Evaluation of Medication Compliance in Patients With Congestive Heart Failure in Yemen

Abstract

Objective: Non-compliance with heart failure medication is related to the highest mortality, morbidity, and health-care costs. The objective of this study was to evaluate medication compliance with patients with congestive heart failure.
 Methods:Inpatients of the cardiac care unit and medical ward of Republican Hospital, German Hospital, Revolutionary Hospital, and Chinese–Yemeni Friendship Hospital were recruited for this study. The study was conducted on patients that were diagnosed as having congestive heart failure and were receiving treatment. Questionnaires were distributed and personal interviews to evaluate the patients’ compliance was conducted to determine the reasons for their non-compliance in taking drugs.
 Results: Of 86 patients, 44% (n = 38) reported compliance and 56% (n = 48) reported non-compliance. The distribution of the patients in terms of sex was as follows: among men, 41% (n = 24) were compliant and 59% (n = 35) were non-compliant; among women, 52% (n = 14) were compliant and 48% (n = 13) were non-compliant. In addition, smoking status was too significantly linked with non-compliance (P = 0.001). Furthermore, the status of chewing of khat tree leaves was also significantly associated with non-compliance (P = 0.007).
 Conclusion: This study indicates that the reasons for non-compliance with medications among patients can be attributed to lack of education, chewing of khat tree leaves, lack of health insurance, and cigarette smoking. Therefore, healthcare professionals should create strategies to address these reasons in order to increase medication compliance with patients in heart failure.

Evaluation of Medication Compliance in Patients with Heart Failure

“…Hasta Tanıtım Formu: Hasta tanıtım formu ilgili literatür taranarak [1,2,11,16] araştırmacılar tarafından oluşturulmuştur. Bu negative correlation between the age of the individuals and the duration of medication use and the average scores of MARS (r:-0.321, p=0.001; r:-0.414, p<0.001, respectively).…”

“…[6][7][8][9][10] Bununla birlikte, bu tedavi ve değişikliklere uyum konusu da uzun zamandır sağlık hizmeti içinde önemli bir konu olarak ele alınmaktadır. [11] Uyum, bir kişinin davranışının sağlık tavsiyelerine ne ölçüde uygun olduğu olarak tanımlanmaktadır. [12] Özellikle, ilaç tedavilerindetedavi başarısını belirleyen en önemli faktörlerden biri de tedaviye uyumdur.…”