Home Healthc Now. 2023;41(6):330-337. doi: 10.1097/NHH.0000000000001206.
The mortality rate due to chronic obstructive pulmonary disease (COPD) has increased annually, and non-adherence to treatment is one reason for this rise. Developing intervention programs to enhance treatment adherence for people with COPD is essential. The purpose of this mixed-methods study was to determine the acceptability, appropriateness, and feasibility of such a program. We sought the opinions of 15 healthcare managers and 15 practicing nurses from three hospitals across Vietnam and conducted group discussions and interviews with 30 patients with COPD. We then formulated integrated conclusions on the acceptability, appropriateness, and feasibility of the program. The overall average score of 12 items to test the acceptability, appropriateness, and feasibility of the program from both healthcare managers and practicing nurses was high (M = 4.31; SD = 0.11) and (M = 4.37; SD = 0.12), respectively. Thirty COPD outpatients agreed the content and plan of the program were necessary for them to enhance their treatment adherence at home. The document content was appropriate, easy to understand, and the support and education provided by nurses was helpful. The educational intervention program to promote treatment adherence for patients with COPD was acceptable, appropriate, and feasible from the views of healthcare managers, nurses, and patients with COPD.
慢性阻塞性肺疾病（COPD）的死亡率逐年上升，而治疗不依从是导致这一上升的原因之一。因此，制定干预计划以提高 COPD 患者的治疗依从性至关重要。本混合方法研究的目的是确定该计划的可接受性、适宜性和可行性。我们征求了越南三家医院的 15 名医疗管理人员和 15 名执业护士的意见，并对 30 名 COPD 患者进行了小组讨论和访谈。然后，我们就该计划的可接受性、适宜性和可行性形成了综合结论。从医疗管理人员和执业护士的角度来看，12 项测试该计划可接受性、适宜性和可行性的项目的总体平均得分为高（M=4.31；SD=0.11）和（M=4.37；SD=0.12）。30 名 COPD 门诊患者认为该计划的内容和方案对他们提高家庭治疗依从性是必要的。该文件的内容是适当的，易于理解，护士提供的支持和教育是有帮助的。从医疗管理人员、护士和 COPD 患者的角度来看，促进 COPD 患者治疗依从性的教育干预计划是可接受的、适宜的和可行的。
