Treatment Adherence of Out-Patients with Chronic Obstructive Pulmonary Disease: A Cross-Sectional Study
DOI:
https://doi.org/10.47941/ijhmnp.1648Keywords:
Breathing Exercies, Chronic Obstructive Pulmonary Disease (Copd), Inhaler Using, Treatment AdherenceAbstract
Purpose: The study conducted to identify the status of treatment adherence, and factors related to treatment adherence in COPD outpatient.
Methodology: A cross-sectional study was conducted on 420 COPD out-patients from April 2021 to August 2022. Treatment adherence was assessed through 2 checklists, including adherent inhaled drugs, and adherent breathing exercises. Descriptive statistics, multivariable logistic regression analysis was used to data analyzed.
Findings: 36.9% of participants were being assessed treatment adherence, of which 44.7% adhered to inhaled drugs using, and 36.9% adhered to breathing exercises practice. For correlated factor, smoking was related to treatment adherence (p<0.05).
Unique contributor to theory, policy and practice: Patient's knowledge about control COPD, practicing breathing exercises, and treatment adherence level were low. Therefore, intervention programs to support patients improving these problems, thereby enhancing patient's quality of life is necessary.
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References
GOLD. Global strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease: Update 2020. 2020 [cited 2023 Sept 13]. Available: http://ww.goldBPTNMT.org.
Lim, S. S., Lam, D. C. L., Muttalif, A. R., Yunus, F., Wongtim, S., Lan, L. T. T., Shetty, V., Chu, R., Zheng, J., Perng, D. W., & De Guia, T. Impact of chronic obstructive pulmonary disease (COPD) in the Asia-Pacific region: the EPIC Asia population-based survey. Asia Pacific Family Medicine. 2015;14(1).
Ierodiakonou, D., Sifaki-Pistolla, D., Kampouraki, M., Poulorinakis, I., Papadokostakis, P., Gialamas, I., Athanasiou, P., Bempi, V., Lampraki, I., & Tsiligianni, I. Adherence to inhalers and comorbidities in COPD patients. A cross-sectional primary care study from Greece. BMC Pulmonary Medicine. 2020;20(1).
Dhamane, A., Schwab, P., Hopson, S., Moretz, D. C., Annavarapu, S., Burslem, K., Renda, A., & Kaila, S. Association between adherence to medications for COPD and medications for other chronic conditions in COPD patients. International Journal of Chronic Obstructive Pulmonary Disease. 2016;12:115–122.
Ngo, C. Q., Phan, D. M., Van Vu, G., Dao, P. N., Phan, P. T., Chu, H. T., Nguyen, L. H., Vu, G. T., Ha, G. H., Tran, T. H., Tran, B. X., Latkin, C. A., Ho, C. S., & Ho, R. Inhaler Technique and Adherence to Inhaled Medications among Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease in Vietnam. International Journal of Environmental Research and Public Health. 2019;16(2), 185.
Nguyen, N. T. Q., Huynh, V. N., To, Q. G., & To, K. G. Factors associated with anxiety and depression among chronic obstructive pulmonary disease outpatients in Ho Chi Minh City, Vietnam. PubMed. 2022;10(2), 95–100.
Ajzen I. (1991). The theory of planned behavior. Organ Behavior Human Decision Process. 50(2):179-211. doi:10.1016/0749-5978(91)90020-t
World Health Organization. Adherence to long-term therapies: Evidence for action. 2020 [cited 2023 Sept 13]. Available:
https://apps.who.int/iris/bitstream/handle/10665/42682/9241545992.pdf?sequence=1&isAllow=y
Plaza, V., Fernández-Rodríguez, C., Melero, C., Cosío, B. G., Entrenas, L. M., De Llano, L. P., Gutiérrez-Pereyra, F., Tarragona, E., Palomino, R., & López-Viña, A. Validation of the “Test of the Adherence to Inhalers” (TAI) for asthma and COPD patients. Journal of Aerosol Medicine and Pulmonary Drug Delivery. 2016;29(2), 142–152.
Nguyen V.T., Ngo Q.C, Luong N.K. Guidelines for diagnosis and treatment of chronic obstructive pulmonary disease, Medical Publishing House, Ministry of Health. 2018. Availble: http://benhvien103.vn/wp-content/uploads/3._HD_CD_COPD.pdf (Original work published in Vietnamese).
Alharbi, M. G., Kalra, H. S., Suri, M., Soni, N., Okpaleke, N., Yadav, S., Shah, S., Iqbal, Z., & Hamid, P. Pulmonary rehabilitation in management of chronic obstructive pulmonary disease. Cureus. 2021.
Andreas, S., Hering, T., Mühlig, S., Nowak, D., Raupach, T., & Worth, H. Smoking cessation in chronic obstructive pulmonary disease. Deutsches Arzteblatt International. 2009.
Bestall, J. C., Paul, E., Garrod, R., Garnham, R., Jones, P., & Wedzicha, J. A. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999;54(7),581–586.
Yang, H., Wang, H., Du, L., Wang, Y., Wang, X., & Zhang, R. Disease knowledge and self-management behavior of COPD patients in China. Medicine. 2019;98(8), e14460.
De, M. M., Menezes, A. M. B., Wehrmeister, F. C., Varela, M. V. L., Casas, A., Ugalde, L. C., Ramírez-Venegas, A., Mendoza, L., López, A. M., Surmont, F., & Miravitlles, M. Adherence to inhaled therapies of COPD patients from seven Latin American countries: The LASSYC study. PLOS ONE. 2017;12(11), e0186777.
Janjua, S., Pike, K. C., Carr, R., Coles, A., Fortescue, R., & Batavia, M. Interventions to improve adherence to pharmacological therapy for chronic obstructive pulmonary disease (COPD). The Cochrane Library. 2021(9).
Kokturk, N., Polatli, M., Oguzulgen, I. K., Saleemi, S., Ghobain, M. A., Khan, J., Doble, A., Tariq, L., Aziz, F., & Hasnaoui, A. E. Adherence to COPD treatment in Turkey and Saudi Arabia: results of the ADCARE study. International Journal of Chronic Obstructive Pulmonary Disease. 2018;(13), 1377–1388.
Molimard, M., Raherison, C., Lignot, S., Balestra, A., Lamarque, S., Chartier, A., Droz-Perroteau, C., Lassalle, R., Moore, N., & Girodet, P. Chronic obstructive pulmonary disease exacerbation and inhaler device handling: real-life assessment of 2935 patients. The European Respiratory Journal. 2016; 49(2), 1601794.
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Copyright (c) 2024 Nguyen Thi Thu Trieu, Michele Upvall, Pham Thi Thuy, Nguyen Thi Yen Hoai, Tran Van Long, Nguyen Thi Anh Phuong
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