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MINERVA PNEUMOLOGICA

A Journal on Diseases of the Respiratory System


Official Journal of the Italian Society of Thoracic Endoscopy
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Minerva Pneumologica 2010 June;49(2):211-7

language: English

Finding patient-related factors of non-adherence in COPD

Braido F., Baiardini I., Balestracci S., Vyshka S., Colombo B., Stagi E., Ferraioli G., Canonica G. W.

1 Allergy and Respiratory Disease Clinic, S. Martino Hospital, Padiglione Maragliano, Genoa, Italy;
2 Department of Epidemiology, Biostatistic and Clinical Trials, National Cancer Institute Genoa, Italy


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AIM: Adherence, that still remains a major problem in chronic disease, may be influenced by different factors related to the disease itself, to the treatment, to the patient-physician relationship and to the patient. This survey was aimed to investigate patient-related factors knowledge, behaviour, satisfaction and mood ‑ which could limit adherence in chronic obstructive pulmonary disease (COPD) patients.
METHODS: COPD patients attending a visit were asked to fill in the Adherence Schedule in COPD (ASiC) and the Hospital Anxiety an Depression Scale (HADS).
RESULTS: Ninety COPD patients were enrolled. Cognitive questions revealed that 30% of them had poor disease knowledge and 25% was not able to recognize the worsening signs. Behavioural investigation showed that 51% hardly accepted their disease and 30% the limits due to it, while 70% was not able to record clinical parameters. Treatment satisfaction items showed that 74% was aware that treatment benefits were greater than disadvantages, 84% was conscious of the need of medication, although 25% stated that his own drug assumption was irregular; 20.6% of patients reported mild anxiety, 9.5% moderate and 6.4% severe. 14.8% of patients had mild depression, while 18% moderate and 8.2% severe.
CONCLUSION: COPD patients present a specific pattern of knowledge, expectations and behaviours, which should be investigated and taken into account when planning interventions to improve disease adherence.

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