Medication adherence by heart failure patients before and after pharmacotherapeutic follow-up at a clinical center specialized in cardiology in Rio de Janeiro / Adesão à medicação por pacientes com insuficiência cardíaca antes e depois do acompanhamento farmacoterapêutico em um centro clínico especializado em cardiologia no Rio de Janeiro

• Main Author: Camuzi, Ranieri Carvalho
• Publication Date: 2022
• Other Authors: Moraes, José Rodrigo de, Peixoto, Rafaela Tavares, Carvalho, Jéssica Quintanilha Marcelo de, Freitas, Evani Leite de, Gheller, Martha Palma, Mesquita, Evandro Tinoco, Castilho, Selma Rodrigues de
• Format: Article
• Language: eng
• Source: Brazilian Applied Science Review
• DOI: 10.34115/basrv6n2-004
• Download full: https://ojs.brazilianjournals.com.br/ojs/index.php/BASR/article/view/45164
• topic: medication adherence; heart failure; therapy; drug utilization; community pharmacy services.

Objective: to analyze adherence data by self-report, and factors related to adherence of patients monitored by a multidisciplinary team in a specialized and referral center in cardiology in the public health network. Method: descriptive cross-sectional study of the records considered at moments 0 and 4 months. Result: initially included 57 patients ≥18 years old, diagnosed with heart failure with reduced ejection fraction, mean age 55 years, 66.7% male, 75.4% NYHA functional class I / II, most polymedicated and treating 2 or more comorbidities. At 0 and 4 months, good adherence was reported by 22.8% and 29.3% of patients, respectively; the most frequent attitude of non-adherence was forgetting to take and neglecting the time to use the medications, respectively. Several associated factors have a statistically significant relationship with adherence. Conclusion: there was only 1 patient with adherence out of 4. When intervening with a pharmacotherapeutic follow-up strategy, after 4 months, an improvement in the adherence score of 1 patient out of 4 was observed, indicating that the pharmacist's role could cause a change in adherence behavior.