Compliance in heart failure patients: the importance of knowledge and beliefs

Aims Non-compliance in patients with heart failure (HF) contributes to worsening HF symptoms and may lead to hospitalization. Several smaller studies have examined compliance in HF, but all were limited as they only studied either the individual components of compliance and its related factors or se...

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Bibliographic Details
Published in:European heart journal 2006-02, Vol.27 (4), p.434-440
Main Authors: van der Wal, Martje H.L., Jaarsma, Tiny, Moser, Debra K., Veeger, Nic J.G.M., van Gilst, Wiek H., van Veldhuisen, Dirk J.
Format: Article
Language:English
Subjects:
Adherence
Aged
Biological and medical sciences
Cardiology. Vascular system
Cross-Sectional Studies
Diet
Female
Health Behavior
Health Knowledge, Attitudes, Practice
Heart
Heart failure
Heart Failure - therapy
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Humans
Male
Medical sciences
MEDICIN
MEDICINE
Nursing
Patient Compliance
Regression Analysis
Risk Factors
Surveys and Questionnaires
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Summary:Aims Non-compliance in patients with heart failure (HF) contributes to worsening HF symptoms and may lead to hospitalization. Several smaller studies have examined compliance in HF, but all were limited as they only studied either the individual components of compliance and its related factors or several aspects of compliance without studying the related factors. The aims of this study were to examine all dimensions of compliance and its related factors in one HF population. Methods and results Data were collected in a cohort of 501 HF patients. Clinical and demographic data were assessed and patients completed questionnaires on compliance, beliefs, knowledge, and self-care behaviour. Overall compliance was 72% in this older HF population. Compliance with medication and appointment keeping was high (>90%). In contrast, compliance with diet (83%), fluid restriction (73%), exercise (39%), and weighing (35%) was markedly lower. Compliance was related to knowledge (OR=5.67; CI 2.87–11.19), beliefs (OR=1.78; CI 1.18–2.69), and depressive symptoms (OR=0.53; CI 0.35–0.78). Conclusion Although some aspects of compliance had an acceptable level, compliance with weighing and exercise were low. In order to improve compliance, an increase of knowledge and a change of patient's beliefs by education and counselling are recommended. Extra attention should be paid to patients with depressive symptoms.
ISSN:0195-668X
1522-9645
1522-9645
DOI:10.1093/eurheartj/ehi603