Gheiasi Seyede Fatemeh, Cheraghi Mohammad Ali, Dastjerdi Mahdieh, Navid Hossein, Khoshavi Meysam, Peyrovi Hamid, Khachian Alice, Seylani Khatereh, Esmaeili Maryam, Navab Elham
Tehran University of Medical Sciences, Iran.
York University, Edmonton, AB, Canada.
Clin Nurs Res. 2023 Mar;32(3):648-659. doi: 10.1177/10547738221147402. Epub 2023 Feb 14.
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.
治疗依从性是心力衰竭（HF）管理的一个基本方面。本研究旨在探讨心力衰竭患者治疗依从性的促进因素和阻碍因素。这项描述性定性研究于2020年5月至2021年6月进行。有目的地选取了包括心力衰竭患者、其家庭护理人员、医生和护士在内的参与者，目的是获得足够的信息力量。采用半结构化访谈收集数据。使用主题分析法对数据进行分析。分析中出现了两个主要主题，即“治疗依从性背后的驱动力”和“治疗依从性背后的阻碍力”。第一个主题包含以下子主题：“支持性家庭”、“积极的性格特征”和“具备健康素养”。第二个主题包括“疏忽”、“心理问题”、“文化、社会和经济问题”、“身体限制”和“缺乏自我护理管理知识”。护士在为心力衰竭患者设计教育和护理方案时，可以考虑治疗依从性的促进因素和阻碍因素。
