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

Author

Listed:
  • Seyede Fatemeh Gheiasi
  • Mohammad Ali Cheraghi
  • Mahdieh Dastjerdi
  • Hossein Navid
  • Meysam Khoshavi
  • Hamid Peyrovi
  • Alice Khachian
  • Khatereh Seylani
  • Maryam Esmaeili
  • Elham Navab

Abstract

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.

Suggested Citation

  • Seyede Fatemeh Gheiasi & Mohammad Ali Cheraghi & Mahdieh Dastjerdi & Hossein Navid & Meysam Khoshavi & Hamid Peyrovi & Alice Khachian & Khatereh Seylani & Maryam Esmaeili & Elham Navab, 2023. "Experiences of Facilitators and Inhibitors to Treatment Adherence in Patients with Heart Failure," Clinical Nursing Research, , vol. 32(3), pages 648-659, March.
    • Handle: RePEc:sae:clnure:v:32:y:2023:i:3:p:648-659
    DOI: 10.1177/10547738221147402
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    References listed on IDEAS

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    1. Deepak Y Kamath & K B Bhuvana & Luke Joshua Salazar & Kiron Varghese & Anant Kamath & Jyoti Idiculla & Prem Pais & Shruthi Kulkarni & Bradi B Granger & Denis Xavier, 2021. "A qualitative, grounded theory exploration of the determinants of self-care behavior among Indian patients with a lived experience of chronic heart failure," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-18, January.
    2. Caleb Ferguson & Sally C. Inglis & Phillip J. Newton & Sandy Middleton & Peter S. Macdonald & Patricia M. Davidson, 2017. "Barriers and enablers to adherence to anticoagulation in heart failure with atrial fibrillation: patient and provider perspectives," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4325-4334, December.
    3. Martha Abshire & Jiayun Xu & Cheryl Dennison Himmelfarb & Patricia Davidson & Daniel Sulmasy & Joan Kub & Mark Hughes & Marie Nolan, 2015. "Symptoms and fear in heart failure patients approaching end of life: a mixed methods study," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(21-22), pages 3215-3223, November.
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