Experiences of Facilitators and Inhibitors to Treatment Adherence in Patients with Heart Failure. (March 2023)

• Record Type: Journal Article
• Authors: Gheiasi, Seyede Fatemeh; Cheraghi, Mohammad Ali; Dastjerdi, Mahdieh; Navid, Hossein; Khoshavi, Meysam; Peyrovi, Hamid; Khachian, Alice; Seylani, Khatereh; Esmaeili, Maryam; Navab, Elham
• Is Part Of: Clinical nursing research. Volume 32:Number 3(2023)
• Page Start: 648
• Page End: 659
• Publication Date: 2023-03
• Subjects: heart failure -- treatment adherence -- thematic analysis -- patient compliance; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Clinical medicine -- Research -- Periodicals; 610.73
• DOI: 10.1177/10547738221147402
• Languages: English
• ISSNs: 1054-7738

Abstract

Treatment adherence is a fundamental aspect of heart failure (HF) management. This study aimed to explore the experiences of facilitators and inhibitors of treatment adherence in patients with HF. This descriptive qualitative study was conducted from May 2020 to June 2021. Participants including people with HF, their family caregivers and physicians, and nurses were selected purposefully, with the aim of obtaining sufficient information power. Semi-structured interviews were used to collect data. Data were analyzed using thematic analysis. Two main themes "the driving forces behind treatment adherence" and "the deterrent forces behind treatment adherence" emerged from the analysis. The first theme contained the following subthemes: "supportive family, " "positive personality characteristics, " and "having health literacy." The second theme consisted of "negligence, " "psychological problems, " "cultural, social, and economic problems, " "physical limitations, " and "lack of self-care management knowledge." Nurses can consider facilitators and inhibitors of treatment adherence in designing educational and care programs for patients with HF.