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Determinants of non-adherence to inhaled steroids in adult asthmatic patients on follow up in referral hospital, Ethiopia: cross-sectional study

BACKGROUND: Asthma is one of the major non-communicable diseases worldwide. The prevalence of asthma has continuously increased over the last five decades, resulting in 235 million people suffering from it. One of the main challenges in asthma control is adherence to pharmaceutical treatment (4) and...

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Autores principales: Kebede, Bezie, Mamo, Girma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937669/
https://www.ncbi.nlm.nih.gov/pubmed/31893127
http://dx.doi.org/10.1186/s40733-019-0053-1
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author Kebede, Bezie
Mamo, Girma
author_facet Kebede, Bezie
Mamo, Girma
author_sort Kebede, Bezie
collection PubMed
description BACKGROUND: Asthma is one of the major non-communicable diseases worldwide. The prevalence of asthma has continuously increased over the last five decades, resulting in 235 million people suffering from it. One of the main challenges in asthma control is adherence to pharmaceutical treatment (4) and leads to poor outcome and increases the economic and clinical burden. Non-adherence could be intentional or non-intentional. OBJECTIVE: To identify the determinants of inhaled steroid adherence among adult asthmatic patients. SETTING: The study was done in Jimma university medical center (JUMC) from March–August 22/2018. METHOD: Cross-sectional observational study was conducted. Patient assessment was conducted (patient demography, inhalation technique, adherence, and asthma control status). Independent predictors of outcome identified and strength of association between dependent and independent variables determined by using binary logistic regression and statistical significance was considered at p < 0.05. Before computing binary logistic regression analysis, the presence of colinearity between independent factor and model fitness was checked. RESULTS: One hundred forty patients were included in the analysis. Substantial number of patients 53(37.9, 95%CI: 30–45) were non-adherent. Patient experience of previous adverse drug reaction (p = 0.011), educational status (p = 0.02), patient knowledge status (p = 0.028), previous education (p = 0.0001) and co-morbidity (p = 0.031) were significantly associated with adherence. CONCLUSIONS: The rate of non-adherence to inhalational anti-asthmatics is high and different factors contributed. The health care provider should try to counsel patients about the effect of non-adherence on asthma control. Reassurance concerning adverse drug reactions should be an integral part of patient counseling.
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spelling pubmed-69376692019-12-31 Determinants of non-adherence to inhaled steroids in adult asthmatic patients on follow up in referral hospital, Ethiopia: cross-sectional study Kebede, Bezie Mamo, Girma Asthma Res Pract Research BACKGROUND: Asthma is one of the major non-communicable diseases worldwide. The prevalence of asthma has continuously increased over the last five decades, resulting in 235 million people suffering from it. One of the main challenges in asthma control is adherence to pharmaceutical treatment (4) and leads to poor outcome and increases the economic and clinical burden. Non-adherence could be intentional or non-intentional. OBJECTIVE: To identify the determinants of inhaled steroid adherence among adult asthmatic patients. SETTING: The study was done in Jimma university medical center (JUMC) from March–August 22/2018. METHOD: Cross-sectional observational study was conducted. Patient assessment was conducted (patient demography, inhalation technique, adherence, and asthma control status). Independent predictors of outcome identified and strength of association between dependent and independent variables determined by using binary logistic regression and statistical significance was considered at p < 0.05. Before computing binary logistic regression analysis, the presence of colinearity between independent factor and model fitness was checked. RESULTS: One hundred forty patients were included in the analysis. Substantial number of patients 53(37.9, 95%CI: 30–45) were non-adherent. Patient experience of previous adverse drug reaction (p = 0.011), educational status (p = 0.02), patient knowledge status (p = 0.028), previous education (p = 0.0001) and co-morbidity (p = 0.031) were significantly associated with adherence. CONCLUSIONS: The rate of non-adherence to inhalational anti-asthmatics is high and different factors contributed. The health care provider should try to counsel patients about the effect of non-adherence on asthma control. Reassurance concerning adverse drug reactions should be an integral part of patient counseling. BioMed Central 2019-12-30 /pmc/articles/PMC6937669/ /pubmed/31893127 http://dx.doi.org/10.1186/s40733-019-0053-1 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Kebede, Bezie
Mamo, Girma
Determinants of non-adherence to inhaled steroids in adult asthmatic patients on follow up in referral hospital, Ethiopia: cross-sectional study
title Determinants of non-adherence to inhaled steroids in adult asthmatic patients on follow up in referral hospital, Ethiopia: cross-sectional study
title_full Determinants of non-adherence to inhaled steroids in adult asthmatic patients on follow up in referral hospital, Ethiopia: cross-sectional study
title_fullStr Determinants of non-adherence to inhaled steroids in adult asthmatic patients on follow up in referral hospital, Ethiopia: cross-sectional study
title_full_unstemmed Determinants of non-adherence to inhaled steroids in adult asthmatic patients on follow up in referral hospital, Ethiopia: cross-sectional study
title_short Determinants of non-adherence to inhaled steroids in adult asthmatic patients on follow up in referral hospital, Ethiopia: cross-sectional study
title_sort determinants of non-adherence to inhaled steroids in adult asthmatic patients on follow up in referral hospital, ethiopia: cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937669/
https://www.ncbi.nlm.nih.gov/pubmed/31893127
http://dx.doi.org/10.1186/s40733-019-0053-1
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