Key result
Non-compliance affects ~73% of heart failure patients, linked to illiteracy and low therapy engagement.
Why the study?
Medical non-compliance is common in cardiac failure patients, but the frequency and association of personal and social factors with non-compliance were not well defined.
Cross-Sectional (n=267)
No
High non-compliance in HF signals need for literacy-focused education; cross-sectional data leaves open intervention efficacy.
OBJECTIVE: To determine the frequency and association of various personal and social factors with medical non-compliance in cardiac failure patients. STUDY DESIGN: Cross-sectional, observational study. PLACE AND DURATION OF STUDY: National Institute of Cardiovascular Diseases (NICVD), Karachi from January to August 2010. METHODOLOGY: Patients admitted in the medical wards of NICVD, who were being treated for cardiac failure, were included. Information regarding basic demographics, education level, self engagement in therapy and status of compliance was obtained by questionnaire. Statistical analysis was carried out by using Fisher's exact test and chi-square. Level of significance was < 0.05. Data was analyzed using SPSS V-15. RESULTS: Out of 267 patients, 73 (27.3%) were compliant while 194 (72.7%) were non-compliant. Educated, self caring patient, and those who knew names of their medications were more compliant than the rest. CONCLUSION: Medical non-compliance is very common in heart failure patients. Illiteracy and no self engagement in therapy are associated with non-compliance.
No takes yet. Share an insight, caveat, or question.
Mujtaba et al. (2011) conducted a cross-sectional in cardiac failure (n=267). Personal and social factors (education, self-care, medication knowledge) was evaluated on medical non-compliance. Medical non-compliance occurred in 72.7% of heart failure patients, and was associated with illiteracy and lack of self-engagement in therapy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: