Medication Compliance in Patients with Heart Failure: A Qualitative Study

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  • Filiz ÖZEL ÇAKIR Dr.Öğr.Üyesi
  • Gökşen POLAT



Compliance, Heart Failure, Nursing


Objective:  The aim of this study was to overcome and explain the drug experiences, barriers, facilitators, and fears of heart failure patients with the Roy Adaptation Model in order to understand the basis of drug non-compliance.

Methods:  The study was carried out in a phenomenological design. There are 14 semi-structured open-ended main questions. Coding qualitative data, creating themes, interpreting, and reporting were carried out by examining the texts. SPSS 25 was used for the analysis of socio-demographic characteristics and the program Nvivo 10 was used for the analysis of qualitative data.

Results:  Themes were created according to the Roy Adaptation Model, and patients’ views on drugs (positive and negative) were examined in terms of physiological domain, role function domain, self-concept domain, interdependence domain, and adjustment status (positive and negative).

Conclusion: There may be many physiological and psychological processes which affect the drug compliance of patients, but nursing interventions to increase compliance should be applied by investigating the factors affecting compliance. The Roy Adaptation Model can help increase drug compliance and improve the quality of life of heart failure patients.


Almasloukh, KB, Stewart Fahs P. (2021). Quality of Life Through the Prism of the Roy Adaptation Model. Nurs Sci Q., 34(1), 67-73.

Al-Noumani, H, Al-Harrasi M, Jose J, Al-Naamani, Z, Panchatcharam SM. (2022). Medication Adherence and Patients' Characteristics in Chronic Diseases: A National Multi-Center Study. Clin Nurs Res., 31(3), 426-434.

Avcı, A, Gün, M, Erdoğan, S. (2020). Evaluation of Adherence to Drug Treatment and Affecting Factors of Inpatients Treated for Cardiovascular Disease. Turk J Cardiovasc Nurs., 11(26), 132-139.

Castiglione, V, Aimo, A, Vergaro, G, Saccaro, L, Passino, C, Emdin, M. (2022). Biomarkers for the diagnosis and management of heart failure. Heart Failure Reviews 27(2), 625-643.

Celano, CM, Beale, EE, Freedman, ME, Mastromauro, CA, Feig, EH, Park, ER, Huffman, JC. (2020). Positive psychological constructs and health behavior adherence in heart failure: A qualitative research study. Nurs Health Sci., 22(3), 620-628.

Dixon, EL (1999). Community health nursing practice and the Roy adaptation model. Public Health Nurs., 16(4), 290-300.

Hood, SR, Giazzon, AJ, Seamon, G, Lane, KA, Wang, J, Eckert, GJ, Tu, W, Murray, MD. (2018). Association Between Medication Adherence and the Outcomes of Heart Failure. Pharmacotherapy, 38(5), 539-545.

Jovicic, A, Holroyd-Leduc, JM, Straus, SE. (2006). Effects of self-management intervention on health outcomes of patients with heart failure: a systematic review of randomized controlled trials. BMC Cardiovasc Disord., 6, 43.

Kamath, DY, Bhuvana, KB, Dhiraj, RS, Xavier, D, Varghese, K, Salazar, LJ, Granger, CB, Pais, P, Granger, BB. (2020). Patient and caregiver reported facilitators of self-care among patients with chronic heart failure: report from a formative qualitative study. Wellcome Open Res., 5, 10.

Leventhal, MJ, Riegel, B, Carlson, B, De Geest, S. (2005). Negotiating Compliance in Heart Failure: Remaining Issues and Questions. Eur J Cardiovasc Nurs., 4 (4), 298–307.

Mansouri, A, Baraz, S, Elahi, N, Malehi, AS, Saberipour B. (2019). The effect of an educational program based on Roy's adaptation model on the quality of life of patients suffering from heart failure: A clinical trial study. Jpn J Nurs Sci., 16(4), 459-467.

Marti, CN, Fonarow, GC, Anker, SD, Yancy, C, Vaduganathan, M, Greene, SJ,…Butler, J. (2019). Medication dosing for heart failure with reduced ejection fraction-opportunities and challenges. Eur J Heart Fail., 21(3), 286-296.

Meraz, R. (2020). Medication Nonadherence or Self-care? Understanding the Medication Decision-Making Process and Experiences of Older Adults With Heart Failure. J Cardiovasc Nurs., 35(1), 26-34.

Pedersen, E, Primicerio, R, Halvorsen, KH, Eggen AE, Garcia, BH, Schirmer, H, Waaseth, M. (2022). Medication adherence among persons with coronary heart disease and associations with blood pressure and low-density-lipoprotein-cholesterol. Eur J Clin Pharmacol., 78(5), 857–867.

Pollock, SE. (1993). Adaptation to chronic illness: a program of research for testing nursing theory. Nurs Sci Q., 6(2), 86-92.

Rossignol, P, Hernandez, AF, Solomon, SD, Zannad, F. (2019). Heart failure drug treatment. Lancet, 393 (10175), 1034-1044.

Roy, C. (1997). Future of the Roy model: challenge to redefine adaptation. Nurs Sci Q., 10(1), 42-48.

Roy, C. (2019). Nursing Knowledge in the 21st Century: Domain-Derived and Basic Science Practice-Shaped. ANS Adv Nurs Sci., 42(1), 28-42.

Roy, C, Andrews, HA. (2008). The Roy Adaptation Model. United States, Pearson.

Shah, D, Simms, K, Barksdale D, Wu, J. (2015). Improving medication adherence of patients with chronic heart failure: challenges and solutions. Research Reports in Clinical Cardiology, 6, 87–95.

Shariatpanahi, S, Ashghali Farahani, M, Rafii, F, Rassouli, M, Kavousi, A. (2019). Designing and Testing a Treatment Adherence Model Based on the Roy Adaptation Model in Patients with Heart Failure: Protocol for a Mixed Methods Study. JMIR Res Protoc., 8 (7), e13317.

Siddiqui, M, Ripplinger, C, Chalchal, H, Murty D. (2022). Managing patients with heart failure: contemporary real-world experience. BMC Res Notes., 15(1), 41.

Silavanich, V, Nathisuwan, S, Phrommintikul, A, Permsuwan, U. (2019). Relationship of medication adherence and quality of life among heart failure patients. Heart Lung, 48(2), 105-110.

Wang, X, Tang, L, Howell, D, Zhang, Q, Qiu, R, Zhang, H, Ye, Z. (2020). Theory-guided interventions for Chinese patients to adapt to heart failure: A quasi-experimental study. Int J Nurs Sci., 7(4), 391-400.

Whittemore, R, Sister Callista, Roy. (2002). Adapting to diabetes mellitus: a theory synthesis. Nurs Sci Q., 15(4), 311-317.

Yıldız, E, Karagözoğlu, S. (2022) Nursing Care Process According to the Roy Adaptation Model of an Individual with Weight Gain After Bariatric Surgery. Journal of Health Sciences Institute, 7 (2), 132-138.

Zhao, Q, Zhang, J, Ye, Y, Chen, C, Fan, X. (2022). Experiences of Disease Adaptation in Patients with Heart Failure: A Qualitative Study. Clin Nurs Res., 31(7), 1287-1295.




How to Cite

ÖZEL ÇAKIR, F., POLAT , G., & ŞENUZUN AYKAR , F. (2023). Medication Compliance in Patients with Heart Failure: A Qualitative Study. GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 8(4), 890–898.