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Chronic Obstructive Pulmonary Disease-V: Management01:29

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Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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COPD: Pathogenesis and Clinical Features01:20

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Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
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Structured pharmacist-led intervention programme to improve medication adherence in COPD patients: A randomized

Suhaj Abdulsalim1, Mazhuvancherry Kesavan Unnikrishnan2, Mohan K Manu3

  • 1Department of Pharmacy Practice, Manipal College of Pharmaceutical Sciences, Manipal University, 576104, Manipal, India; Department of Pharmacy Practice, Unaizah College of Pharmacy, Qassim University, Saudi Arabia.

Research in Social & Administrative Pharmacy : RSAP
|November 7, 2017
PubMed
Summary

Pharmacist-led education significantly improved medication adherence in Chronic Obstructive Pulmonary Disease (COPD) patients. This intervention increased adherence from 49% to 80% over 24 months, highlighting its effectiveness.

Keywords:
COPD patientsMAQMedication adherencePharmacist interventionRandomized controlled study

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Area of Science:

  • Pharmacology
  • Public Health
  • Clinical Pharmacy

Background:

  • Chronic Obstructive Pulmonary Disease (COPD) is a progressive lung disease where airflow limitation impacts patient health.
  • Therapy adherence is crucial for managing COPD symptoms and slowing disease progression.
  • Patient knowledge and awareness are key factors influencing adherence to treatment plans.

Purpose of the Study:

  • To evaluate the effectiveness of a clinical pharmacist-led educational intervention on medication adherence in COPD patients.
  • To assess the impact of pharmacist intervention on improving patient knowledge and self-management of COPD.

Main Methods:

  • A randomized controlled trial was conducted with COPD patients in a teaching hospital.
  • Patients were assigned to an intervention group (pharmacist-led education) or a control group.
  • Medication adherence was measured using the Morisky, Green and Levine Medication Adherence Questionnaire (MAQ) over 24 months.

Main Results:

  • Medication adherence significantly improved in the intervention group compared to the control group (P < 0.001).
  • Adherence rates in the intervention group increased from 49% at baseline to 80% at 24 months.
  • The intervention effectively addressed carelessness in taking medications, a common reason for non-adherence.

Conclusions:

  • Pharmacist-led educational interventions play a pivotal role in enhancing medication adherence for COPD patients.
  • This study is the first randomized controlled trial in India to demonstrate this significant benefit.
  • Integrating non-physician health professionals in patient education is a vital strategy, especially in resource-limited healthcare settings.