Open AccessTreatment compliance of elderly patients with chronic obstructive pulmonary disease
Author(s) -
Ф. Т. Малыхин,
Малыхин Фёдор Тимофеевич,
Vladimir Baturin,
Батурин Владимир Александрович
Publication year - 2014
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17816/kmj2204
Subject(s) - medicine , pulmonology , exacerbation , compliance (psychology) , pulmonary disease , disease , physical therapy , patient education , family medicine , psychology , social psychology
Aim. To study the compliance in patients with chronic obstructive pulmonary disease.Methods. The study included 95 in-patients of pulmonology unit with exacerbation of chronic obstructive pulmonary disease, in whom Morisky-Green questionnaire and interviews using modernized questionnaires were used to assess patients’ compliance.Results. The willingness to cooperate with a doctor was shown by 57.9% of patients, and 42.1% showed low motivation. An average compliance index was 2.44±0.16. The number of non-compliant males (61.4%) was 2.4 times higher compared to females (25.5%). Treatment compliance was associated with lower education level: good compliance was shown by 75.0% of patients with secondary education, 63.5% with special secondary education, and only by 50% of patients with higher education. However, among compliant patients with higher education, only 73.3% of patients had partial compliance, compared to 57.6% with special secondary education and 100% - with secondary education. Adherence to treatment in male smokers was 1.6 times lower compared to non-smokers. Patients often associated the omissions of taking medicine with forgetfulness in 37.9% of cases, with inattentive attitude to themselves in 22.1%, with fear of toxic and side effects and the desire to «rest» from treatment in 14.7% of cases.Conclusion. Higher compliance is typical for women more than men; for non-smoker males than smokers. Patients with specialized secondary education showed highest compliance.