المستخلص: |
Introduction Heart failure is known to affect cardiovascular morbidity and mortality, especially in non-compliance patients with regards to medication and life style changes. The present study aimed to identify factors affecting compliance to treatment among Sudanese patients with heart failure. Methods This cross-sectional study was conducted during January –October 2014 on all heart failure patients (132) admitted to the Sudan heart Institute. Demographic and clinical data were collected from all patients and analyzed using SPSS version 20 software. The data was analyzed by using descriptive statistics including frequency, percentage, mean with standard deviation (SD) Chi-square, P value of ≤ 0.05 was considered statistically significant. Results The result of present study revealed that overall patients’ compliance ranged between (10.6%) and (88.6%) of the patients, of which the highest compliance was the medication compliance (88.6%) followed by the follow-up appointments (66.6%). The lowest compliances percentages were seen in compliance with the fluids restrictions 14 (10.6%), regular exercise (12.12%), the weigh monitoring (16.6 %) and the sodium restriction (20.45%). Distribution of HF patients participate in the present study by barriers or reasons of not complying with treatment compliance and life style modification were determined, the main reasons were stopping medication due to; cost of the medications 56,8%, lack of knowledge to comply with the dietary restrictions 88.6%, lack of knowledge to weight myself daily 80.6%, lack of knowledge to comply with the dietary high in potassium 92,4% , and lack of knowledge to avoid drinking excess fluids 87.8 %. Conclusion The study showed that the knowledge seem to be main cause of non-compliance. Thus, education and counseling are extremely needed to increased patients-knowledge about their disease, to reducing the level of non-compliance in general, and to enhancing the possibility of achieving the positive medical care outcomes.
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