Factors Related to Treatment Compliance Among Patients With Heart Failure

Abstract

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.