EVALUATION OF MEDICATION COMPLIANCE IN PATIENTS WITH CONGESTIVE HEART FAILURE IN YEMEN

AL-ZAAZAAI ET AL ALI AHMED MOHAMMED AL-ZAAZAAI; MANSOUR A. AL-AMRANI; KHALED M.  ALAKHALI; NOURADDEN ALJABER

doi:10.22159/ijpps.2019v11i4.29988

Authors

AL-ZAAZAAI ET AL ALI AHMED MOHAMMED AL-ZAAZAAI Clinical Pharmacy, School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou Zhejiang Province, PR China,
MANSOUR A. AL-AMRANI Clinical Pharmacy, School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou Zhejiang Province, PR China
KHALED M. ALAKHALI 3Department of Clinical Pharmacy, Faculty of Pharmaceutical Science UCSI University, Kuala Lumpur, Malaysia
NOURADDEN ALJABER Department of Cardiology, College of Medicine, Sana'a University, Republic of Yemen

DOI:

https://doi.org/10.22159/ijpps.2019v11i4.29988

Keywords:

Congestive Heart Failure, Medication, Compliance, Patients

Abstract

Objective: Non-compliance with heart failure medication is related to the highest mortality, morbidity, and health-care costs. The objective of this study was to evaluate medication compliance with patients with congestive heart failure.

Methods:Inpatients of the cardiac care unit and medical ward of Republican Hospital, German Hospital, Revolutionary Hospital, and Chinese–Yemeni Friendship Hospital were recruited for this study. The study was conducted on patients that were diagnosed as having congestive heart failure and were receiving treatment. Questionnaires were distributed and personal interviews to evaluate the patients’ compliance was conducted to determine the reasons for their non-compliance in taking drugs.

Results: Of 86 patients, 44% (n = 38) reported compliance and 56% (n = 48) reported non-compliance. The distribution of the patients in terms of sex was as follows: among men, 41% (n = 24) were compliant and 59% (n = 35) were non-compliant; among women, 52% (n = 14) were compliant and 48% (n = 13) were non-compliant. In addition, smoking status was too significantly linked with non-compliance (P = 0.001). Furthermore, the status of chewing of khat tree leaves was also significantly associated with non-compliance (P = 0.007).

Conclusion: This study indicates that the reasons for non-compliance with medications among patients can be attributed to lack of education, chewing of khat tree leaves, lack of health insurance, and cigarette smoking. Therefore, healthcare professionals should create strategies to address these reasons in order to increase medication compliance with patients in heart failure.

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References

Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JG, Coats AJ, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J 2016;37:2129-200.

Ruppar TM, Cooper PS, Mehr DR, Delgado JM, Dunbar-Jacob JM. Medication adherence interventions improve heart failure mortality and readmission rates: systematic review and meta-analysis of controlled trials. J Am Heart Assoc 2016;5:6.

Ruppar TM, Delgado JM, Temple J. Medication adherence interventions in heart failure patients: a meta-analysis. J CardiovascNurs 2015;14:395-404.

Al-Shamiri MQ. Heart failure in the middle east. CurrCardiol Rev 2013;9:174-8.

Van der Wal MH, Jaarsma T, van Veldhuisen DJ. Non-compliance in patients with heart failure; how can we manage it? Eur J Heart Fail 2015;7:5-17.

Morisky DE, Green LW, Levine DM. The concurrent and predictive validity of a self-reported measure of medication adherence. Med Care 1986;24:67-74.

Joshi PP, Mohanan CJ, Sengupta SP, Salkar RG. Factors precipitating congestive heart failure: the role of patient non-compliance. J Assoc Physicians India 1999;47:294-5.

Van Wijk BL, Klungel OH, Heerdink ER, de Boer A. Initial non-compliance with anti-hypertensive monotherapy is followed by complete discontinuation of anti-hypertensive therapy.Pharmacoepidemiol Drug Saf 2006;15:587-93.

Van de Wal MH, Jaarsma T, Moser DK, Veeger NJ, Van Gilst WH, Van Veldhuisen DJ. Compliance with heart failure patients: the importance of knowledge and beliefs. Eur Heart J 2006;27:434-40.

Ni H, Nauman D, Burgess D, Wise K, Crispell K, Hershberger RE. Factors influencing knowledge of and adherence to self-care among patients with heart failure. Arch Intern Med 1999;159:1613-9.

Evangelista LS, Berg J, Dracup K. Relationship between psychosocial variables and compliance in patients with heart failure. Heart Lung 2001;30:294 301.

MujtabaSF, MasoodT, KhalidD. Personal and social factors regarding medical non-compliance in cardiac failure patients. J Coll Physicians Surg Pak 2011;21:659-61.

Chui MA, Deer M, Bennett SJ, Tu W, Oury S, Brater DC, et al. Association with adherence to diuretic therapy and health care utilization in patients with heart failure. Pharmacotherapy 2003;23:326-32.

Berkman LF. The role of social relations to health promotion. Psychosom Med1995;57:245-54.

Shea S, Misra D, Ehrlich MH, Field L, Francis CK. Correlate of nonadherence to hypertension treatment for an inner-city minority population. Am J Public Health 1992;82:1607-12.

McNagny SE, Ahluwalia JS, Clark WS, Resnicow KA. Cigarette smoking and severe uncontrolled hypertension in inner-city African Americans. Am J Med 1997;103:121-7.

Tesfaye F, Byass P, Wall S, Berhane Y, Bonita R. Association with smoking and khat (Catha edulisForsk) use with high blood pressure among adults in addisababa, ethiopia2006. Prev Chronic Dis 2008;5:A89.

Gugelmann R, Von Allmen M, Breinneisen R, Portzig H. Quantitative differences in the pharmacological effect of (+) and (–)-cathinone. Experientia 1985;41:1568-71.

Choi Kwon S, Kwon SU, Kim JS. Compliance with risk factor modification: early-onset versus late-onset stroke patients. EurNeurol 2005;54:204-11.

MujtabaSF, MasoodT, KhalidD. Personal and social factors regarding medical non-compliance in cardiac failure patients. J Coll Physicians Surg Pak 2011;21:659-61.

Komajda M, Follath F, Swedberg K, Cleland J, AquilarJC, Cohen Solal A, et al. The euro heart failure survey programme: a survey on the quality of care among patients with heart failure in Europe. Part 2: treatment. Eur Heart J 2003;24:464-74.

Krum H, Tonkin AM, Currie R, Djundjek R, Johnston CI. Chronic heart failure of Australian general practice. The cardiac awareness survey and evaluation (CASE) study. Med J Aust 2001;174:439 44.

Hunt SA, Abraham WT, Chin MH, Feldman AM, Francis GS. ACC/AHA 2005 guideline updates for the diagnosis and management of chronic heart failure of the adult: a report on the American college of cardiology/American heart association task force on practice guidelines. J Am CollCardiol 2005;46:e1 82.

Bohachick P, Burke LE, Sereika S, Murali S, Jacob DJ. Adherence to angiotensin-converting enzyme inhibitor therapy for heart failure. ProgCardiovascNurs 2002;17:160 6.

Parameswaran AC, Tang WH, Francis GS, Gupta R, Young JB. Why do patients fail to receive beta-blockers for chronic heart failure of time? A “real world” single center, 2 years follow up the experience of B-blocker therapy in patients with chronic heart failure. Am Heart J 2005;149:921 6.

Monane M, Bohn RL, Gurwitz JH, Glynn RJ, Avorn J. Non-compliance with congestive heart failure therapy in the elderly. Arch Intern Med 1994;154:433-7.

Martje HL, Van Der Wal, Tiny J, Dirk J Van V. Non-compliance in patients with heart failure; how can we manage it? Eur J Heart Failure 2005;7:5-17.

Dunbar Jacob J, Mortimer Stephens MK. Treatment adherence in chronic disease. J ClinEpidemiol2001;54(Suppl 1):S57-60.