Difficulties with Adherence to Non-Pharmacological Treatment of Patients with Heart Failure Detected through Telephone Follow-up
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Keywords

heart failure
self-care
nursing education
patient cooperation

How to Cite

Difficulties with Adherence to Non-Pharmacological Treatment of Patients with Heart Failure Detected through Telephone Follow-up. (2014). Investigación En Enfermería Imagen Y Desarrollo, 16(2), 133-147. https://doi.org/10.11144/Javeriana.IE16-2.dcat
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Abstract

Objective: To describe the difficulties encountered in the telephone follow-up for the practice of self-care behaviors related to adherence to non-pharmacological treatment in patients with heart failure (HF). Methodology: Descriptive study i n which 31 patients with HF of a hospital in Medellin, Colombia, in 2011 participated.7 per month telephone follow-up sessions for patients were conducted. Each session (30-45 minutes) difficulties with adherence to 9 self-care behaviors were assessed. All participants received nursing education according to their individual needs. Results: All patients had difficulties in practicing some self-care activities related to non-adherence to drug therapy, 83.9% of them for 5 or more activities. The behaviors that were more difficult were: measuring urine and weight control (100% each), control of salt intake (96.7%) and fluid restriction (93.5%). Conclusion: With the help of telephone follow-up
education given by health personnel was identified as the main difficulty in regards to the adherence to non-pharmacological treatment in patients with HF. Individual issues were important in the control of salt intake, decreased daily activities and the reduction of alcohol consumption and cigarette. For weight control the most reported aspect was of social nature.
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