Indicators of comorbidity in chronic broncho-obstructive pathology

Малыхин, Ф. Т.

doi:10.1134/s2079057017030092

Cited by 1 publication

(1 citation statement)

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“…The major area of treatment offered to such patients lies within pharmacotherapy [2,3]. The multicenter studies carried out so far prove newer drugs to be efficient in treating bronchial obstructive diseases, which (along with the presence of comorbid diseases) sometimes raises the need for simultaneous administration of not just 1 or 2 medicines yet 4 and even more of them [4]. This often results in various issues that patients and their doctors have to face (including issues based on the type of psychological stress).…”

Section: Introductionmentioning

confidence: 99%

Compliance Indicators in Geriatric Patients with Chronic Obstructive Pulmonary Disease

Sst.Ft¹,

Va²

2018

Health Care Current Reviews

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Background and objectives: Chronic obstructive pulmonary disease (COPD) is rated among the world's most common respiratory pathologies. One of the relevant issues in the contemporary healthcare is the chronic patient's resistance to duly follow the doctor's instruction. The aim of this study is to evaluate treatment compliance among elderly patients with COPD. Methods: The survey involved 95 elderly patients from the Pulmonary Department with exacerbated COPD, whereas specialized Morisky-Green medication adherence test was used, and an interview with a reviewed patient compliance questionnaire. Results: 57.9% of the patients tended to cooperate, while 42.1% of the patient body revealed lower motivation for this. The average patient compliance score was 2.44 ± 0.16. The share of non-compliant men (61.4%) was 2.4 times as high as that of women (25.5%). Differences in compliance were identified depending on the academic background-75.0% of patients with secondary education were compliant; of those with a special vocational degree-63.5%, while only 50% of those with a university degree revealed such an attitude. 73.3% of compliant patients with a university degree had insufficient compliance; of those with special vocational degree-57.6%; as for those with a secondary training degree, this rate was 100%. Treatment adherence among smoking male patients was 1.6 times as low compared with their non-smoking counterparts. Patients most often explained skipping medication with forgetfulness (37.9% of cases), lack of care towards themselves (22.1%), fear of poisoning the body and need to get some "rest" from treatment (14.7%). Conclusion: A significantly higher compliance level was found in women; treatment adherence among non-smoking men exceeded that among men with nicotine dependency. Compliance rates were optimal among people with special vocational training. The willingness to cooperate in groups with various degrees of COPD increased along with the pathology severity.

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Section: Introductionmentioning

confidence: 99%