Factors associated with medication non-adherence among patients with heart failure.

IF 1.5 4区医学 Q3 NURSING Revista Latino-Americana De Enfermagem Pub Date : 2024-08-30 eCollection Date: 2024-01-01 DOI:10.1590/1518-8345.6756.4302

Jannaína Gomes de Lima, Alba Lucia Bottura Leite de Barros, Juliana de Lima Lopes

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Abstract

Objective: to identify the factors contributing to medication non-adherence among patients with heart failure.

Method: cross-sectional and analytical study using the Medida de Adesão ao Tratamento [Treatment Adherence Measure] scale to assess medication non-adherence. Independent variables were collected using the European Heart Failure Self-care Behavior Scale and an instrument developed by the authors based on a previous study. Statistical tests were implemented to analyze data with p≤0.05 statistical significance.

Results: the sample comprised 340 patients, with 9.4% considered non-adherent. The multiple analysis results showed that one unit increase in an individual's self-care score led to an 8% increase in the prevalence of non-adherence; patients with a family income above three times the minimum wage presented a prevalence of non-adherence equal to 3.5% of the prevalence of those with up to one times the minimum wage; individuals consuming alcohol or with depression presented 3.49 and 3.69 times higher prevalence of non-adherence, respectively, than individuals not presenting such history.

Conclusion: medication non-adherence was associated with self-care, family income, depression, and alcohol consumption.

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心力衰竭患者不坚持用药的相关因素。

方法：采用Medida de Adesão ao Tratamento[治疗依从性测量]量表评估用药不依从性，进行横断面分析研究。使用欧洲心力衰竭自我护理行为量表和作者根据先前研究开发的工具收集独立变量。对数据进行统计检验分析，P≤0.05为统计学意义。结果：样本包括340名患者，其中9.4%被认为是不依从者。多重分析结果显示，个人自我护理得分每增加一个单位，不坚持治疗的发生率就会增加 8%；家庭收入高于最低工资三倍的患者，其不坚持治疗的发生率相当于家庭收入低于最低工资三倍的患者的 3.结论：不遵医嘱用药与自我保健、家庭收入、抑郁和饮酒有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Latino-Americana De Enfermagem NURSING-

自引率

11.10%

发文量

142

期刊介绍： A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.