Adherence to inhalers and associated factors among adult asthma patients: an outpatient-based study in a tertiary hospital of Rajshahi, Bangladesh

Asthma Research and Practice

Sabrina Jahan Mily¹  Ashrafur Rahaman Mahadi²  Chowdhury Ibtida Tahmin³  Kawser Ahmed⁴  Tasnim Shahriar⁵  Abhigan Babu Shrestha⁶  Senjuti Seemanta⁶  Symom Tashrik⁷  Mohammad Jahid Hasan⁸  Md. Azizul Haque⁹  Md. Abdur Rafi^1,10  Atia Sharmin Bonna^1,11  Ferdousy Jannat^1,11  Afsana Rashid^1,12  Mosarrat Mahjabeen^1,12  Nurunnahar Nura^1,13  Md. Golam Hossain^1,14 

[1] Banshkhali Upazila health complex, Chittagong, Bangladesh;Central Medical College, Cumilla, Bangladesh;Chittagong Medical College, Chittagong, Bangladesh;Dhaka Medical College, Dhaka, Bangladesh;Khulna Medical College, Khulna, Bangladesh;M Abdur Rahim Medical College, Dianjpur, Bangladesh;North South University, Dhaka, Bangladesh;Pi Research Consultancy Center, Dhaka, Bangladesh;Rajshahi Medical College, Rajshahi, Bangladesh;Rajshahi Medical College, Rajshahi, Bangladesh;Pi Research Consultancy Center, Dhaka, Bangladesh;Save the Children Bangladesh, Dhaka, Bangladesh;Shaheed Suhrawardy Medical College, Dhaka, Bangladesh;Sir salimullah medical college, Dhaka, Bangladesh;University of Rajshahi, Rajshahi, Bangladesh;

关键词: Asthma;    Inhaler;    Adherence;    Obstructive lung disease;    Anti-asthmatic agents;    Medication nonadherence;    Drug compliance;   

DOI  :  10.1186/s40733-022-00083-7

来源: Springer

【 摘 要 】

BackgroundAdherence to inhaler medication is an important contributor to optimum asthma control along with adequate pharmacotherapy. The objective of the present study was to assess self-reported adherence levels and to identify the potential factors associated with non-adherence to the inhalers among asthma patients.MethodsThis facility-based cross-sectional study was conducted in the medicine outpatient department of Rajshahi Medical College Hospital from November 2020 to January 2021. A total of 357 clinically confirmed adult asthma patients were interviewed. Inhaler adherence was measured using the 10-item Test of Adherence scale (TAI).. Both descriptive and inferential statistics were used to express the socio-demographic of the patients and predictors of poor adherence to inhaler.ResultsA substantial number of participants were non-adherent (86%) to inhaler medication. Patients non-adherent to inhaler medication are often younger (23.15, 95% CI 3.67–146.08), lived in the rural area (23.28, 95% CI 2.43–222.66), less year of schooling (5.69, 95% CI 1.27–25.44), and belonged to the middle income (aOR 9.74, 95% CI 2.11–44.9) than those adherent with the inhaler. The presence of comorbidities (12.91, 95% CI 1.41–117.61), prolonged duration of inhaler intake (5.69, 95% CI 1.22–26.49), consulting non-qualified practitioners (13.09, 95% CI 3.10–55.26) were the significant contributor of non-adherence.ConclusionDespite ongoing motivation and treatment, non-adherence to inhalation anti-asthmatic is high and several factors have been found to contribute. Regular monitoring and a guided patient-centered self-management approach might be helpful to address them in long run.

【 授权许可】

CC BY