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Background: Treatment compliance can not only prevent complications among patients with heart failure but also improve their health, quality of life, decrease hospitalization, and mortality rate.
Objective: To examine the treatment compliance among patients with heart failure, and identify factors related to treatment compliance.
Methods: The descriptive correlational study was carried out in 112 participants by a random sampling technique in the Cardiovascular Department, C Hospital, Vietnam. Data were collected during June to August 2019. Four instruments were used: 1) Demographic and clinical conditions; 2) the Revised Heart Failure Compliance Scale; 3) Mini Mental State Examination (MMSE); and 4) the Japanese Heart Failure Knowledge Scale (JHFKS). Data were analyzed by chi-square test and Spearman rank correlation.
Results: Among 54.5% of participants were demonstrated treatment compliance. Compliance with the medication and routine checkup were high (> 80%), whereas doing exercise, fluid restriction and weighing daily were low (43.8%, 33.8%, and 16.1%, respectively). Factors included gender, education level, numbers of hospitalization during the past year, comorbidities, heart failure knowledge, and cognitive function were significantly related to treatment compliance (P < .05).
Conclusions: Patients should enhance heart failure knowledge in order to improve treatment compliance. By doing this, heart failure patients were supplied information about the disease when they are hospitalized. Patients with cognitive impairment were also paid attention to improve treatment compliance.
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2. Savarese G, Lund LH. Global public health burden of heart failure. Card Fail Rev. 2017;3(1):7-11. doi:10.15420/cfr.2016:25:2.
3. Sakata Y, Shimokawa H. Epidemiology of heart failure in Asia. Circ J. 2013;77(9):2209-2217. doi:10.1253/circj.cj-13-0971.
4. Reyes EB, Ha JW, Firdaus I, et al. Heart failure across Asia: same healthcare burden but differences in organization of care. Int J Cardiol. 2016;223:163-167. doi:10.1016/j.ijcard.2016.07.256.
5. Centers for Disease Control and Prevention. Global Health - Vietnam, 2018. https://www.cdc.gov/globalhealth/countries/vietnam/default.htm. Accessed February 20, 2020.
6. Do TNP, Nguyen ADT. Investigation of prognostic factors of mortality in patients with heart failure ejection fraction who were less hospitalization at the Heart Institute in Ho Chi Minh City. http://timmachhoc.vn/khao-sat-cac-yeu-to-tien-luong-tu-vong-tren-benh-nhan-suy-tim-phan-suat-tong-mau-giam-nhap-vien-tai-vien-tim-tp-hcm/. Published December 26, 2019. Accessed February 20, 2020.
7. van der Wal MH, Jaarsma T, Moser DK, Veeger NJ, van Gilst WH, van Veldhuisen DJ. Compliance in heart failure patients: the importance of knowledge and beliefs. Eur Heart J. 2006;27(4):434-440. doi:10.1093/eurheartj/ehi603.
8. Amininasab SS, Lolaty HA, Moosazadeh M, Shafipour V. Medication adherence and its predictors among patients with heart failure. Nurs Midwifery Stud. 2018;7(2):81-86. doi:10.4103/nms.nms_9_17.
9. Tam NB, Chunlestskul K, Deoisres W, Rosenberg E. Factors predicting treatment adherence among patients with heart failure in Vietnam. IJSER. 2016;7(10):43-53.
10. Kieu TTH, Nguyen TH. The First Step in Using SCHFI Scale to Assess Self-Care on Heart Failure Patients in Cardiovascular Hospital. Hanoi: Hanoi Medical Univeristy; 2011.
11. Kato N, Kinugawa K, Ito N, et al. Adherence to self-care behavior and factors related to this behavior among patients with heart failure in Japan. Heart Lung. 2009;38(5):398-409. doi:10.1016/j.hrtlng.2008.11.002.
12. Seid MA, Abdela OA, Zeleke EG. Adherence to self-care recommendations and associated factors among adult heart failure patients. From the patients' point of view. PLoS One. 2019;14(2):e0211768. doi:10.1371/journal.pone.0211768.
13. Ok JS, Choi H. Factors affecting adherence to self-care behaviors among outpatients with heart failure in Korea. Korean J Adult Nurs. 2015;27(2):242-250. doi:10.7475/kjan.2015.27.2.242.
14. Bagchi AD, Esposito D, Kim M, Verdier J, Bencio D. Utilization of, and adherence to, drug therapy among medicaid beneficiaries with congestive heart failure. Clin Ther. 2007;29(8):1771-1783. doi:10.1016/j.clinthera.2007.08.015.
15. Mantovani VM, Ruschel KB, Souza EN, Mussi C, Rabelo-Silva ER. Adesão ao tratamento de pacientes com insuficiência cardíaca em acompanhamento domiciliar por enfermeiros. Acta Paul Enferm. 2015;28(1):41-47. doi:10.1590/1982-0194201500008.
16. Murad K, Goff DC Jr, Morgan TM, et al. Burden of comorbidities and functional and cognitive impairments in elderly patients at the initial diagnosis of heart failure and their impact on total mortality: the cardiovascular health study. JACC Heart Fail. 2015;3(7):542-550. doi:10.1016/j.jchf.2015.03.004.
17. Dickson VV, Tkacs N, Riegel B. Cognitive influences on self-care decision making in persons with heart failure. Am Heart J. 2007;154(3):424-431. doi:10.1016/j.ahj.2007.04.058.
18. Cameron J, Worrall-Carter L, Page K, Riegel B, Lo SK, Stewart S. Does cognitive impairment predict poor self-care in patients with heart failure? Eur J Heart Fail. 2010;12(5):508-515. doi:10.1093/eurjhf/hfq042.
19. Jankowska-Polańska B, Kuśnierz M, Dudek K, Jaroch J, Uchmanowicz I. Impact of cognitive function on compliance with treatment in heart failure. J Educ Health Sport. 2017;7(2):392-414. doi:10.5281/zenodo.400294.
20. Evangelista LS, Berg J, Dracup K. Relationship between psychosocial variables and compliance in patients with heart failure. Heart Lung. 2001;30(4):294-301. doi:10.1067/mhl.2001.116011.
21. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-198. doi:10.1016/0022-3956(75)90026-6.
22. Kato N, Kinugawa K, Nakayama E, et al. Development and psychometric properties of the Japanese heart failure knowledge scale. Int Heart J. 2013;54(4):228-233. doi:10.1536/ihj.54.228.
23. Huyen NN, Dung NT. Factors related to self-care behaviors among older adults with heart failure in the General Hospital in Thai Nguyen, Vietnam. J Vietnam Cardiol. 2014;64(88):26-33.
24. Al-khadher MAA, Fadl-Elmula I, Ahmed WAM. Compliance to treatment and quality of life of Sudanese patients with heart failure. Int J Prev Med. 2015;1(2):40-44.
25. van der Wal MH, van Veldhuisen DJ, Veeger NJ, Rutten FH, Jaarsma T. Compliance with non-pharmacological recommendations and outcome in heart failure patients. Eur Heart J. 2010;31(12):1486-1493. doi:10.1093/eurheartj/ehq091.
26. van der Wal MH, Jaarsma T, van Veldhuisen DJ. Non-compliance in patients with heart failure; how can we manage it? Eur J Heart Fail. 2005;7(1):5-17. doi:10.1016/j.ejheart.2004.04.007.
27. Tefera YG, Abegaz TM, Abebe TB, Mekuria AB. The changing trend of cardiovascular disease and its clinical characteristics in Ethiopia: hospital-based observational study. Vasc Health Risk Manag. 2017;13:143-151. doi:10.2147/VHRM.S131259.
28. Dolansky MA, Schaefer JT, Hawkins MA, et al. The association between cognitive function and objective adherence to dietary sodium guidelines in patients with heart failure. Patient Prefer Adherence. 2016;10:233-241. doi:10.2147/PPA.S95528.
29. Matsuoka S, Tsuchihashi-Makaya M, Kayane T, et al. Health literacy is independently associated with self-care behavior in patients with heart failure. Patient Educ Couns. 2016;99(6):1026-1032. doi:10.1016/j.pec.2016.01.003.
30. Dracup K, Moser DK, Pelter MM, et al. Rural patients' knowledge about heart failure. J Cardiovasc Nurs. 2014;29(5):423-428. doi:10.1097/JCN.0b013e31829cbcf3.
31. Unverzagt S, Meyer G, Mittmann S, Samos FA, Unverzagt M, Prondzinsky R. Improving treatment adherence in heart failure. Dtsch Arztebl Int. 2016;113(25):423-430. doi:10.3238/arztebl.2016.0423.