Bárbara Riegel|Solim Lee|J Hill|Marguerite Daus|Foster Osei Baah|Joyce Wald|George J. Knafl
Patterns of adherence to diuretics, dietary sodium and fluid intake recommendations in adults with heart failure
University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of North Carolina at Chapel Hill
background three behaviors advocated minimize fluidrelated hospitalizations patients heart failure hf restricted sodium fluid intake consistent oral diuretic use adherence behaviors intended decrease risk hospitalization believed vary time surprisingly little research addressed patterns adherence hf patients objective describe patterns time 3 recommended selfcare behaviors ie diet fluid intake diuretic dosing adults hf determine time behavior influenced adherence rates methods enrolled 24 adults hospitalized hf exacerbation discharged loop diuretic descriptive longitudinal pilot study 3months diuretic use measured using electronic event monitoring participants telephoned regularly assess sodium fluid intake data summarized 2week intervals results overall adherence rates 424 low sodium diet 964 fluid restriction 847 diuretic regimen early hospital discharge medication adherence highest dietary adherence lowest adherence diet diuretic use decreased significantly time conclusion although participants discharged hospital acute exacerbation hf three behavioral patterns decreased markedly 3month followup period