An epidemiological study on treatment adherence related to asthma patients of a tertiary care institute of Ahmedabad city, Gujarat
Background: The success of treatment in asthma requires long term commitment, adherence and a good self-management. Unfortunately, those entities remain below par level as far as reports are concerned from studies. Aims & Objectives: To study attitude and behaviour related to adherence to medication by patients of asthma in a tertiary care institute and to assess their treatment seeking behaviour. Study Settings: Tertiary care institute, Chest Medicine department, Design: Cross-sectional study. Materials and Methods: All the diagnosed asthma patients were enrolled in the defined study period. Considering the limited locality as well as the time period for the data collection, about 3% of the estimated sample size (n=2930, at hospital asthma admission rate of 12%) was taken (n=100). Structured interviews were done of the diagnosed asthma patients using a predesigned questionnaire. The questions were related to the attitude and behaviour towards medications, treatment seeking behaviour of the patients and their adherence to treatment. Chi-sqaure and proportions were used to analyze the data. Results: The study shows that out of 100 respondents, sixty (60%) of the respondents had experienced the symptoms for more than 6 weeks before going to hospital. About half (49%) had learned the use of inhaler from their doctor. Sixty-one (61%) had rated their asthma as “well controlled”. The commonest reason (n=79) for missing dose was “symptoms were relived & it was not necessary to continue treatment”. Conclusion: It could be seen that patient-side delays proved important determinant for treatment of Asthma. The commonest reason for missing dose was temporary relief of symptoms.
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