Barja-Martínez Emma, Casas-González Susana, Simón-López Ana Flor, Mancheño-Ovejero Consuelo, Padial-de la Cruz M Luz Gema
Servicio de Neumología, Centro de Especialidades de Coronel de Palma, Móstoles, Madrid, España.
Servicio de Neumología, Centro de Especialidades de Coronel de Palma, Móstoles, Madrid, España.
Enferm Clin (Engl Ed). 2019 Jan-Feb;29(1):34-38. doi: 10.1016/j.enfcli.2018.09.003. Epub 2018 Nov 17.
To find out the degree of adherence to inhaled therapy in patients with Chronic Obstructive Pulmonary Disease (COPD) and asthma in a pulmonology clinic. To identify the type of non-compliance and the different factors affecting it.
A descriptive, cross-sectional study in which 124 patients were included. Adherence was assessed using the 'Test of Adherence to Inhalers' (TAI) questionnaire.
A total of 62 women and 62 men were recruited and the average age was 63. Fifty-one point 6percent of the patients had COPD, and 48.4% were asthmatics. Thirty-eight point 7percent of the them showed high adherence, 37.9% showed intermediate adherence and 23.4%, low adherence. In terms of non-compliance, 13.7% was erratic, 4.8% was deliberate, and 28.2%, unwitting. Patients with a basic level of education had better compliance than the others (P=.05), and patients with COPD showed higher adherence than the asthmatics (P=.02). Age, gender and the trainer did not indicate significant statistical differences.
38.7% of patients show high adherence to inhaled therapy, with a predominance of unwitting non-compliance. Patients with COPD and with a basic level of education showed higher levels of adherence. The training given by the pulmonologist and the respiratory nurse seemed to improve adherence to these treatments, although no significant differences were found.
了解肺科门诊慢性阻塞性肺疾病（COPD）和哮喘患者吸入治疗的依从程度。确定不依从的类型以及影响其的不同因素。
一项描述性横断面研究，纳入124例患者。使用“吸入器依从性测试”（TAI）问卷评估依从性。
共招募了62名女性和62名男性，平均年龄为63岁。51.6%的患者患有COPD，48.4%为哮喘患者。其中38.7%表现为高依从性，37.9%表现为中等依从性，23.4%表现为低依从性。在不依从方面，13.7%为不稳定型，4.8%为故意型，28.2%为不知情型。基础教育水平的患者依从性优于其他患者（P = 0.05），COPD患者的依从性高于哮喘患者（P = 0.02）。年龄、性别和培训师未显示出显著的统计学差异。
38.7%的患者对吸入治疗表现出高依从性，不知情的不依从占主导。COPD患者和基础教育水平的患者表现出更高的依从性。肺科医生和呼吸护士提供的培训似乎提高了对这些治疗的依从性，尽管未发现显著差异。
