Follow-up of compliance with home treatment of the patient who leaves hospital with a diagnosis of heart failure
Walter Gabriel Chaves-Santiago, Ivonne Andrea Rincón, Hernán David Bohórquez, Lilian Rocío Gámez, Jennifer Alexandra Téllez, Manuel Villarreal
Introduction: According to the World Health Organization, cardiovascular diseases are one of the main causes of mortality. Latin America is one of the regions that has one of the highest burdens of cardiovascular risk factors, and one of the main documented causes of failure in the control of these diseases is non-compliance with pharmacological and non-pharmacological treatment.
Objective: to evaluate treatment compliance with the Morisky Green test, as well as family functionality, and support networks with instruments such as the family Apgar and ECOMAPA at 30 days after discharge, and the non-pharmacological recommendations at 90 days
Methods: Prospective cohort follow-up. Thirty days after hospital discharge, a home visit was conducted to evaluate treatment compliance with the Morisky Green test and measures for nonpharmacological treatment were reinforced. At 90 days after the discharge, a phone call was made to evaluate the compliance with the recommendations given in the home visit.
Results: 54 patients were analyzed. Adherence by the Morisky Green test evaluated at 30 days was 72% (n = 39), at 30 days in the home visit it was observed that the family functionality was good in 60% (n = 33), and good support network in 63% (n = 34) of patients. At 90 days, compliance with non-pharmacological recommendations was 96% (n = 51) for physical activity and water restriction, and not for sodium intake in 78% (n = 42).
Conclusion: At 30 days after hospital discharge, a high percentage of patients do not comply with the treatment. Family functionality and support networks are not adequate in 40% of patients. Investigating these reasons and following up compliance could improve outcomes in this patient population. Accompanying programs and home visits help reinforce self-care compliance and should be implemented to provide patients with tools to cope with a wider vision their chronic diseases
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