Abstract
A transverse descriptive study was carried out, according to the classification of therapeutic compliance, to evaluate adherence in 250 patients with a diagnosis of Heart Failure, registered with the health department of the municipality of Santiago de Cuba in 2009. The sample characterization was studied, with an assessment of adherence level and possible associated factors for sex, age and toxic habits. As an instrument for the work, data extraction was scheduled and the interview was carried out at patients' homes; the results were expressed in percentage and level of influence for associated factors. This was determined using the chi-square test. In the investigated population, adherence was greater for females, for age group 67-82 years, and toxic habits were found to have prevalence. Prevailing pharmacoterapies were digoxin, chlortalidone, captopril and isosorbide dinitrate, and a high level of adherence was found, both for the pharmacological and non-pharmacological treatments, in the studied sample. A good level of therapeutic adherence was found for 63.6% of the patients, regular level of adherence was found for 32% and only 4.4% or patients presented with poor adherence. Influencing factors were: knowledge of the treatment, number of medications, frequency of administration, and satisfaction with the service of pharmaceutical care.
Highlights
Cardiovascular diseases are among the leading causes of death
In Cuba, it was the leading cause of death in patients over 60 years in 2005, with 16,248 patients suffering from cardiovascular diseases in our province jurisdiction (Orduñez et al, 2005)
It was observed that all patients met the prescribed doses of medications used for heart failure, some did not meet the specified intervals. This result can be attributed to the fact that, in this disease, multiple medications are tipically prescribed, and the frequency of administration is very high, so that patients are likely to Factors associated with therapeutic adherence
Summary
Cardiovascular diseases are among the leading causes of death. In Cuba, it was the leading cause of death in patients over 60 years in 2005, with 16,248 patients suffering from cardiovascular diseases in our province jurisdiction (Orduñez et al, 2005). Heart failure is referred to as congestive heart failure This is a disorder in which the heart loses its ability to efficiently pump blood, causing insufficient supply of oxygen and nutrients to the body, which leads to fatigue and shortness of breath (Tamargo, Delpón, 2001). Our clinical services have conducted a study on prescribing and adherence for patients with heart failure. This study sets out to assess adherence in outpatients with congestive heart failure in the health system
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