{"title":"成年哮喘患者坚持使用吸入器及相关因素:孟加拉国拉杰沙希一家三级医院的门诊研究。","authors":"Md Abdur Rafi, Chowdhury Ibtida Tahmin, Symom Tashrik, Atia Sharmin Bonna, Ferdousy Jannat, Sabrina Jahan Mily, Abhigan Babu Shrestha, Senjuti Seemanta, Afsana Rashid, Mosarrat Mahjabeen, Nurunnahar Nura, Tasnim Shahriar, Ashrafur Rahaman Mahadi, Kawser Ahmed, Mohammad Jahid Hasan, Md Azizul Haque, Md Golam Hossain","doi":"10.1186/s40733-022-00083-7","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Adherence to inhaler medication is an important contributor to optimum asthma control along with adequate pharmacotherapy. The objective of the present study was to assess self-reported adherence levels and to identify the potential factors associated with non-adherence to the inhalers among asthma patients.</p><p><strong>Methods: </strong>This facility-based cross-sectional study was conducted in the medicine outpatient department of Rajshahi Medical College Hospital from November 2020 to January 2021. A total of 357 clinically confirmed adult asthma patients were interviewed. Inhaler adherence was measured using the 10-item Test of Adherence scale (TAI).. Both descriptive and inferential statistics were used to express the socio-demographic of the patients and predictors of poor adherence to inhaler.</p><p><strong>Results: </strong>A substantial number of participants were non-adherent (86%) to inhaler medication. Patients non-adherent to inhaler medication are often younger (23.15, 95% CI 3.67-146.08), lived in the rural area (23.28, 95% CI 2.43-222.66), less year of schooling (5.69, 95% CI 1.27-25.44), and belonged to the middle income (aOR 9.74, 95% CI 2.11-44.9) than those adherent with the inhaler. The presence of comorbidities (12.91, 95% CI 1.41-117.61), prolonged duration of inhaler intake (5.69, 95% CI 1.22-26.49), consulting non-qualified practitioners (13.09, 95% CI 3.10-55.26) were the significant contributor of non-adherence.</p><p><strong>Conclusion: </strong>Despite ongoing motivation and treatment, non-adherence to inhalation anti-asthmatic is high and several factors have been found to contribute. Regular monitoring and a guided patient-centered self-management approach might be helpful to address them in long run.</p>","PeriodicalId":8572,"journal":{"name":"Asthma research and practice","volume":" ","pages":"1"},"PeriodicalIF":0.0000,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8827279/pdf/","citationCount":"0","resultStr":"{\"title\":\"Adherence to inhalers and associated factors among adult asthma patients: an outpatient-based study in a tertiary hospital of Rajshahi, Bangladesh.\",\"authors\":\"Md Abdur Rafi, Chowdhury Ibtida Tahmin, Symom Tashrik, Atia Sharmin Bonna, Ferdousy Jannat, Sabrina Jahan Mily, Abhigan Babu Shrestha, Senjuti Seemanta, Afsana Rashid, Mosarrat Mahjabeen, Nurunnahar Nura, Tasnim Shahriar, Ashrafur Rahaman Mahadi, Kawser Ahmed, Mohammad Jahid Hasan, Md Azizul Haque, Md Golam Hossain\",\"doi\":\"10.1186/s40733-022-00083-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Adherence to inhaler medication is an important contributor to optimum asthma control along with adequate pharmacotherapy. The objective of the present study was to assess self-reported adherence levels and to identify the potential factors associated with non-adherence to the inhalers among asthma patients.</p><p><strong>Methods: </strong>This facility-based cross-sectional study was conducted in the medicine outpatient department of Rajshahi Medical College Hospital from November 2020 to January 2021. A total of 357 clinically confirmed adult asthma patients were interviewed. Inhaler adherence was measured using the 10-item Test of Adherence scale (TAI).. Both descriptive and inferential statistics were used to express the socio-demographic of the patients and predictors of poor adherence to inhaler.</p><p><strong>Results: </strong>A substantial number of participants were non-adherent (86%) to inhaler medication. Patients non-adherent to inhaler medication are often younger (23.15, 95% CI 3.67-146.08), lived in the rural area (23.28, 95% CI 2.43-222.66), less year of schooling (5.69, 95% CI 1.27-25.44), and belonged to the middle income (aOR 9.74, 95% CI 2.11-44.9) than those adherent with the inhaler. The presence of comorbidities (12.91, 95% CI 1.41-117.61), prolonged duration of inhaler intake (5.69, 95% CI 1.22-26.49), consulting non-qualified practitioners (13.09, 95% CI 3.10-55.26) were the significant contributor of non-adherence.</p><p><strong>Conclusion: </strong>Despite ongoing motivation and treatment, non-adherence to inhalation anti-asthmatic is high and several factors have been found to contribute. Regular monitoring and a guided patient-centered self-management approach might be helpful to address them in long run.</p>\",\"PeriodicalId\":8572,\"journal\":{\"name\":\"Asthma research and practice\",\"volume\":\" \",\"pages\":\"1\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-02-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8827279/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Asthma research and practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40733-022-00083-7\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asthma research and practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40733-022-00083-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
背景:坚持吸入器用药是实现最佳哮喘控制和适当药物治疗的重要因素。本研究旨在评估哮喘患者自我报告的依从性水平,并确定与不依从吸入器治疗相关的潜在因素:这项以医院为基础的横断面研究于 2020 年 11 月至 2021 年 1 月在拉杰沙希医学院医院内科门诊部进行。共访问了 357 名经临床确诊的成年哮喘患者。采用10项依从性量表(TAI)测量吸入器的依从性。采用描述性和推论性统计方法对患者的社会人口学特征和吸入器依从性差的预测因素进行了表述:结果:大量参与者未坚持吸入器用药(86%)。与坚持使用吸入器的患者相比,不坚持使用吸入器的患者通常更年轻(23.15,95% CI 3.67-146.08),居住在农村地区(23.28,95% CI 2.43-222.66),受教育年限较低(5.69,95% CI 1.27-25.44),属于中等收入阶层(aOR 9.74,95% CI 2.11-44.9)。合并症(12.91,95% CI 1.41-117.61)、吸入时间过长(5.69,95% CI 1.22-26.49)、咨询无资质医生(13.09,95% CI 3.10-55.26)是导致不坚持治疗的重要因素:结论:尽管有持续的激励和治疗,但不坚持吸入抗哮喘药物的现象仍很严重,这其中有几个因素。从长远来看,定期监测和以患者为中心的自我管理方法可能有助于解决这些问题。
Adherence to inhalers and associated factors among adult asthma patients: an outpatient-based study in a tertiary hospital of Rajshahi, Bangladesh.
Background: Adherence to inhaler medication is an important contributor to optimum asthma control along with adequate pharmacotherapy. The objective of the present study was to assess self-reported adherence levels and to identify the potential factors associated with non-adherence to the inhalers among asthma patients.
Methods: This facility-based cross-sectional study was conducted in the medicine outpatient department of Rajshahi Medical College Hospital from November 2020 to January 2021. A total of 357 clinically confirmed adult asthma patients were interviewed. Inhaler adherence was measured using the 10-item Test of Adherence scale (TAI).. Both descriptive and inferential statistics were used to express the socio-demographic of the patients and predictors of poor adherence to inhaler.
Results: A substantial number of participants were non-adherent (86%) to inhaler medication. Patients non-adherent to inhaler medication are often younger (23.15, 95% CI 3.67-146.08), lived in the rural area (23.28, 95% CI 2.43-222.66), less year of schooling (5.69, 95% CI 1.27-25.44), and belonged to the middle income (aOR 9.74, 95% CI 2.11-44.9) than those adherent with the inhaler. The presence of comorbidities (12.91, 95% CI 1.41-117.61), prolonged duration of inhaler intake (5.69, 95% CI 1.22-26.49), consulting non-qualified practitioners (13.09, 95% CI 3.10-55.26) were the significant contributor of non-adherence.
Conclusion: Despite ongoing motivation and treatment, non-adherence to inhalation anti-asthmatic is high and several factors have been found to contribute. Regular monitoring and a guided patient-centered self-management approach might be helpful to address them in long run.
期刊介绍:
Asthma Research and Practice is the official publication of Interasma and publishes cutting edge basic, clinical and translational research in addition to hot topic reviews and debate articles relevant to asthma and related disorders (such as rhinitis, COPD overlapping syndrome, sinusitis). The journal has a specialized section which focusses on pediatric asthma research. Asthma Research and Practice aims to serve as an international platform for the dissemination of research of interest to pulmonologists, allergologists, primary care physicians and family doctors, ENTs and other health care providers interested in asthma, its mechanisms and comorbidities.