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Evaluation of Knowledge, Attitude and Medication Adherence among Asthmatics Outpatients in Tertiary Care Teaching Hospital-A Questionnaire Based Study

机译:三级教学医院哮喘门诊患者知识,态度和服药依从性评估-基于问卷调查的研究

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Background: The burden of asthma in India is estimated at more than 15 million patients. Approximately two to four percent of adult population of India is affected by asthma. In recent decade, there are striking advancement in the clinical treatment of asthma. However, in spite of this, the frequency and morbidity of asthma is increasing in several countries. The Objectives of this study was to assess the knowledge, attitude and to evaluate the medication adherence among the asthmatic patients. Methods: This is a prospective, observational, questionnaire based study conducted in a tertiary care teaching hospital of central India after the approval of institutional ethics committee for a period of six months. Face-to-face interview with the patients of specialized Asthma clinic from Pulmonary Medicine, Outpatients Department (OPD) was conducted. This was administered with questionnaires assessing the knowledge, attitude and medication adherence (Morisky 8-items medication adherence scale) towards their disease and treatment. Results: Data of 154 patients were analysed for this study. Here 80 (51.9%) patients were male and 74(48.1%) were female. The maximum knowledge score is 16 and 66.86% of patients scored a mean score of 10.7. In attitude, the maximum score is 24 and 71.25% of patients scored a mean score of 17.1, while in adherence the maximum score is 8 and 42.50 % of patients scored a mean score of 3.4. Conclusion: The present study demonstrated that the patients’ specific knowledge on asthma was low. However, some patients had favourable attitude towards their disease but others did not have the necessary attitude of disease management. In addition , the medication adherence was also poor in asthmatics patients.
机译:背景:印度的哮喘病负担估计超过1500万人。印度约有2%至4%的成年人患有哮喘。在最近的十年中,哮喘的临床治疗取得了惊人的进步。然而,尽管如此,在一些国家中哮喘的发病率和发病率仍在增加。这项研究的目的是评估哮喘患者的知识,态度和药物依从性。方法:这是一项前瞻性,观察性,问卷调查的研究,经过机构伦理委员会批准,为期六个月,该研究在印度中部三级教学医院进行。对门诊部肺科专业哮喘门诊的患者进行了面对面的采访。通过问卷调查来评估他们对疾病和治疗的知识,态度和药物依从性(Morisky 8项药物依从度)。结果:本研究分析了154例患者的数据。在这里,男性80例(51.9%),女性74例(48.1%)。最大知识得分为16,平均得分为10.7的患者为66.86%。在态度上,最高分为24,71.25%的患者平均得分为17.1,而在依从性方面,最高分为8和42.50%的患者平均得分为3.4。结论:本研究表明,患者对哮喘的专门知识很低。但是,有些患者对其疾病持积极态度,而另一些患者则没有必要的疾病管理态度。此外,哮喘患者的药物依从性也较差。

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