Predictions of adherence to treatment in patients referred to the heart failure clinic of shahid rajaee hospital in Tehran

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Fakhrudin Faizi, Asma Shojaee, AmirVahedian Azimi, Nasim Naderi, MohammadMehdi Salaree
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引用次数: 1

Abstract

Background: The objective of this study was to identify the level of treatment adherence and also sought to explore several demographic, clinical, comorbidities, and self-care behavior factors that may affect adherence among patients with heart failure (HF). Materials and Methods: This single-center cross-sectional, questionnaire-based study was conducted on 500 adult HF patients referred to the clinic of Rajaie Cardiovascular, Medical, and Research Center, in Tehran, Iran, from February to July 2022. The level of treatment adherence was assessment through Modanloo’s questionnaire. An unadjusted and adjusted binary logistic regression model was used to check the effect of different factors on the patients’ adherence level. Results: Among 474 responders, 51.7% had “good” adherence to treatment. According to the results, age >54 years (odds ratio [OR]: 0.967, 95% confidence interval [CI]: 0.946–0.988, P = 0.002), mitral valve regurgitation (OR: 0.597, 95% CI: 0.362–0.982, P = 0.042) and HF duration (OR: 0.486, 95% CI: 0.274–0.862, P = 0.014) were found as independent variables associated with “poor” treatment adherence. However, higher educational level (OR: 3.313, 95% CI: 2.632–4.067, P < 0.001), New York Heart Association class I (OR: 3.231, 95% CI: 1.587–4.661, P = 0.002), ejection fraction (EF) >40% (OR: 1.023, 95% CI: 1.005–1.041, P = 0.013), HF with preserved EF (OR: 2.728, 95% CI: 1.387–5.365, P = 0.004), familiar with social media (OR: 3.792, 95% CI: 1.777–4.268, P < 0.001) and high awareness of HF (OR: 2.385, 95% CI: 1.072–3.044, P = 0.006) were significant positive predictors for good adherence to treatment. Conclusion: Adherence to the treatment regimen has improved compared to previous studies, but is still suboptimal, particularly with respect to awareness of HF. Therefore, improving the awareness of patients as well as encouraging and supporting them for self-care behaviors can have a positive effect on treatment adherence.
对德黑兰沙希德·拉贾伊医院心力衰竭门诊患者治疗依从性的预测
背景:本研究的目的是确定治疗依从性水平,并试图探索可能影响心力衰竭(HF)患者依从性的几种人口统计学、临床、合并症和自我保健行为因素。材料与方法:这项单中心横断面、基于问卷的研究于2022年2月至7月在伊朗德黑兰Rajaie心血管、医学和研究中心门诊就诊的500名成年HF患者中进行。通过Modanloo问卷评估治疗依从性水平。采用未调整和调整的二元logistic回归模型检验不同因素对患者依从性水平的影响。结果:在474名应答者中,51.7%的人治疗依从性“良好”。结果显示,年龄>54岁(比值比[OR]: 0.967, 95%可信区间[CI]: 0.946 ~ 0.988, P = 0.002)、二尖瓣返流(OR: 0.597, 95% CI: 0.362 ~ 0.982, P = 0.042)和心绞痛持续时间(OR: 0.486, 95% CI: 0.274 ~ 0.862, P = 0.014)是与“不良”治疗依从性相关的独立变量。然而,较高的教育水平(OR: 3.313, 95% CI: 2.632-4.067, P < 0.001),纽约心脏协会I级(OR: 3.231, 95% CI: 1.587-4.661, P = 0.002),射血分数(EF) >40% (OR: 1.023, 95% CI: 1.005-1.041, P = 0.013),保留EF的HF (OR: 2.728, 95% CI: 1.387-5.365, P = 0.004),熟悉社交媒体(OR: 3.792, 95% CI: 1.77 - 4.268, P < 0.001),以及对HF的高度认识(OR: 2.385, 95% CI: P < 0.001)。1.072-3.044, P = 0.006)为治疗依从性良好的显著阳性预测因子。结论:与以前的研究相比,治疗方案的依从性有所改善,但仍然不够理想,特别是在心衰意识方面。因此,提高患者的自我护理意识,鼓励和支持患者的自我护理行为,可以对治疗依从性产生积极的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Research in Cardiovascular Medicine
Research in Cardiovascular Medicine CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
0.00%
发文量
13
审稿时长
17 weeks
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