Assessment of Patients Adherence to Therapeutic Recommendations after Ischemic Heart Diseases in Al-Najaf City

Abstract

Background: Cardiovascular diseases (CVD) continue to become a global health problem, and affect a millions of people worldwide. Also the cardiovascular diseases affect people at all ages and it's not just a disease of elderly. Objectives: To assess of patients adherence to therapeutic recommendations after ischemic heart diseases. And to find out the association between the patients demographic and clinical data and their adherence to therapeutic recommendations. Methodology: descriptive Study is carried out in Al-Najaf Health Directorate / Al-Sadder Medical City/ Al-Najaf Center for Heart Diseases and Surgery, in June, 5th, 2013 to April, 10th, 2014. A non-probability (purposive sample) of (102) patients with ischemic heart diseases (angina and myocardial infarction), were included in the study. The data are collected through the use of a questionnaire, which consists of three parts one includes Socio-demographic and clinical data form, part two, includes patients adherence to therapeutic recommendations form. The data were described statistically and analyzed through use of the descriptive and inferential statistical analysis approaches. Results: The study results show that the patients with ischemic heart diseases are fairly adhere to therapeutic recommendations. And there is a significant relationship of the residency, gender, and the patients occupational status on their adherence to therapeutic recommendations. Conclusion: There is a deficient in the patients' adherence to therapeutic recommendations. Recommendations: An intensive comprehensive studies could be conducted to assess the patients adherence to therapeutic recommendations and the factors that may affect such adherence, with a suitable solutions for these factors to improve the level of patients adherence.