Ragbaoui Yassine, Nouamou Imad, Hammiri Ayoub El, Habbal Rachida
Service de Cardiologie, Centre Hospitalier Universitaire IBN ROCHD, Casablanca, Maroc.
Pan Afr Med J. 2017 Mar 2;26:115. doi: 10.11604/pamj.2017.26.115.11471. eCollection 2017.
Medication adherence in patients with chronic heart failure is recognized as one of the major issues in the management of this pathology. Demographic status and socioeconomic conditions in African countries may have an impact on chronic heart failure treatment adherence. We conducted a cross-sectional study of patients with heart failure treated in the center of heart failure in the Department of Cardiology at the IBN ROCHD University Hospital (Morocco) from September 2014 to January 2015. The extent of medication adherence was based on a questionary: CARDIA-Questionary. The informations related to predictive factors of medication adherence were derived from the multidimensional adherence model. 147 patients with chronic heart failure were included in the study. Medication adherence rate was 83.6%, according to CARDIA-Questionary. Predictive factors that significantly influenced medication adherence were: depression (p=0.034), level of social support (p=0.03) and patient self administration of the drugs (p=0.0001). Medication adherence in patients with chronic heart failure is a health problem in Morocco as well as in several world regions. Strategies affecting predictive factors might improve medication adherence.
慢性心力衰竭患者的药物依从性被认为是该疾病管理中的主要问题之一。非洲国家的人口状况和社会经济条件可能会对慢性心力衰竭治疗的依从性产生影响。我们于2014年9月至2015年1月在摩洛哥伊本·罗赫德大学医院心脏病学部心力衰竭中心对接受治疗的心力衰竭患者进行了一项横断面研究。药物依从性程度基于一份问卷：CARDIA问卷。与药物依从性预测因素相关的信息来自多维依从性模型。147例慢性心力衰竭患者被纳入研究。根据CARDIA问卷，药物依从率为83.6%。对药物依从性有显著影响的预测因素包括：抑郁（p=0.034）、社会支持水平（p=0.03）和患者自行给药（p=0.0001）。慢性心力衰竭患者的药物依从性在摩洛哥以及世界其他几个地区都是一个健康问题。影响预测因素的策略可能会提高药物依从性。
