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Medication adherence and associated factors among chronic heart failure patients on follow-up in north Shewa public hospitals, Oromia region, Ethiopia
Chronic heart failure affects approximately 26 million people globally. World Health Organization data show that only approximately half of chronically ill patients in developed countries adhere to recommended medication, with even lower rates in developing countries. Medication adherence is critica...
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| Published in: | BMC cardiovascular disorders 2024-08, Vol.24 (1), p.444-10, Article 444 |
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| creator | Hussein, Dursa Jima, Abyot Kebede Geleta, Leta Adugna Gashaw, Ketema Girma, Derara Ibrahim, Seifu Mohammed Lakew, Meron Seyoum Kumbe, Bedo Megersa Oyato, Befekadu Tesfaye Siyum, Getu Senbate, Addis Adugna |
| description | Chronic heart failure affects approximately 26 million people globally. World Health Organization data show that only approximately half of chronically ill patients in developed countries adhere to recommended medication, with even lower rates in developing countries. Medication adherence is critical for managing chronic heart failure symptoms, delaying disease progression, and preventing hospitalizations. However, poor adherence increases rehospitalization, morbidity, mortality, and healthcare costs.
To assess medication adherence and associated factors among chronic heart failure patients on follow-up at North Shewa Public Hospitals, Oromia Region, Ethiopia, in 2023.
This institutional-based cross-sectional study was conducted from March 1 to April 30, 2023, G.C. A total of 603 individuals were selected consecutively among those who underwent chronic OPD after being proportionally allocated to five hospitals in the zone. The data were collected using an interviewer-administered questionnaire and a medical chart review. The data were entered into Epi-data version 3.1 and then exported to SPSS version 26 for analysis. The multivariable logistic regression model included variables with a P value |
| doi_str_mv | 10.1186/s12872-024-04090-9 |
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To assess medication adherence and associated factors among chronic heart failure patients on follow-up at North Shewa Public Hospitals, Oromia Region, Ethiopia, in 2023.
This institutional-based cross-sectional study was conducted from March 1 to April 30, 2023, G.C. A total of 603 individuals were selected consecutively among those who underwent chronic OPD after being proportionally allocated to five hospitals in the zone. The data were collected using an interviewer-administered questionnaire and a medical chart review. The data were entered into Epi-data version 3.1 and then exported to SPSS version 26 for analysis. The multivariable logistic regression model included variables with a P value < 0.25 in the bivariate analysis. The degree of association was expressed using an adjusted odds ratio (AOR) with a 95% confidence interval (CI) at a P value < 0.05.
Among the 603 patients, 56% had optimal medication adherence, with a 95% CI of 52.1 to 60. Being able to read and write (AOR: 2.20; 95% CI: 1.34, 3.61), having a secondary education (AOR: 1.97; 95% CI: 1.06, 3.67), having community-based health insurance (AOR: 1.82; 95% CI: 1.22, 2.71), not having comorbidities (AOR: 1.82; 95% CI: 1.18, 2.52), taking several drugs < 2 (AOR: 2.11; 95% CI: 1.20, 2.45), not adding salt when cooking (AOR: 1.72; 95% CI: 1.20, 2.45), and asking a doctor or nurse without fear (AOR: 1.87; 95% CI: 1.03, 3.40) were factors associated with medication adherence among CHF patients.
This study revealed that 56% of chronic heart failure patients had optimal medication adherence. Factors associated with higher adherence included higher education, community health insurance, lack of comorbidities, fewer medications, avoiding added salt, and comfortable communication with providers. Health professionals should provide education to strengthen medication adherence.</description><identifier>ISSN: 1471-2261</identifier><identifier>EISSN: 1471-2261</identifier><identifier>DOI: 10.1186/s12872-024-04090-9</identifier><identifier>PMID: 39179994</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Aged ; Alcohol use ; Analysis ; Associated factors ; Behavior ; Cardiovascular Agents - therapeutic use ; Care and treatment ; Chronic Disease ; Chronic heart failure ; Comorbidity ; Congestive heart failure ; Cross-Sectional Studies ; Data collection ; Developing countries ; Diagnosis ; Education ; Ethiopia ; Ethiopia - epidemiology ; Female ; Health insurance ; Health Knowledge, Attitudes, Practice ; Heart diseases ; Heart failure ; Heart Failure - diagnosis ; Heart Failure - drug therapy ; Hospitals ; Hospitals, Public ; Humans ; Interviews ; LDCs ; Male ; Medical personnel ; Medication Adherence ; Middle Aged ; Morbidity ; Mortality ; Patient compliance ; Patient outcomes ; Patients ; Population ; Questionnaires ; Regression analysis ; Risk Factors ; Self report ; Therapeutic communication ; Time Factors ; Treatment Outcome ; Variables</subject><ispartof>BMC cardiovascular disorders, 2024-08, Vol.24 (1), p.444-10, Article 444</ispartof><rights>2024. The Author(s).</rights><rights>COPYRIGHT 2024 BioMed Central Ltd.</rights><rights>2024. This work is licensed under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c389t-117e83abc90bb0f04e86f634673f8d28b48839edac6c592f47df44fd1864f1fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/3102468578?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,25732,27903,27904,36991,36992,44569</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39179994$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hussein, Dursa</creatorcontrib><creatorcontrib>Jima, Abyot Kebede</creatorcontrib><creatorcontrib>Geleta, Leta Adugna</creatorcontrib><creatorcontrib>Gashaw, Ketema</creatorcontrib><creatorcontrib>Girma, Derara</creatorcontrib><creatorcontrib>Ibrahim, Seifu Mohammed</creatorcontrib><creatorcontrib>Lakew, Meron Seyoum</creatorcontrib><creatorcontrib>Kumbe, Bedo Megersa</creatorcontrib><creatorcontrib>Oyato, Befekadu Tesfaye</creatorcontrib><creatorcontrib>Siyum, Getu</creatorcontrib><creatorcontrib>Senbate, Addis Adugna</creatorcontrib><title>Medication adherence and associated factors among chronic heart failure patients on follow-up in north Shewa public hospitals, Oromia region, Ethiopia</title><title>BMC cardiovascular disorders</title><addtitle>BMC Cardiovasc Disord</addtitle><description>Chronic heart failure affects approximately 26 million people globally. World Health Organization data show that only approximately half of chronically ill patients in developed countries adhere to recommended medication, with even lower rates in developing countries. Medication adherence is critical for managing chronic heart failure symptoms, delaying disease progression, and preventing hospitalizations. However, poor adherence increases rehospitalization, morbidity, mortality, and healthcare costs.
To assess medication adherence and associated factors among chronic heart failure patients on follow-up at North Shewa Public Hospitals, Oromia Region, Ethiopia, in 2023.
This institutional-based cross-sectional study was conducted from March 1 to April 30, 2023, G.C. A total of 603 individuals were selected consecutively among those who underwent chronic OPD after being proportionally allocated to five hospitals in the zone. The data were collected using an interviewer-administered questionnaire and a medical chart review. The data were entered into Epi-data version 3.1 and then exported to SPSS version 26 for analysis. The multivariable logistic regression model included variables with a P value < 0.25 in the bivariate analysis. The degree of association was expressed using an adjusted odds ratio (AOR) with a 95% confidence interval (CI) at a P value < 0.05.
Among the 603 patients, 56% had optimal medication adherence, with a 95% CI of 52.1 to 60. Being able to read and write (AOR: 2.20; 95% CI: 1.34, 3.61), having a secondary education (AOR: 1.97; 95% CI: 1.06, 3.67), having community-based health insurance (AOR: 1.82; 95% CI: 1.22, 2.71), not having comorbidities (AOR: 1.82; 95% CI: 1.18, 2.52), taking several drugs < 2 (AOR: 2.11; 95% CI: 1.20, 2.45), not adding salt when cooking (AOR: 1.72; 95% CI: 1.20, 2.45), and asking a doctor or nurse without fear (AOR: 1.87; 95% CI: 1.03, 3.40) were factors associated with medication adherence among CHF patients.
This study revealed that 56% of chronic heart failure patients had optimal medication adherence. Factors associated with higher adherence included higher education, community health insurance, lack of comorbidities, fewer medications, avoiding added salt, and comfortable communication with providers. Health professionals should provide education to strengthen medication adherence.</description><subject>Adult</subject><subject>Aged</subject><subject>Alcohol use</subject><subject>Analysis</subject><subject>Associated factors</subject><subject>Behavior</subject><subject>Cardiovascular Agents - therapeutic use</subject><subject>Care and treatment</subject><subject>Chronic Disease</subject><subject>Chronic heart failure</subject><subject>Comorbidity</subject><subject>Congestive heart failure</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Developing countries</subject><subject>Diagnosis</subject><subject>Education</subject><subject>Ethiopia</subject><subject>Ethiopia - epidemiology</subject><subject>Female</subject><subject>Health insurance</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Heart diseases</subject><subject>Heart failure</subject><subject>Heart Failure - diagnosis</subject><subject>Heart Failure - drug therapy</subject><subject>Hospitals</subject><subject>Hospitals, Public</subject><subject>Humans</subject><subject>Interviews</subject><subject>LDCs</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medication Adherence</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Patient compliance</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Population</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Risk Factors</subject><subject>Self report</subject><subject>Therapeutic communication</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Variables</subject><issn>1471-2261</issn><issn>1471-2261</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUk1vFSEUnRiNrdU_4MKQuHHRqTDwGFg2TdUmNV2oa8LA5Q0vMzACk6Z_xN8rr6_WjxgWkHvPOfeD0zSvCT4jRPD3mXSi71rcsRYzLHErnzTHhPWk7TpOnv7xPmpe5LzDmPQCy-fNEZWkl1Ky4-bHZ7De6OJjQNqOkCAYQDpYpHOOxusCFjltSkwZ6TmGLTJjisEbNIJOpeb8tCZAS9WAUDKqQi5OU7xt1wX5gEJMZURfRrjVaFmHac-MefFFT_kU3aQ4e40SbGsHp-iyjD4uXr9snrmah1cP90nz7cPl14tP7fXNx6uL8-vWUCFLS0gPgurBSDwM2GEGgjtOGe-pE7YTAxOCSrDacLORnWO9dYw5W7fHHHGGnjRXB10b9U4tyc863amovboPxLRVdUhvJlAEBmaplmLTQ932IAwzmlmj-SCAGVe13h20lhS_r5CLmn02ME06QFyzolhyzje0JxX69h_oLq4p1EkVJfU_eS0ifqO2utb3wcWStNmLqnOBBeW8k3uts_-g6rEwexMDOF_jfxG6A8GkmHMC9zg3wWpvLHUwlqqNqHtjKVlJbx46XocZ7CPll5PoT3uQycU</recordid><startdate>20240823</startdate><enddate>20240823</enddate><creator>Hussein, Dursa</creator><creator>Jima, Abyot Kebede</creator><creator>Geleta, Leta Adugna</creator><creator>Gashaw, Ketema</creator><creator>Girma, Derara</creator><creator>Ibrahim, Seifu Mohammed</creator><creator>Lakew, Meron Seyoum</creator><creator>Kumbe, Bedo Megersa</creator><creator>Oyato, Befekadu Tesfaye</creator><creator>Siyum, Getu</creator><creator>Senbate, Addis Adugna</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>DOA</scope></search><sort><creationdate>20240823</creationdate><title>Medication adherence and associated factors among chronic heart failure patients on follow-up in north Shewa public hospitals, Oromia region, Ethiopia</title><author>Hussein, Dursa ; Jima, Abyot Kebede ; Geleta, Leta Adugna ; Gashaw, Ketema ; Girma, Derara ; Ibrahim, Seifu Mohammed ; Lakew, Meron Seyoum ; Kumbe, Bedo Megersa ; Oyato, Befekadu Tesfaye ; Siyum, Getu ; Senbate, Addis Adugna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-117e83abc90bb0f04e86f634673f8d28b48839edac6c592f47df44fd1864f1fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Alcohol use</topic><topic>Analysis</topic><topic>Associated factors</topic><topic>Behavior</topic><topic>Cardiovascular Agents - therapeutic use</topic><topic>Care and treatment</topic><topic>Chronic Disease</topic><topic>Chronic heart failure</topic><topic>Comorbidity</topic><topic>Congestive heart failure</topic><topic>Cross-Sectional Studies</topic><topic>Data collection</topic><topic>Developing countries</topic><topic>Diagnosis</topic><topic>Education</topic><topic>Ethiopia</topic><topic>Ethiopia - epidemiology</topic><topic>Female</topic><topic>Health insurance</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Heart diseases</topic><topic>Heart failure</topic><topic>Heart Failure - diagnosis</topic><topic>Heart Failure - drug therapy</topic><topic>Hospitals</topic><topic>Hospitals, Public</topic><topic>Humans</topic><topic>Interviews</topic><topic>LDCs</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medication Adherence</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Patient compliance</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Population</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Risk Factors</topic><topic>Self report</topic><topic>Therapeutic communication</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hussein, Dursa</creatorcontrib><creatorcontrib>Jima, Abyot Kebede</creatorcontrib><creatorcontrib>Geleta, Leta Adugna</creatorcontrib><creatorcontrib>Gashaw, Ketema</creatorcontrib><creatorcontrib>Girma, Derara</creatorcontrib><creatorcontrib>Ibrahim, Seifu Mohammed</creatorcontrib><creatorcontrib>Lakew, Meron Seyoum</creatorcontrib><creatorcontrib>Kumbe, Bedo Megersa</creatorcontrib><creatorcontrib>Oyato, Befekadu Tesfaye</creatorcontrib><creatorcontrib>Siyum, Getu</creatorcontrib><creatorcontrib>Senbate, Addis Adugna</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC cardiovascular disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hussein, Dursa</au><au>Jima, Abyot Kebede</au><au>Geleta, Leta Adugna</au><au>Gashaw, Ketema</au><au>Girma, Derara</au><au>Ibrahim, Seifu Mohammed</au><au>Lakew, Meron Seyoum</au><au>Kumbe, Bedo Megersa</au><au>Oyato, Befekadu Tesfaye</au><au>Siyum, Getu</au><au>Senbate, Addis Adugna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medication adherence and associated factors among chronic heart failure patients on follow-up in north Shewa public hospitals, Oromia region, Ethiopia</atitle><jtitle>BMC cardiovascular disorders</jtitle><addtitle>BMC Cardiovasc Disord</addtitle><date>2024-08-23</date><risdate>2024</risdate><volume>24</volume><issue>1</issue><spage>444</spage><epage>10</epage><pages>444-10</pages><artnum>444</artnum><issn>1471-2261</issn><eissn>1471-2261</eissn><abstract>Chronic heart failure affects approximately 26 million people globally. World Health Organization data show that only approximately half of chronically ill patients in developed countries adhere to recommended medication, with even lower rates in developing countries. Medication adherence is critical for managing chronic heart failure symptoms, delaying disease progression, and preventing hospitalizations. However, poor adherence increases rehospitalization, morbidity, mortality, and healthcare costs.
To assess medication adherence and associated factors among chronic heart failure patients on follow-up at North Shewa Public Hospitals, Oromia Region, Ethiopia, in 2023.
This institutional-based cross-sectional study was conducted from March 1 to April 30, 2023, G.C. A total of 603 individuals were selected consecutively among those who underwent chronic OPD after being proportionally allocated to five hospitals in the zone. The data were collected using an interviewer-administered questionnaire and a medical chart review. The data were entered into Epi-data version 3.1 and then exported to SPSS version 26 for analysis. The multivariable logistic regression model included variables with a P value < 0.25 in the bivariate analysis. The degree of association was expressed using an adjusted odds ratio (AOR) with a 95% confidence interval (CI) at a P value < 0.05.
Among the 603 patients, 56% had optimal medication adherence, with a 95% CI of 52.1 to 60. Being able to read and write (AOR: 2.20; 95% CI: 1.34, 3.61), having a secondary education (AOR: 1.97; 95% CI: 1.06, 3.67), having community-based health insurance (AOR: 1.82; 95% CI: 1.22, 2.71), not having comorbidities (AOR: 1.82; 95% CI: 1.18, 2.52), taking several drugs < 2 (AOR: 2.11; 95% CI: 1.20, 2.45), not adding salt when cooking (AOR: 1.72; 95% CI: 1.20, 2.45), and asking a doctor or nurse without fear (AOR: 1.87; 95% CI: 1.03, 3.40) were factors associated with medication adherence among CHF patients.
This study revealed that 56% of chronic heart failure patients had optimal medication adherence. Factors associated with higher adherence included higher education, community health insurance, lack of comorbidities, fewer medications, avoiding added salt, and comfortable communication with providers. Health professionals should provide education to strengthen medication adherence.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>39179994</pmid><doi>10.1186/s12872-024-04090-9</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | BMC cardiovascular disorders, 2024-08, Vol.24 (1), p.444-10, Article 444 |
| issn | 1471-2261 1471-2261 |
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| source | Publicly Available Content Database; PubMed Central |
| subjects | Adult Aged Alcohol use Analysis Associated factors Behavior Cardiovascular Agents - therapeutic use Care and treatment Chronic Disease Chronic heart failure Comorbidity Congestive heart failure Cross-Sectional Studies Data collection Developing countries Diagnosis Education Ethiopia Ethiopia - epidemiology Female Health insurance Health Knowledge, Attitudes, Practice Heart diseases Heart failure Heart Failure - diagnosis Heart Failure - drug therapy Hospitals Hospitals, Public Humans Interviews LDCs Male Medical personnel Medication Adherence Middle Aged Morbidity Mortality Patient compliance Patient outcomes Patients Population Questionnaires Regression analysis Risk Factors Self report Therapeutic communication Time Factors Treatment Outcome Variables |
| title | Medication adherence and associated factors among chronic heart failure patients on follow-up in north Shewa public hospitals, Oromia region, Ethiopia |
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