Key result
Therapeutic education yields ~73% disease comprehension in heart failure, but adherence remains low.
Why the study?
Therapeutic patient education reduces hospitalizations and improves quality of life in heart failure, but it remains poorly implemented in this clinical setting, prompting an assessment of patient knowledge levels.
Cross-Sectional (n=100)
No
In a cross-sectional study of 100 heart failure patients in Niger, despite 73.3% understanding the chronicity of their condition, treatment adherence was only 34% and 69% could not recognize decompensation warning signs, highlighting an urgent need for structured, culturally adapted therapeutic education programs.
Non-adherence and rehospitalization persist despite education in Niger HF patients; leaves open whether refined TPE improves outcomes.
Background: Heart failure is a chronic, common, and serious condition responsible for repeated hospitalizations and impaired quality of life. Therapeutic patient education (TPE) has proven effective in reducing hospitalizations and improving quality of life but remains poorly implemented in our setting. Objective: To assess the level of therapeutic education knowledge among heart failure patients followed at Amirou Boubacar Diallo National Hospital in Niamey. Methods: Descriptive cross-sectional study conducted over three months (June 1 to August 30, 2020). Results: One hundred patients (mean age 56.4 years) were included: 62% men, 38% women. NYHA class distribution: 38% class I, 32% class II, 15% class IV. LVEF was reduced in 67%. Main etiologies were hypertensive heart disease (70.6%) and ischemic heart disease (25%). Regarding education: 73.3% had received information about their disease and understood it was chronic and required lifelong treatment; 66% were non-adherent to treatment; 69% followed a low-sodium diet; 60% performed physical activity according to their capacity; 86% had never received smoking-cessation counseling. Socioeconomic status and educational level significantly influenced treatment adherence (p = 0.04). Conclusion: Therapeutic patient education in heart failure reduces healthcare costs and improves quality of life. Its systematic implementation in our setting, in accordance with learned society recommendations, is urgently needed.
No takes yet. Share an insight, caveat, or question.
Souley et al. (2026) conducted a cross-sectional in Heart failure (n=100). Therapeutic patient education (TPE) was evaluated on Knowledge of disease chronicity and lifelong treatment requirement. Among heart failure patients receiving therapeutic patient education in Niger, 73.3% understood disease chronicity, but only 34% were medication-adherent and 70% had at least one rehospitalization.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: