دورية أكاديمية
أعرض في EDS

Medication adherence and associated factors among chronic heart failure patients on follow-up in north Shewa public hospitals, Oromia region, Ethiopia.

التفاصيل البيبلوغرافية
العنوان: Medication adherence and associated factors among chronic heart failure patients on follow-up in north Shewa public hospitals, Oromia region, Ethiopia.
المؤلفون: Hussein D; Department of Public Health, College of Health Science, Salale University, Fitche, Ethiopia. dursabultum3@gmail.com., Jima AK; Department of Public Health, College of Health Science, Salale University, Fitche, Ethiopia., Geleta LA; Department of Public Health, College of Health Science, Salale University, Fitche, Ethiopia., Gashaw K; Department of Public Health, College of Health Science, Salale University, Fitche, Ethiopia., Girma D; Department of Public Health, College of Health Science, Salale University, Fitche, Ethiopia., Ibrahim SM; Department of Public Health, College of Health Science, Salale University, Fitche, Ethiopia., Lakew MS; Department of Public Health, College of Health Science, Salale University, Fitche, Ethiopia., Kumbe BM; Department of Public Health, College of Health Science, Salale University, Fitche, Ethiopia., Oyato BT; Department of Midwifery, College of Health Science, Salale University, Fitche, Ethiopia., Siyum G; Department of Nursing, College of Health Science, Salale University, Fitche, Ethiopia., Senbate AA; Department of Medicine, College of Health Science, Salale University, Fitche, Ethiopia.
المصدر: BMC cardiovascular disorders [BMC Cardiovasc Disord] 2024 Aug 23; Vol. 24 (1), pp. 444. Date of Electronic Publication: 2024 Aug 23.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968539 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2261 (Electronic) Linking ISSN: 14712261 NLM ISO Abbreviation: BMC Cardiovasc Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Medication Adherence* , Heart Failure*/drug therapy , Heart Failure*/diagnosis , Hospitals, Public* , Health Knowledge, Attitudes, Practice*, Humans ; Ethiopia/epidemiology ; Male ; Female ; Cross-Sectional Studies ; Middle Aged ; Chronic Disease ; Risk Factors ; Adult ; Aged ; Cardiovascular Agents/therapeutic use ; Time Factors ; Treatment Outcome
مستخلص: Background: Chronic heart failure affects approximately 26 million people globally. World Health Organization data show that only approximately 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 symptoms, delaying disease progression, and preventing hospitalizations. However, poor adherence increases rehospitalization, morbidity, mortality, and healthcare costs.
Objective: To assess medication adherence and associated factors among chronic heart failure patients on follow-up at North Shewa Public Hospitals, Oromia Region, Ethiopia, in 2023.
Methods: This institutional-based cross-sectional study was conducted from March 1 to April 30, 2023, G.C. A total of 603 individuals were selected consecutively among those who underwent chronic OPD after being proportionally allocated to five hospitals in the zone. The data were collected using an interviewer-administered questionnaire and a medical chart review. The data were entered into Epi-data version 3.1 and then exported to SPSS version 26 for analysis. The multivariable logistic regression model included variables with a P value < 0.25 in the bivariate analysis. The degree of association was expressed using an adjusted odds ratio (AOR) with a 95% confidence interval (CI) at a P value < 0.05.
Results: Among the 603 patients, 56% had optimal medication adherence, with a 95% CI of 52.1 to 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 comorbidities (AOR: 1.82; 95% CI: 1.18, 2.52), taking several 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 patients.
Conclusion: This study revealed that 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 comfortable communication with providers. Health professionals should provide education to strengthen medication adherence.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Associated factors; Chronic heart failure; Ethiopia; Medication adherence
المشرفين على المادة: 0 (Cardiovascular Agents)
تواريخ الأحداث: Date Created: 20240823 Date Completed: 20240824 Latest Revision: 20240826
رمز التحديث: 20240826
مُعرف محوري في PubMed: PMC11342635
DOI: 10.1186/s12872-024-04090-9
PMID: 39179994
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2261
DOI:10.1186/s12872-024-04090-9