Experiences of Facilitators and Inhibitors to Treatment Adherence in Patients with Heart Failure

• Published in: Clinical nursing research Vol. 32; no. 3; pp. 648 - 659
• Main Authors: Gheiasi, Seyede Fatemeh, Cheraghi, Mohammad Ali, Dastjerdi, Mahdieh, Navid, Hossein, Khoshavi, Meysam, Peyrovi, Hamid, Khachian, Alice, Seylani, Khatereh, Esmaeili, Maryam, Navab, Elham
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01-03-2023; SAGE PUBLICATIONS, INC
• Subjects: Adherence; Caregivers; Economic problems; Families & family life; Health behavior; Health care management; Health literacy; Heart failure; Heart Failure - drug therapy; Heart Failure - psychology; Humans; Negligence; Nurses; Patient compliance; Patients; Psychological problems; Qualitative Research; Self care; Self Care - psychology; Social support; Treatment Adherence and Compliance; heart failure; patient compliance; thematic analysis; treatment adherence
• ISSN: 1054-7738; 1552-3799
• DOI: 10.1177/10547738221147402

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.