Issues in Cardiovascular NursingQualitative examination of compliance in heart failure patients in The Netherlands
Section snippets
Methods
A qualitative descriptive study design was used to gain more insight into patients' own thoughts and motivations about compliance and interventions that help patients comply.
Clinical and demographic characteristics
Six female and 9 male patients with heart failure, between ages 42 and 87 years, and with a mean age of 70 years (SD ±13 years), were interviewed for this study. Seven patients lived with a partner, 2 patients lived with a partner and had children living at home, and 1 patient lived with his mother. We included patients with both diastolic and systolic dysfunction. Nine patients manifested a LVEF of <40% and a mean Left Ventriculair Ejection Fraction (LVEF) of 39% (±17%). Most patients (94%)
Discussion
Based on this study, important lessons can be learned about improving the daily care of heart failure patients from a patients' perspective. Firstly, the most frequently reported reasons for compliance included feeling better when complying, and fear of heart failure symptoms or readmission, which can, according to the HBM, be considered as the threat of the disease, leading to improvement of compliance.7 This confirms the findings of Wu et al,19 who reported that the desire to be healthy and
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2022, Annales de Cardiologie et d'AngeiologieSelf-care Management Intervention in Heart Failure (SMART-HF): A Multicenter Randomized Controlled Trial
2022, Journal of Cardiac FailureEfficacy of nurse-led cardiac rehabilitation on health care behaviours in adults with chronic heart failure: An experimental design
2021, Clinical Epidemiology and Global HealthA RandomisEd ControLled TrIal of ChEwing Gum to RelieVE Thirst in Chronic Heart Failure (RELIEVE-CHF)
2021, Heart Lung and Circulation
The Netherlands Heart Foundation is gratefully acknowledged for supporting this study (grant 2000Z003).