Treatment compliance of elderly patients with chronic obstructive pulmonary disease

Aim. To study the compliance in patients with chronic obstructive pulmonary disease. Methods. The study included 95 in-patients of pulmonology unit with exacerbation of chronic obstructive pulmonary disease, in whom Morisky-Green questionnaire and interviews using modernized questionnaires were used to assess patients’ compliance. Results. The willingness to cooperate with a doctor was shown by 57.9% of patients, and 42.1% showed low motivation. An average compliance index was 2.44±0.16. The number of non-compliant males (61.4%) was 2.4 times higher compared to females (25.5%). Treatment compliance was associated with lower education level: good compliance was shown by 75.0% of patients with secondary education, 63.5% with special secondary education, and only by 50% of patients with higher education. However, among compliant patients with higher education, only 73.3% of patients had partial compliance, compared to 57.6% with special secondary education and 100% - with secondary education. Adherence to treatment in male smokers was 1.6 times lower compared to non-smokers. Patients often associated the omissions of taking medicine with forgetfulness in 37.9% of cases, with inattentive attitude to themselves in 22.1%, with fear of toxic and side effects and the desire to «rest» from treatment in 14.7% of cases. Conclusion. Higher compliance is typical for women more than men; for non-smoker males than smokers. Patients with specialized secondary education showed highest compliance.

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P209 Impact of Patient Satisfaction with Their Maintenance Inhaler on Treatment Compliance and Health Outcomes in Chronic Obstructive Pulmonary Disease: An Analysis of Real-World Clinical Practise in Europe: Abstract P209 Table 1

Thorax ◽

10.1136/thoraxjnl-2012-202678.270 ◽

2012 ◽

Vol 67 (Suppl 2) ◽

pp. A155.2-A155 ◽

Cited By ~ 1

Author(s):

H Chrystyn ◽

M Small ◽

G Milligan ◽

V Higgins ◽

E Garcia Gil ◽

...

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Patient Satisfaction ◽

Health Outcomes ◽

Pulmonary Disease ◽

Real World ◽

Treatment Compliance ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Clinical Practise

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Oral and Oropharyngeal Sensory Function in Adults With Chronic Obstructive Pulmonary Disease

American Journal of Speech-Language Pathology ◽

10.1044/2019_ajslp-19-00095 ◽

2020 ◽

Vol 29 (2) ◽

pp. 864-872

Author(s):

Fernanda Borowsky da Rosa ◽

Adriane Schmidt Pasqualoto ◽

Catriona M. Steele ◽

Renata Mancopes

Keyword(s):

Chronic Obstructive Pulmonary Disease ◽

Oral Cavity ◽

Pulmonary Disease ◽

Thermal Sensation ◽

Sensory Function ◽

Control Group ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Age Related ◽

Copd Patients

Introduction The oral cavity and pharynx have a rich sensory system composed of specialized receptors. The integrity of oropharyngeal sensation is thought to be fundamental for safe and efficient swallowing. Chronic obstructive pulmonary disease (COPD) patients are at risk for oropharyngeal sensory impairment due to frequent use of inhaled medications and comorbidities including gastroesophageal reflux disease. Objective This study aimed to describe and compare oral and oropharyngeal sensory function measured using noninstrumental clinical methods in adults with COPD and healthy controls. Method Participants included 27 adults (18 men, nine women) with a diagnosis of COPD and a mean age of 66.56 years ( SD = 8.68). The control group comprised 11 healthy adults (five men, six women) with a mean age of 60.09 years ( SD = 11.57). Spirometry measures confirmed reduced functional expiratory volumes (% predicted) in the COPD patients compared to the control participants. All participants completed a case history interview and underwent clinical evaluation of oral and oropharyngeal sensation by a speech-language pathologist. The sensory evaluation explored the detection of tactile and temperature stimuli delivered by cotton swab to six locations in the oral cavity and two in the oropharynx as well as identification of the taste of stimuli administered in 5-ml boluses to the mouth. Analyses explored the frequencies of accurate responses regarding stimulus location, temperature and taste between groups, and between age groups (“≤ 65 years” and “> 65 years”) within the COPD cohort. Results We found significantly higher frequencies of reported use of inhaled medications ( p < .001) and xerostomia ( p = .003) in the COPD cohort. Oral cavity thermal sensation ( p = .009) was reduced in the COPD participants, and a significant age-related decline in gustatory sensation was found in the COPD group ( p = .018). Conclusion This study found that most of the measures of oral and oropharyngeal sensation remained intact in the COPD group. Oral thermal sensation was impaired in individuals with COPD, and reduced gustatory sensation was observed in the older COPD participants. Possible links between these results and the use of inhaled medication by individuals with COPD are discussed.

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