Assessment of Overall Level of Compliance Self Care and its Associate Factors to Treatment Among Heart Failure Patients in Adult Emrgency Departement and Cardiac Referal Clinic at Tikur Anbesa Specialized Hospital Addis Ababa,Ethiopia.
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Date
2015-07
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Addis Ababa University
Abstract
Background: Heart failure (HF) is a serious health care problem not only for patients and their
family but also for society, as it contributes significantly to the enormous costs associated with
the care of HF patients. Non-compliance with medication, diet and self-care behavior is very much
common and contributes to worsening HF symptoms, in many cases leading to hospitalization,
increase mortality, morbidity, and the need for hospital care.
Objective:
- the main objective of this study is to assess overall level of compliance, the self-care
behaviour and to determine its associated factors to treatment noncompliance among heart failure
patients in adult emergency department and cardiac referral clinic at TASH.
Method and Materials: The study was a cross- sectional, descriptive, hospital based study that
examines the level of compliance and self-care behavior among patient with heart failure in
emergency department and cardiac referral clinic at Tikur Anbesa Specialized hospital between
January 2015 and March 2015. For collecting relevant information data was collected using a pre-
tested questionnaire and analyzed using SPSS computer software version 20.0.
Result; from the total number of respondents n=384 compliance with medications (85.2%), salt
restriction diet(69.5%), fluid restriction (24.2%), exercise(57.6) and daily weight(1.0)
Conclusion; non- compliance with medication and self- care behavior was common in these
population and most patients were found to be having inadequate awareness and understanding
about self-care activities in the management of heart failure.
Recommendation; Education has demonstrated significantly improved compliance on medication
and self- care behavior among patient with heart failure. And efforts are needed through research to
improve compliance with medication and self- care behaviors of patients with heart failure at large
in Ethiopia
Key Words; patient compliance, self-care behavior, heart failure
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Keywords
Patient compliance; Self-care behavior; Heart failure