Adherence to Treatment Advice in Patients with Heart Failure : Connections to mental health, social and socioeconomic factors

Sammanfattning: Aim: The aim of this study is to examine adherence among patients with HF and its potential association with mental health, social support and socioeconomic status.  Introduction: For patients with heart failure, self-care is strongly advised, encompassing prescribed medication intake, fluid reduction and weight control to maintain stability. Adherence is defined as the extent to which an individual's behaviour aligns with recommendations concerning prescribed medications, lifestyle advice and specific treatment guidelines. Patients with adequate adherence exhibit better quality of life, reduced need for hospitalization and increased survival rates.  Methods: A descriptive cross-sectional study conducted at a University Hospital in Sweden 2021. An electronic questionnaire was used for data collection. The survey comprises four validated questionnaires: EHFScBS-9, BDI-II, KCCQ and HET. The collected data was summarized using descriptive statistics and data analysis was conducted using SPSS software. Results: A total of 479 individuals responded to the questionnaire. Adherence is defined as scoring 70 points or more on the EHFScB-9 scale and non-adherence as less than 70 points. 74% exhibited a score below 70. Experiencing a lack of information concerning heart condition was statistically significant in the non-adherence group. Depression was not significant but was more prevalent among non-adherent participants.  Conclusion: Non-adherence is widespread among patients with HF. Lack of information regarding heart failure was correlated with non-adherence. The study clearly highlights the potential for improvement in the advisory role of healthcare professionals to increase adherence.