在患有慢性阻塞性肺病的患者中坚持吸入器械
Luis Fernando Valladales-Restrepo1,2,3, María Camila Oyuela-Gutiérrez3, Ana Camila Delgado-Araujo1
1Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira-Audifarma S.A, Pereira, Risaralda, Colombia.
Patient preference and adherence
|December 13, 2023
概括
哥伦比亚的慢性阻塞性肺病 (COPD) 患者对吸入治疗的坚持是中等的. 专家培训和患者满意度显著改善了对COPD药物的坚持.
科学领域:
- 肺部医学 肺部医学
- 临床药房 临床药房
- 公共卫生 公共卫生
背景情况:
- 慢性阻塞性肺病 (COPD) 影响全球数以百万计的人,治疗不坚持恶化了结果.
- 改善患者对吸入疗法的坚持是控制COPD严重程度,发病率和死亡率的关键.
研究的目的:
- 评估哥伦比亚被诊断患有COPD的患者对他们的处方吸入装置的坚持.
- 确定与吸入性COPD治疗的良好和不良坚持相关的因素.
主要方法:
- 在哥伦比亚84个城市进行了一项横截面研究,涉及哥伦比亚84个城市500名COPD患者.
- 使用TAI-10仪器测量吸入装置的粘附性,得分为50表示粘附性良好.
- 统计分析确定了与遵守相关的因素,包括医生培训,设备使用时间,药物类型,患者满意度,地理区域,疾病持续时间和并发症.
主要成果:
- 吸入性COPD治疗的整体坚持是中度的 (56.6%的良好坚持),平均得分为47.4±5.3.3.
- 积极与良好的粘附相关的因素包括专家医生的培训,使用吸入器不到一年,使用短效β2-上腺激动剂,以及对设备的更高满意度.
- 在中部地区的患者,不到5年的COPD患者和糖尿病患者中观察到较低的坚持.
结论:
- 在研究的COPD患者群体中,吸入式支气管扩展剂和葡萄糖皮质激素的坚持并不是最佳的.
- 根据使用的吸入装置类型,没有发现依附度的显著差异.
- 患者满意度和专家医生提供的培训成为积极影响COPD吸入疗法的关键因素.
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