EVALUATION OF MEDICATION ADHERENCE IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISORDER AT A TERTIARY CARE HOSPITAL
Dr. Beulah Milton, Sherin Mary Rajan*, Sneha Thomas, Ann Maria Antony and Meghna Maria Thomas
ABSTRACT
Background: The prevalence of Chronic Obstructive Pulmonary Disorder is increasing. Hence it is important to evaluate the medication adherence in patients with COPD to maximize therapeutic efficacy and ensure optimal patient outcome. Objectives: The main objective is to evaluate the medication adherence in patients with COPD and also to identify the problems associated with the use of inhalers, to determine the etiological factors and to assess the quality of the life of the patient. Methods: This prospective observational study was conducted at a tertiary care hospital over a period of 6 months for inpatients admitted with COPD. Data were collected using a self-designed data collection forms and questionnaires and analyzed using appropriate statistical methods. Results: Among 100 study subjects for evaluation of medication adherence, 56% were found to be male while 44% were found to be female. Medication adherence assessment using Morisky Green Levine adherence scale indicated that majority of patients had medium adherence (60%) to medications. When the level of adherence to inhalers was assessed using TAI questionnaire majority of patients had poor adherence (61%). The mean CCQ score was 3.523 indicating poor QOL. . On assessing the etiological factors of COPD in the study subjects, smoking (41%) was found to be the most common factor followed by environmental pollution (22%). Conclusion: In this study unintentional non-adherence (77%) was found to be more than the intentional non-adherence (23%) where forgetfulness was found to be the main reason.
Keywords: Chronic Obstructive Pulmonary Disorder, Quality Of Life, Medication adherence, etiology.
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