Medication Adherence and Associated Factors among Chronic Heart Failure Clients on Follow Up Oromia Region, West Ethiopia

Fetensa, Getahun; Yadecha, Birhanu; Tolossa, Tadesse; Bekuma, Tariku Tesfaye

doi:10.2174/1871525717666191019162254

Cited by 8 publications

(8 citation statements)

References 8 publications

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“…Participants who didn't add salt when cooking were 1.72 times more likely to have medication adherence than those who added salt to food when cooking. This study was consistent with a study done in West Ethiopia (30). This may be due to health consciousness and lifestyle factors.…”

Section: Medication Adherencesupporting

confidence: 93%

“…Self-care Behaviours Adherence Self-care involves behaviours such as taking medications, monitoring and interpreting symptoms, keeping appointments, and contacting health care providers when needed (19).…”

Section: Operational De Nition and De Nition Of Termsmentioning

confidence: 99%

“…The sample size was determined using the single population proportion formula for the Epi Info STAT CALC cohort, version 7.2.4, based on the assumptions of a 95% con dence level (CL), a proportion of medication adherence compliance patients with CHF that is 64.8%, and a 4% marginal error from the study conducted in Oromia Region, West Ethiopia (19) among CHF patients, and also by considering 10% non-response, the sample size was taken to be 603.…”

Section: Sample Size Determinationmentioning

confidence: 99%

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Medication Adherence and Associated Factors Among Chronic Heart Failure Patients on Follow Up in North Shewa Public Hospitals, Oromia Region, Ethiopia

Hussein,

Jima,

Geleta

et al. 2024

Preprint

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Background Chronic heart failure affects around 26 million people globally. World Health Organization data shows only about half of chronically ill patients in developed countries adhere to recommended medication, with even lower rates in developing countries. Medication adherence is critical for managing chronic heart failure affects symptoms, delaying disease progression, and preventing hospitalizations. However, poor adherence leads to increased re-hospitalizations, morbidity, mortality, and healthcare costs. Objective To assess medication adherence and its associated factors among chronic heart failure patients on follow-up at North Shewa public hospitals, Oromia Region, Ethiopia, in 2023. Methods An institutional-based cross-sectional study design was conducted from March 1 to April 30 2023 G.C. A total of 603 sample size were selected consecutively among those coming for chronic OPD after being proportionally allocated to five hospitals in the zone. Data were collected using an interviewer-administered questionnaire and a medical chart review. Data were entered into Epi-data version 3.1, then exported to SPSS version 26 for analysis. Variables with a P value < 0.25 in the bivariate analysis were included in the multivariate logistic regression model. The degree of association was expressed using an adjusted odds ratio (AOR) with a 95% confidence interval (CI) at a P value < 0.05 Result Among 603 patients, 56% had optimal medication adherence with 95% CI: (52.1, 60). Being able to read and write (AOR: 2.20; 95% CI: 1.34, 3.61), having a secondary education (AOR: 1.97; 95% CI: 1.06, 3.67), having community-based health insurance (AOR: 1.82; 95% CI: 1.22, 2.71), not having co-morbidity (AOR: 1.82; 95% CI: 1.18, 2.52), taking a number of drugs < 2 (AOR: 2.11; 95% CI: 1.20, 2.45), not adding salt when cooking (AOR: 1.72; 95% CI: 1.20, 2.45), and asking a doctor or nurse without fear (AOR: 1.87; 95% CI: 1.03, 3.40) were factors associated with medication adherence among CHF. Conclusion This study found 56% of chronic heart failure patients had optimal medication adherence. Factors associated with higher adherence included higher education, community health insurance, lack of comorbidities, fewer medications, avoiding added salt, and comfort communicating with providers. Health professionals should provide education to strengthen medication adherence.

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Section: Medication Adherencesupporting

confidence: 93%

Section: Operational De Nition and De Nition Of Termsmentioning

confidence: 99%

Section: Sample Size Determinationmentioning

confidence: 99%

See 1 more Smart Citation

Medication Adherence and Associated Factors Among Chronic Heart Failure Patients on Follow Up in North Shewa Public Hospitals, Oromia Region, Ethiopia

Hussein,

Jima,

Geleta

et al. 2024

Preprint

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“…In addition, a moderate but significant relationship was noted between self-care agency and treatment adherence. A similar result was reached by Fetensa et al (2019) in patients with coronary disease and by Velandia-Arias and Rivera-Álvarez (2009) in patients with hypertension. These results are reasonable considering that higher levels of self-care may be expected to translate into better therapeutic goal achievement and treatment adherence.…”

Section: Discussionsupporting

confidence: 77%

Relationship Among Treatment Adherence, Family Functioning, and Self-Care Agency in Colombian Patients With Cardiovascular Disease

Vargas-Escobar

Valle-Ballesteros

Alemán-Parra³

et al. 2022

Journal of Nursing Research

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Background Multiple factors affect treatment adherence in individuals with cardiovascular disease. However, information on the relationships among treatment adherence, family functioning, and self-care agency in these patients and their families is limited. Purpose This study was developed to determine the relationships among treatment adherence, family functioning, self-care agency, and sociodemographic variables in patients with cardiovascular disease. Self-care agency, as defined by Orem, is the dynamic process patients use to engage in their own healthcare that involves discerning and addressing factors that allow their making decisions that improve self-care abilities. Methods This cross-sectional, observational–analytical study enrolled 151 adult patients with cardiovascular diseases who had undergone pharmacological and nonpharmacological treatments and 108 family members of these patients who had consented to participate. Measurements were performed using the “Questionnaire for measuring treatment adherence in patients with cardiovascular disease,” the “Family Functioning Assessment Scale,” and the “Self-care Agency Scale.” Results Of the 151 patients, 119 (78.8%) were assessed as having a low risk of nonadherence, 60 (39.7%) as having low family functioning, and 131 (86.8%) as having high self-care agency. Treatment adherence and self-care agency showed a moderate and significant correlation (r = .66, p < .001). Similarly, treatment adherence and family functioning showed a low but significant correlation (r = .35, p < .001). Moreover, significant multivariate associations were found among the variables of interest. Patients with a low risk of nonadherence were found to be more likely to have a secondary or postsecondary education, not to have vision or hearing problems, and to have a contributory affiliation mode with the health system or private health insurance. In addition, participants with moderate or high levels of family functioning were less likely to be workers or to not have hearing or vision problems. Finally, significant differences were noted between patients with low self-care agency and those with high self-care agency in terms of kinship relationship with family members and affiliation mode with the health system. Conclusions/Implications for Practice The results of this research help clarify the issue of treatment adherence in patients with cardiovascular disease. Although family functioning and self-care agency were found to be low to moderately correlated with treatment adherence, relevant information regarding these variables and sociodemographic variables is presented in this study. Nurses may use these results as a reference to design nursing care plans and interventions to address the conditions of their patients more appropriately.

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“…In Ethiopia, few published studies have reported the level of medication adherence among heart failure patients either separately [ 21 ] or as a part of drug therapy problems [ 22 ]. However, due to a variation in the study setting, the level of care, and sociodemographic characteristics such as language differences, the findings might be difficult to extrapolate to this study setting.…”

Section: Introductionmentioning

confidence: 99%

Medication Nonadherence and Associated Factors among Heart Failure Patients at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

Seid

Toleha

Sema

2023

International Journal of Chronic Diseases

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Background. Medication nonadherence, being one of the best predictors of hospitalization, increases the mortality rate and hospital readmission and reduces the quality of life of heart failure (HF) patients. Therefore, this study is aimed at assessing medication nonadherence and associated factors among HF patients at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. Methods. A cross-sectional study was conducted among 245 adult patients with HF from June to August 2017. The data were collected by using the medication Adherence Report Scale (MARS-5) and then entered and analyzed using SPSS® (IBM Corporation) version 24. Summary statistics were presented using frequency, proportion, and mean. Binary logistic regression analysis was done for identifying factors associated with medication nonadherence with a 95% confidence level and p value of less than 0.05. Results. Among 245 patients with HF, about a quarter (23.7%) of them were medication nonadherent. More than one-third (37%) of HF patients had a history of at least one HF medication discontinuation. Refilling problems (48%) and getting better from the illness (27%) were the most commonly reported reasons for nonadherence. Presence of comorbidity ( AOR = 2.761 ; 95 % CI = 1.364 , 5.589), taking three or more types of medication ( AOR = 2.805 ; 95 % CI = 1.404 , 5.60), and being unmarried ( AOR = 2.638 , 95 % CI = 1.279 , 5.443) was significantly associated with medication nonadherence. Conclusion. The self-reported medication nonadherence among HF patients was considerably high. Refilling problems and getting better from the illness were the most commonly reported reasons for nonadherence. The presence of comorbid illness, taking three or more types of medication, and being unmarried was significantly associated factors of medication nonadherence. Awareness creation among patients on the importance of medication adherence and targeted efforts to assess and mitigate reasons for medication nonadherence may be helpful.

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Medication Adherence and Associated Factors among Chronic Heart Failure Clients on Follow Up Oromia Region, West Ethiopia

Cited by 8 publications

References 8 publications

Medication Adherence and Associated Factors Among Chronic Heart Failure Patients on Follow Up in North Shewa Public Hospitals, Oromia Region, Ethiopia

Medication Adherence and Associated Factors Among Chronic Heart Failure Patients on Follow Up in North Shewa Public Hospitals, Oromia Region, Ethiopia

Relationship Among Treatment Adherence, Family Functioning, and Self-Care Agency in Colombian Patients With Cardiovascular Disease

Medication Nonadherence and Associated Factors among Heart Failure Patients at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

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