Russian Heart Failure Journal 2013year Comorbidity and compliance at chronic heart failure


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2013/№1

Comorbidity and compliance at chronic heart failure

Efremova E. V., Shutov A. М., Sabitov I. A.

Keywords: comorbidity, treatment compliance, psychological status, CHF

DOI: 10.18087 / rhfj.2013.1.1782

Relevance. Treatment compliance determines to a large extent CHF treatment efficiency, thus, no due attention is paid to patient’s individual peculiarities (comorbidity) and psychological status peculiarities. Objective. Study clinical and psychological peculiarities of CHF patient compliance considering comorbidity. Materials and methods. 203 patients with CHF were examined (130 male and 73 female, average age 61.8±9.6 years). Comorbidity, psychological status, compliance with non-drug and drug therapy patients with CHF. Results. Charlson comorbidity index with account of age was 4.9±2.1 points. CHF patient compliance to non-drug treatment methods (recommendations on self-control and life style change) was observed in 37 (18.2 %) patients. Compliance to administration of drugs was observed only in 61 (30 %) CHF patients. Patients with poor compliance were characterized by disadaptive type of response, emotional lability, weakness (p<0.04). Inverse relation between CHF duration and compliance (r= –0.32, p<0.001), as well as direct relation between history of MI (r=0.25, p=0.02) and DM (r=0.36, p<0.001) was observed. Conclusion. Comorbidity (except DM type 2) doesn’t influence patient compliance with CHF treatment. Poor treatment compliance is caused by CHF patients’ psychological status peculiarities.
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Efremova E. V., Shutov A. М., Sabitov I. A. Comorbidity and compliance at chronic heart failure. Russian Heart Failure Journal. 2013;14 (1):40-46

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