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Abstract: Poster Presentations |

NON-PHARMACOLOGICAL MEASURES: ADHERENCE, COMPLIANCE AND KNOWLEDGE IN CHRONIC HEART FAILURE PATIENTS FREE TO VIEW

Nobuyuki Anzai, MD*; Hiroko Anzai, MD; Rieko Mitobe, MD; Makiko Anzai, MD; Sadako Furuya, MD
Author and Funding Information

Anzai-Furuya Clinic, Oyama, Japan


Chest


Chest. 2008;134(4_MeetingAbstracts):p40003. doi:10.1378/chest.134.4_MeetingAbstracts.p40003
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Abstract

PURPOSE: Non-pharmacological treatmant is important for better managemant of heart failure(HF). Patients’adherence and compliance to non-pharmacological measures and knowledge about HF have not well known.

METHODS: One hundred and eight patients, with mean follow-up duration of 50 months, were investigated. Patients were interviewed using open ended and prompt quesions on HF and HF related non-phamacological measures.

RESULTS: Patients’average age was 75(SD 10),50(46%) were women. SIxty (52%) had high school education or higher. 51% had at least one clinical event in the last three years with median two events per patients. 67% were aware of knowledge of cardiac performance. 50% were aware of knowledge of HF. Education level made significant difference in knowledge of cardiac performance (P<0.04) and of HF (P<0.01). Seventy (65%) knew more than two alarm signs of worsening. When openly questioned about meaning of salt and fluid restriction and of weighing. 79% knew importance of salt restriction, 65% fluid restriction and 55% weighing. 65% followed salt restiction. Reasons for not restricting salt: motivation (6%), problems of taste (23%), practical problems of diet (3%). 67% followed fluid restriction. Reasons for not restricting fluid: motivation (12%), thirst (19%). 52% weighed at least three times a week. 92% had scale. Reasons for not weighing: having no scale (7%), motivation (30%), forgetting (5%). 29% of patients and 30% had smoking and drinking habit respectively. 45% measure daily blood pressure. 76% and 69% restricted calorie and fat intake respectively. 44% did not know the influenza provoke a worsening of HF. Gender made significant difference in knowleghe of influenza (male vs female, P<0.02). 99% had regular clinical visit. 96% were compliant in taking medication. 95% felt efficacy of medication. The qustionnaire on knowledg of HF score revealing 61% of patients with at least one clinical event had no knowledge of HF and cardiac performance.

CONCLUSION: HF patients need more knowledge of non-pharmacological measuresand of HF better management of HF.

CLINICAL IMPLICATIONS: These results can be useful to further educate HF patients for better management of HF.

DISCLOSURE: Nobuyuki Anzai, No Financial Disclosure Information; No Product/Research Disclosure Information

Tuesday, October 28, 2008

1:00 PM - 2:15 PM


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