Effect of Beliefs about Patient Compliance on Hospital Readmissions and Self-care Behaviors in Patients with Heart Failure

Background: Heart failure is a clinical syndrome causing hospital readmissions, which results in labor force losses that impose burdens both for the patients and society. Patient compliance is a significant factor that affects selfcare behaviors and hospital readmissions in patients with heart failure. Aim: This research was carried out to examine how beliefs about patient compliance affect hospital readmissions and self-care behaviors in patients with heart failure. Methods: This descriptive and cross-sectional study included 101 patients who visited the Cardiology Service between January 2020 and June 2020 to receive treatment. Number and percentage, mean and standard deviation were used in the data analysis and ANOVA, Pearson and Spearman coefficients, and multiple linear regression analysis were used. Results: Belief scores about self-monitoring for the patients who had "at least 8" readmissions were lower (F= 5.033 p= 0.00). Multiple regression analysis found a significant relationship between patients' belief variables about self-monitoring (benefit-barrier) and their Self-Care Behavior scores, and these variables determined 34% of the Self-Care Behavior score (R2 = 0.34, p = 0.00). Conclusions: The number of readmissions was higher in the patients who perceived self-monitoring as less beneficial, and the individuals who are non-compliant are insufficient to apply appropriate self-care behaviors.