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2021, Number 2

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Rev Acta Médica 2021; 22 (2)

Evaluation of therapeutic adherence in elderly asthmatic patients

Ginard CA, Ceballos RE, Báez LJM, Figueroa GI, Estruch FIM

Language: Spanish
References: 39
Page:
PDF size: 1244.87 Kb.


ABSTRACT

Introduction: Bronchial asthma is a chronic inflammatory disease of the airways, various cells and mediators of inflammation intervene in its pathogenesis. Most of the elderly do not comply with the indicated treatment and non-adherence to prescribed medication is a major cause of asthma, which is difficult to treat.
Objective: To assess the therapeutic adherence in the asthmatic elderly from the Allergology Service at “Hermanos Ameijeiras” Surgical Clinical Hospital, from October 2018 to December 2019, as well as to identify the non-adherence factors to establish action plans aimed at increasing compliance with the prescriptions, adequate control of the condition and better quality of life in these patients.
Methods: A descriptive, cross-sectional study was carried out in 62 patients characterized according to demographic and clinical variables. Morinsky-Green Levine test was used to determine therapeutic adherence. Factors associated with non-adherence were analyzed; the use of the inhalation technique and the association between therapeutic adherence and inhalation technique, asthma control and exacerbations were evaluated. For statistical processing, summary measures were applied for qualitative and quantitative variables and tests of association Chi square of independence and Bartholomew's Chi square.
Results: Female sex (96.8%), non-smokers (62.9%), comorbidities such as hypertension (79%) and ischemic heart disease (45.2%) predominated; the mean duration of the disease was 40.6 years; 53.2% of the patients were partially controlled; 59.7% are not adherent to the treatment; 75.8% showed incorrect inhalation technique; and we observed a possible statistically significant association between therapeutic adherence and inhalation technique, asthma control and exacerbations.
Conclusions: Most of the asthmatic elderly studied are not well-adherent to treatment.


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