الفهرس 
Chronic Obstructive Pulmonary Disease (COPD)
Bronchial AsthmaOnly 14 pages are availabe for public view
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Abstract
Adherence to treatment is one of the most important factors that
guarantee the success of the asthma and COPD treatment.4
Also patient satisfaction is an important measure that should be
included in healthcare evaluations, it is important to know how patients
feel about treatment regimens; such information may assist the definition
of optimal medical care for the patients.60
This present study was conducted on (487) patients at Sadr
Elabbassia Chest Hospital from April 2014 till March 2015, COPD
patients were (238) and were diagnosed according to GOLD 2014
guidelines7, while asthmatic patients were (249) and diagnosed according
to GINA 2014 guidelines26, This study was done to evaluate medication
adherence and treatment satisfaction.
Evaluation of medication adherence among these patients was
done by the application of validated Arabic version of Morisky
medication adherence scale (MMAS) and treatment satisfaction by
Treatment Satisfaction Questionnaire Medication (TSQM1.4).
from the present study, the following results were obtained:
1-COPD patients were less adherent to their medications than asthmatics.
2-Effectiveness of treatment, side effects of medication as well as global
satisfaction were significantly lower among COPD patients in
comparison to asthmatics.
3-COPD patients with recurrent hospital admission were significantly
more adherent to medications, whereas the treatment satisfaction
among COPD patients and asthmatics as well as the adherence to medications didn’t differ significantly between those with recurrent
and non recurrent hospital admission.
4-Asthmatics with no co-morbidity were more adherent and satisfied with
their medications than those with co-morbid medical conditions.
5-Comorbidity among COPD patients didn’t affect the treatment
adherence nor the satisfaction with their medications.
6-Asthmatics with subjective treatment regularity were more satisfied
with their medications than those with subjective treatment
regularity.
7-Subjective treatment regularity didn’t affect the treatment adherence
nor the satisfaction with medications among COPD patients.
8-COPD patients who were subjectively satisfied with their medications
were more adherent to their treatment, whereas the subjective
treatment satisfaction didn’t affect the adherence to medications
among asthmatic patients.
9-In COPD group:
- There were significant positive correlations between TSQM
effectiveness and TSQM Side effects, TSQM Convenience, TSQM
Global satisfaction, MMAS Total subscales, age and general
medication duration.
-There was negative correlation between TSQM effectiveness with
current medication duration.-There were significant positive correlations between TSQM-Side
effect, TSQM-Convenience, TSQM- Global satisfaction, MMAS
Total subscales and FEV1/ FVC%.
- There were significant positive correlations between TSQMConvenience and TSQM- Global satisfaction and MMAS Total
subscales.
-There were negative correlations between TSQM- Convenience and
duration of current medication and FEV1/ FVC%.
- There was significant positive correlation between TSQM-Global
and MMAS total subscales.
- There was negative correlation between TSQM-Global satisfaction
and duration of current medications.
-There were significant negative correlations between total MMAS
and cigarette smoking index & FEV1/ FVC.
10- In asthma group there were significant positive correlations between
all TSQM subscales and MMAS subscales as well as between
TSQM subscales.
11-MMAS scale was chiefly affected by TSQM convenience, urban
residence and male sex among COPD patients while it was affected
by TSQM convenience only among asthmatics.
12-TSQM global satisfaction was chiefly affected positively by TSQM
effectiveness, but was affected negatively by FEV1/FVC % and age
among COPD patients and among asthmatics global satisfaction
was affected positively by of TSQM effectiveness, and negatively
affected by FEV1/FVC % and long duration of Chest medication.13-TSQM convenience was chiefly affected positively by TSQM
effectiveness, age, male sex, FEV1/FVC % and urban residence,
and affected negatively by long duration of Chest Medication
among COPD patients, while among asthmatics convenience was
affected positively by TSQM effectiveness, male sex and
FEV1/FVC%.
14-TSQM side effects were chiefly affected positively by TSQM
effectiveness score and FEV1/FVC among COPD patients, among
asthmatics side effects were affected positively by TSQM
effectiveness, male sex, urban residence and FEV1/FVC%.
15-TSQM effectiveness was chiefly affected positively by age, male sex,
urban residence and FEV1/FVC %, while effectiveness was
affected negatively by long duration of chest medication among
COPD patients, among asthmatics effectiveness was affected
positively by age, male sex, urban residence and FEV1/FVC %.
from the present study it is concluded that:
1-Treatment satisfaction and medication adherence must be considered in
management of asthma and COPD, they guarantee good control of
the diseases.2-Medication adherence and treatment satisfaction are closely related and
complementary to each other.
3-MMAS and TSQM are validated and reliable questionnaires that can be
used by health care providers to evaluate adherence and
satisfaction of the patients.
4-Many factors affect medication adherence and satisfaction of the
patients which must be considered by health care providers in
attempt to solve the reversible factors.