Determinants of Compliance to Therapeutic Recommendations and Self Mangement among Patients with Heart Failure

Ali, Samah Saber; Mohammed, Magda Ahmed; Abdelhamid, Mohamed Osman; Abdelmowla, Rasha Ali Ahmed

doi:10.21608/asnj.2025.371416.2045

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	Determinants of Compliance to Therapeutic Recommendations and Self Mangement among Patients with Heart Failure
Article 2, Volume 13, Issue 52, July 2025, Page 11-21 PDF (976.49 K)
Document Type: Original Article
DOI: 10.21608/asnj.2025.371416.2045
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Authors
Samah Saber Ali ¹; Magda Ahmed Mohammed²; Mohamed Osman Abdelhamid³; Rasha Ali Ahmed Abdelmowla ⁴
¹Nursing Specialist in Medical-Surgical Nursing, Assiut University Heart Hospital, Egypt.
²Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
³Lecturer of Cardiology, Faculty of Medicine, Assiut University, Egypt.
⁴Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
Abstract
Background: Compliance to therapeutic recommendations is crucial for patients with heart failure as it reduces hospitalizations, lowers mortality, and improves quality of life. Identifying the determinants influencing compliance can enhance patient outcomes and optimize disease management. Aim: This study aimed to identify the determinants of compliance to therapeutic recommendations and self mangement among patients with heart failure. Methods: Adescriptive research design was used. The study included 61 patients (39 males, 22 females) diagnosed with heart failure who attended the cardiovascular department over six months (December 1, 2023 – May 31, 2024). Setting: Thisstudy carried out in cardiovascular departement at Assiut University Heart Hospital. Tools: Data were collected using a structured patient assessment sheet, including demographic and medical data, the Dutch Heart Failure Knowledge Scale, and the Revised Heart Failure Compliance Questionnaire. Results: Significant variations were found in patients' knowledge of heart failure self-management. While most patients understood heart function (98.4%) and the importance of weight monitoring (93.4%), knowledge gaps in daily management practices were evident. Conclusion: Astrong positive correlation was observed between patients’ knowledge and compliance to heart failure treatment recommendations, emphasizing the need for improved education. Recommendation: Structured educational programs should be implemented to enhance patients' understanding of heart failure management and promote compliance to therapeutic recommendations.
Keywords
Compliance; Determinants; Heart Failure & Therapeutic Recommendations


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