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Objectives: To explore patients views of the management of medication of chron ic heart failure(CHF); to explore in what circumstances they have difficulties i n managing medication. Design: Qualitative analysis of in-depth interviews usin g a constant comparative approach. Participants: Patients attending an outpatien ts clinic with a primary diagnosis of CHF due to left ventricular systolic dysfu nction, NYHA Class II or III symptoms, and a history of hospital admission for h eart failure. Results: 50 patients were recruited, average age 67.1 years with r anges bet ween 41 and 80 years. 26 were classified as NYHA Class II and 24 Class III. Patients reported developing routines and back up strategies to help with the complex task of medication-taking. They also described circumstances in whi ch they were more likely not to take medication. Conclusions: This study demonst rates, with a large sample of respondents, the complexities of medication-takin g and the difficulties of maintaining constant medication over a long period of time. The study provides examples of patients’strategies for so doing. Health c are professionals should recognise that concordance may vary but explore ways in which they can help patients establish routines.
Objectives: To explore patients views of the management of medication of chron ic heart failure (CHF); to explore in what situations they have difficult in software. Design: Qualitative analysis of in-depth interviews usin ga constant comparative approach. Participants: Patients attending an outpatien ts clinic with a primary diagnosis of CHF due to left ventricular systolic dysfuction, NYHA Class II or III symptoms, and a history of hospital admission for h eart failure. Results: 50 patients were recruited, average age 67.1 years with r anges bet ween 41 and 80 years. 26 were classified as NYHA Class II and 24 Class III. Patients reported developing routines and back up strategies to help with the complex task of medication-taking. They also describe circumstances in whi ch they were more likely not to take the medication. Conclusions: This study demonst rates, with a large sample of respondents, the complexities of medication-takin g and the difficulties of maintaini The study provides examples of patients’strategies for so doing. Health c are professionals should recognize that concordance may vary but explore ways in which they help help patients establish routines.