Adherence and Beliefs Regarding the Use of Diuretics in Patients with Heart Failure

2.50
Hdl Handle:
http://hdl.handle.net/10755/304318
Category:
Abstract
Type:
Presentation
Title:
Adherence and Beliefs Regarding the Use of Diuretics in Patients with Heart Failure
Author(s):
Cintra, F. A.; Saccomann, I. C. R. S.; Gallani, M.
Lead Author STTI Affiliation:
Non-member
Author Details:
F. A. Cintra, PhD, fernanda@fcm.unicamp.br; I. C. R. S. Saccomann, PhD; M. Gallani, PhD;
Abstract:

Poster presented on: Tuesday, July 23, 2013, Monday, July 22, 2013

Purpose: The aim of this study was to identify the adherence behavior, the perceived benefits and barriers to the use of diuretics and their influence on sociodemographic and clinical variables. 

Methods: The study included 105 subjects with Heart Failure (HF) diagnosed by a physician and the following instruments were applied: sociodemographic and clinical characterization, Morisky Medication Adherence Scale, Measure of Medication Adherence and Beliefs about Medication Compliance Scale (BMCS). We performed logistic regression to determine the influence of sociodemographic and clinical variables on adherence and health belief scales. 

Results: The average Morisky Medication Adherence Scale was 6.0(1.9), 64.8% of the patients used 80.0% or more of the perscribed diuretic, however 64.8% were non-adherent with respect to dose to dose and/or adequate care to the prescription. The average subscales Benefits and Barriers were 20.1(3.7) and 17.0(5.0), respectively. The analysis showed that men had higher chances of adherence (OR=2.6, HF95% 1.0-6.7, p=0.04); the increasing numbers of symptoms improves the chance of adherence (OR=1,8, HF95% 0.2-0.9, p=0.00), showing that there are main factors for adherence. 

Conclusion: The findings of this study point to the need of an educational approach, considering the many aspects relating to adherence to diuretic therapy for HF patients.

Keywords:
Patient compliance; Nursing; Heart failure
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleAdherence and Beliefs Regarding the Use of Diuretics in Patients with Heart Failureen_GB
dc.contributor.authorCintra, F. A.en_GB
dc.contributor.authorSaccomann, I. C. R. S.en_GB
dc.contributor.authorGallani, M.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsF. A. Cintra, PhD, fernanda@fcm.unicamp.br; I. C. R. S. Saccomann, PhD; M. Gallani, PhD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304318-
dc.description.abstract<p>Poster presented on: Tuesday, July 23, 2013, Monday, July 22, 2013</p><b>Purpose: </b> The aim of this study was to identify the adherence behavior, the perceived benefits and barriers to the use of diuretics and their influence on sociodemographic and clinical variables.  <p><b>Methods: </b> The study included 105 subjects with Heart Failure (HF) diagnosed by a physician and the following instruments were applied: sociodemographic and clinical characterization, Morisky Medication Adherence Scale, Measure of Medication Adherence and Beliefs about Medication Compliance Scale (BMCS). We performed logistic regression to determine the influence of sociodemographic and clinical variables on adherence and health belief scales.  <p><b>Results: </b> The average Morisky Medication Adherence Scale was 6.0(1.9), 64.8% of the patients used 80.0% or more of the perscribed diuretic, however 64.8% were non-adherent with respect to dose to dose and/or adequate care to the prescription. The average subscales Benefits and Barriers were 20.1(3.7) and 17.0(5.0), respectively. The analysis showed that men had higher chances of adherence (OR=2.6, HF95% 1.0-6.7, p=0.04); the increasing numbers of symptoms improves the chance of adherence (OR=1,8, HF95% 0.2-0.9, p=0.00), showing that there are main factors for adherence.  <p><b>Conclusion: </b> The findings of this study point to the need of an educational approach, considering the many aspects relating to adherence to diuretic therapy for HF patients.en_GB
dc.subjectPatient complianceen_GB
dc.subjectNursingen_GB
dc.subjectHeart failureen_GB
dc.date.available2013-10-22T20:33:27Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:33:27Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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