ASSESSMENT OF OVERALL LEVEL OF COMPLIANCE SELF CARE AND ITS ASSOCIATE FACTORS TO TREATMENT AMONG HEART FAILURE PATIENTS IN ADULT EMRGENCY DEPARTEMENT AND CARDIAC REFERAL CLINIC AT TIKUR ANBESA SPECIALIZED HOSPITAL ADDIS ABABA,ETHIOPIA
|Institution:||Addis Ababa University|
|Keywords:||patient compliance; self-care behavior; heart failure|
|Full text PDF:||http://etd.aau.edu.et/dspace/handle/123456789/6885|
Background: Heart failure (HF) is a serious health care problem not only for patients and their family but also for society, as it contributes significantly to the enormous costs associated with the care of HF patients. Non-compliance with medication, diet and self-care behavior is very much common and contributes to worsening HF symptoms, in many cases leading to hospitalization, increase mortality, morbidity, and the need for hospital care. Objective: - the main objective of this study is to assess overall level of compliance, the self-care behaviour and to determine its associated factors to treatment noncompliance among heart failure patients in adult emergency department and cardiac referral clinic at TASH. Method and Materials: The study was a cross- sectional, descriptive, hospital based study that examines the level of compliance and self-care behavior among patient with heart failure in emergency department and cardiac referral clinic at Tikur Anbesa Specialized hospital between January 2015 and March 2015. For collecting relevant information data was collected using a pretested questionnaire and analyzed using SPSS computer software version 20.0. Result; from the total number of respondents n=384 compliance with medications (85.2%), salt restriction diet(69.5%), fluid restriction (24.2%), exercise(57.6) and daily weight(1.0) Conclusion; non- compliance with medication and self- care behavior was common in these population and most patients were found to be having inadequate awareness and understanding about self-care activities in the management of heart failure. Recommendation; Education has demonstrated significantly improved compliance on medication and self- care behavior among patient with heart failure. And efforts are needed through research to improve compliance with medication and self- care behaviors of patients with heart failure at large in Ethiopia Key Words; patient compliance, self-care behavior, heart failure Advisors/Committee Members: Aklilu Azazh(Dr.) (advisor).