Factors influencing medication adherence in patients with heart failure

Jia Rong Wu, Debra K. Moser, Terry A. Lennie, Ann R. Peden, Yu Chang Chen, Seongkum Heo

Research output: Contribution to journalArticlepeer-review

85 Scopus citations

Abstract

Background: The purpose of this study was to explore factors influencing adherence to the prescribed medical regimen in patients with heart failure (HF). Methods: A convenience sample of 7 women and 9 men with HF participated in in-depth interviews. The interviews were audio-taped, transcribed, and checked for accuracy. Content analysis strategies were used to analyze the data. Results: The desire to be healthy was the primary motivator in the decision to take medications as prescribed. The process of making connections enhanced medication adherence. Participants connected knowledge of their illness and their symptoms with their medication's effectiveness in decreasing these symptoms. Connections to a health care provider and family enhanced treatment adherence. Participants relied on environmental cues as reminders to take their medications, resulting in a habit of daily medication use. Conclusions: Education that helps clients understand their illness, particular symptoms and how medications help them may be beneficial in promoting adherence. A positive working relationship with the health care provider may result in improved adherence.

Original languageEnglish
Pages (from-to)8-16.e1
JournalHeart and Lung: Journal of Acute and Critical Care
Volume37
Issue number1
DOIs
StatePublished - Jan 2008

Bibliographical note

Funding Information:
This study was supported by funding from the Philips Medical-American Association of Critical Care Nurses Outcomes Grant; the University of Kentucky General Clinical Research Center (Grant No. M01RR02602); and the Gill Endowment.

Funding

This study was supported by funding from the Philips Medical-American Association of Critical Care Nurses Outcomes Grant; the University of Kentucky General Clinical Research Center (Grant No. M01RR02602); and the Gill Endowment.

FundersFunder number
University of Kentucky Gill Endowment
Philips Medical-American Association of Critical Care Nurses Outcomes
University of Kentucky General Clinical Research CenterM01RR02602
National Center for Research ResourcesM01RR002602

    ASJC Scopus subject areas

    • Pulmonary and Respiratory Medicine
    • Critical Care and Intensive Care Medicine
    • Cardiology and Cardiovascular Medicine

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