Vol. 6, Issue 4 (2017)

Author(s):
Pertseva TO, Konopkina LI and Shchudro OO

Abstract:
Treatment of patients with chronic obstructive pulmonary disease (COPD) in stable phase of the pathological process involves continuous inhalation therapy. However, according to the studies, adherence to regular use of inhalers varies from 30 to 50 %. The aim:determine the adherence to continuous inhalation therapy in patients with COPD, living in the Dnieper region. Materials and Methods:we have examined 60 COPD patients. Examination of patients included general clinical methods, assessment of the regularity of visits to «Spiro» office, spirometry. Adherence to the drug therapy was determined by 8-item Morisky Medication Adherence Scale (MMAS-8). Results:the level of adherence of COPD patients depends on the regularity of contact with the doctor and does not depend on gender. The main cause of non-adherence of COPD patients is the fact that sometimes patients forget to take medication, among other reasons there are major financial difficulties. The risk group as to the reduced adherence to inhalation therapy includes patients with vague bronchial obstruction. Given the difficulty of obtaining adequate responses to some questions of MMAS-8, one should consider the necessity of developing a new questionnaire for these patients.