SJ, Luben R, et al. Television viewing time independently predicts all-cause and cardiovascular mortality: The EPIC Norfolk study. Int J Epidemiol. 2011;40(1):150-9.
Uijl A, Koudstaal S, Direk K, Denaxas S, Groenwold RHH, Banerjee A, et al. Risk factors for incident heart failure in age- and sex-specific strata: A population-based cohort using linked electronic health records. Eur J Heart Fail. 2019;21(10):1197-1206.
Jafar TH, Jafary FH, Jessani S, Chaturvedi N. Heart disease epidemic in Pakistan: Women and men at equal risk. Am Heart J. 2005 Aug;150(2):221–6.
Medical Outcomes Study Specific Adherence Scale; 2012.
Accessed 20 July 2020.
Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519965/figure/F2/?report=objectonly
Desai AS, Stevenson LW. Re-hospitalization for heart failure: predict or prevent? Circulation. 2012;126(4):501–6.
Neily JB, Toto KH, Gardner EB, Rame JE, Yancy CW, Sheffield MA, et al. Potential contributing factors to noncompliance with dietary sodium restriction in patients with heart failure. Am Heart J. 2002;143(1):29-33.
Vellone E, Fida R, Ghezzi V, D'Agostino F, Biagioli V, Paturzo M, et al. Patterns of Self-care in Adults With Heart Failure and Their Associations With Sociodemographic and Clinical Characteristics, Quality of Life, and Hospitalizations: A Cluster Analysis. J Cardiovasc Nurs. 2017;32(2):180-189.
Tawalbeh LI, Al Qadire M, Ahmad MM, Aloush S, Sumaqa YA, Halabi M. Knowledge and self-care behaviors among patients with heart failure in Jordan. Res Nurs Health. 2017;40(4):350-359.
Ali MA, Yasir J, Sherwani RN, Fareed M, Arshad F, Abid F, et al. Frequency and predictors of non-adherence to lifestyle modifications and medications after coronary artery bypass grafting: A cross-sectional study. Indian Heart J. 2017;69(4):469-473.
Cocchieri A, Riegel B, D'Agostino F, Rocco G, Fida R, Alvaro R, et al. Describing self-care in Italian adults with heart failure and identifying determinants of poor self-care. Eur J Cardiovasc Nurs. 2015;14(2):126-36.
Attaallah S, Klymko K, Hopp FP. Self-care among older adults with heart failure. Gerontol Geriatr Med. 2016;2:2333721416684013.
Jaarsma T, Cameron J, Riegel B, Stromberg A. Factors related to self-care in heart failure patients according to the middle-range theory of self-care of chronic illness: A Literature Update. Curr Heart Fail Rep. 2017;14(2):71–77.
Moser DJ, Cohen RA, Clark MM, Aloia MS, Tate BA, Stefanik S, et al. Neuropsychological functioning among cardiac rehabilitation patients. J Cardiopulm Rehabil. 1999;19(2):91-7.
Riegel B, Jaarsma T, Strömberg AA. Middle-range theory of Self-care of chronic illness. ANS Adv Nurs Sci. 2012;35(3):194-204.
Luttik ML, Jaarsma T, Strömberg AA. challenge for health care. Eur J Cardiovasc Nurs. 2016;15(5):298-300.
Forsyth P, Richardson J, Lowrie R. Patient-reported barriers to medication adherence in heart failure in Scotland. Int J Pharm Pract. 2019;27(5):443-450.
Bock BC, Albrecht AE, Traficante RM. Predictors of exercise adherence following participation in a cardiac rehabilitation program. Int J Behav Med. 1997;4(1):60–75.
Claxton AJ, Cramer J, Pierce CA. systematic review of the associations between dose regimens and medication compliance Clin Ther. 2001;23(8): 1296–1310.
Vestfold Heartcare Study Group. Influence on lifestyle measures and five-year coronary risk by a comprehensive lifestyle intervention programme in patients with coronary heart disease. Eur J Cardiovasc Prev Rehabil. 2003;10(6):429-43
-
Abstract View: 578 times
PDF Download: 236 times
