Predictors Of Patients With Heart Failure Who Do Not Follow To Their Prescribed Pharmaceutical Therapy

Abstract

Objective: Determination of the association and frequency of the social and personal factors that are responsible for the lack of medication compliance in patients with heart failure

Study design: Cross-sectional study

Place and Duration: This study was conducted at NICVD Karachi from February 2022 to February 2023.

Methodology: The patients included in the present study were already admitted to the medical ward for the treatment of cardiac failure. The basic demographic data of the patients were recorded on a proforma, including their educational level, compliance status, and self-engagement in the treatment. The patients were called non-compliant if they had not been taking their medications according to their prescription or if they had not taken one of the ACE inhibitors, diuretics, spironolactone, digoxin, or beta-blockers. The data was carefully collected and statistically analyzed.

Results: A total of 133 patients were included in the present study. Overall, 36 (27.07%) patients were compliant with their treatment, while 97 (72.93%) were non-compliant. The patients who were self-engaged in the therapy, educated, and knew the names of their medicines were seen to be more compliant than the other patients.

Conclusion: Non-compliance with medical treatment is seen very commonly in cardiac failure patients. Lack of self-engagement and literacy are important factors associated with the non-compliance of patients.