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Attitudes of Hungarian asthmatic and COPD patients affecting disease control: empirical research based on Health Belief Model

Introduction: Patient non-adherence to treatment is a major problem across most chronic diseases. In COPD and asthma treatments it is a complex issue because people need to make behavioral and lifestyle changes while taking medications. Poor adherence results in increased rates of morbidity and mort...

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Autor principal: Simon, Judit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826076/
https://www.ncbi.nlm.nih.gov/pubmed/24312052
http://dx.doi.org/10.3389/fphar.2013.00135
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author Simon, Judit
author_facet Simon, Judit
author_sort Simon, Judit
collection PubMed
description Introduction: Patient non-adherence to treatment is a major problem across most chronic diseases. In COPD and asthma treatments it is a complex issue because people need to make behavioral and lifestyle changes while taking medications. Poor adherence results in increased rates of morbidity and mortality, more frequent hospitalizations, and ultimately higher healthcare expenditures. Materials and methods: The objective of the study was to assess asthmatic and COPD patient's attitudes toward adherence in Hungary. Health Belief Model was used to help explain reasons of non-adherence. The results of the study should provide additional support to understanding health-related behaviors and to developing health related programs enhancing adherence of asthmatic and COPD patients. 145 diagnosed COPD patients and 161 diagnosed asthmatic patients were involved in 6 pulmonary centers. The questions were designed to measure Health Belief Model dimensions A 1–5 point verbal Likert scale was used. As a second stage, the answers were compared with the registered patient's personal health data available in pulmonary center's documentation. The data was analyzed using SPSS software. Results: More than 32% of patients are very interested in new asthma or COPD research results, but their main information source is physician. The trust toward the physician is very high. Patients accept treatments and rarely ask questions. Respondents are cooperative but sometimes fail to follow therapeutic recommendations. There is no willingness to join self-help groups or associations. Discussion: The paternalistic approach was generally accepted, moreover expected by the patients from the physicians. It is important to train patients, increase their self-efficacy, responsibility and involve them into self-management programs. Both physicians and patients should be trained how to communicate—this approach can lead to increased understanding and better adherence.
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spelling pubmed-38260762013-12-05 Attitudes of Hungarian asthmatic and COPD patients affecting disease control: empirical research based on Health Belief Model Simon, Judit Front Pharmacol Pharmacology Introduction: Patient non-adherence to treatment is a major problem across most chronic diseases. In COPD and asthma treatments it is a complex issue because people need to make behavioral and lifestyle changes while taking medications. Poor adherence results in increased rates of morbidity and mortality, more frequent hospitalizations, and ultimately higher healthcare expenditures. Materials and methods: The objective of the study was to assess asthmatic and COPD patient's attitudes toward adherence in Hungary. Health Belief Model was used to help explain reasons of non-adherence. The results of the study should provide additional support to understanding health-related behaviors and to developing health related programs enhancing adherence of asthmatic and COPD patients. 145 diagnosed COPD patients and 161 diagnosed asthmatic patients were involved in 6 pulmonary centers. The questions were designed to measure Health Belief Model dimensions A 1–5 point verbal Likert scale was used. As a second stage, the answers were compared with the registered patient's personal health data available in pulmonary center's documentation. The data was analyzed using SPSS software. Results: More than 32% of patients are very interested in new asthma or COPD research results, but their main information source is physician. The trust toward the physician is very high. Patients accept treatments and rarely ask questions. Respondents are cooperative but sometimes fail to follow therapeutic recommendations. There is no willingness to join self-help groups or associations. Discussion: The paternalistic approach was generally accepted, moreover expected by the patients from the physicians. It is important to train patients, increase their self-efficacy, responsibility and involve them into self-management programs. Both physicians and patients should be trained how to communicate—this approach can lead to increased understanding and better adherence. Frontiers Media S.A. 2013-11-13 /pmc/articles/PMC3826076/ /pubmed/24312052 http://dx.doi.org/10.3389/fphar.2013.00135 Text en Copyright © 2013 Simon. http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pharmacology
Simon, Judit
Attitudes of Hungarian asthmatic and COPD patients affecting disease control: empirical research based on Health Belief Model
title Attitudes of Hungarian asthmatic and COPD patients affecting disease control: empirical research based on Health Belief Model
title_full Attitudes of Hungarian asthmatic and COPD patients affecting disease control: empirical research based on Health Belief Model
title_fullStr Attitudes of Hungarian asthmatic and COPD patients affecting disease control: empirical research based on Health Belief Model
title_full_unstemmed Attitudes of Hungarian asthmatic and COPD patients affecting disease control: empirical research based on Health Belief Model
title_short Attitudes of Hungarian asthmatic and COPD patients affecting disease control: empirical research based on Health Belief Model
title_sort attitudes of hungarian asthmatic and copd patients affecting disease control: empirical research based on health belief model
topic Pharmacology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826076/
https://www.ncbi.nlm.nih.gov/pubmed/24312052
http://dx.doi.org/10.3389/fphar.2013.00135
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