Clinical Medicine VII. (Poster discussion will take place in the Aula during the Coffee Break)
Dr. Monika, Fekete
Semmelweis Egyetem
+36208250600
feketemonika78@gmail.com
Questionnaire about the patient's awareness, social support and treatment adherence in COPD.
1Dr. Fekete Mónika, 2Szőllősi Gergő, 1Dr. Szarvas Zsófia, 1Dr. Fazekas-Pongor Vince, 3Dr. Kerti Mária, 4Dr. Varga János Tamás
1Semmelweis Egyetem, Népegészségtani Intézet, Budapest
2Debreceni Egyetem, Népegészségügyi Kar, Családorvosi és Foglalkozás-Egészségügyi Tanszék, Debrecen
3Országos Korányi Pulmonológiai Intézet, Budapest
4Semmelweis Egyetem, Pulmonológiai Klinika, Budapest
Poszter
Clinical Medicine VII. (Poster discussion will take place in the Aula during the Coffee Break)
Hungarian
Clinical Medicine
Introduction: Chronic obstructive pulmonary disease (COPD) is a health burden for both patients and society, which can be reduced by the patient`s cooperation, which is related to education. Familiar/social support has been shown to have a positive impact on treatment`s adherence and quality of life.
Aim: Our questionnaire-based, cross-sectional survey aimed to assess COPD patients' therapeutic cooperation and awareness, which was complemented by the patients.
Methods: Our validated questionnaires were completed by 200 patients at the Department of Pulmonary Rehabilitation of the National Korányi Institute for Pulmonology in spring, 2020. We assessed patients' cooperation in terms of medicine usage by Morisky scale (MMAS-4), their quality of life was evaluated by CAT (COPD Assessment Test) questionnaire, and social support by FSSQ (Functional Social Support Questionnaire).
Results: The average age of patients was 67 (61-72) years, and the male/female ratio is 48/52%. There was a significant difference in the quality of life between adherent (69%) and non-adherent (31%) patients: CAT 22 (10-30) vs. 26 (21-31); p <0.001. Patients with good cooperation of the treatment had a lower number of exacerbations in the previous year (1 (0-3) vs. 2 (1-4); p <0.05), higher maximal exercise capacity: 6MWD (m) 310 (158-345) vs. 250 (150-358); p=0.878, and less alcohol consumption 14% vs. 26%; p=0.045. The prevalence of non-adherence to treatment was higher among older patients (≥65 years), who were less educated and still actively smoking (43.5%). Patients with good adherence had fewer co-morbidities. The patient's marital status (OR=0.86) and social support (OR=1.49) were also found to influence adherence.
Conclusion: Patient`s awareness, family/social support and treatment`s adherence are crucial in parallel, and when all of these are present, appropriate and long-term patient cooperation and improvement in quality of life can be expected.
Financial support: the authors did not receive any financial support for the abstract, presentation/poster or research work.
Keywords: COPD, patient awareness, adherence to therapy; patient satisfaction, social support
Semmelweis University, Károly Rácz Doctoral School of Clinical Medicine
Dr. habil. Varga János Tamás Ph.D.
I give consent to the publication of my abstract on the website of the congress.
Szabad
elfogadva
poszter
nem rendelkezett róla
6839
13:40
13:45
1Dr. Fekete Mónika, 2Szőllősi Gergő, 1Dr. Szarvas Zsófia, 1Dr. Fazekas-Pongor Vince, 3Dr. Kerti Mária, 4Dr. Varga János Tamás
1Semmelweis Egyetem, Népegészségtani Intézet, Budapest
2Debreceni Egyetem, Népegészségügyi Kar, Családorvosi és Foglalkozás-Egészségügyi Tanszék, Debrecen
3Országos Korányi Pulmonológiai Intézet, Budapest
4Semmelweis Egyetem, Pulmonológiai Klinika, Budapest