哮喘/慢性阻塞性肺疾病患者吸入剂用药依从性调查

Investigation on adherence to inhalants among patients with asthma or chronic obstructive pulmonary diseases

目的:了解哮喘及慢性阻塞性肺疾病(COPD)患者使用吸入剂用药依从性的现状,分析其影响因素,为对患者开展针对性的用药教育提供参考依据。方法:对121名使用吸入剂半年以上的患者采用统一的吸入剂依从性测试(TAI)问卷进行调查。结果:哮喘/COPD患者吸入剂用药依从性仅为19.83%,37.19%被调查者存在无意识的不依从;用药依从性主要受年龄、教育程度的影响。结论:哮喘及COPD患者吸入剂用药依从性较差,尤其是文化程度较低及老年患者,建议针对相应人群加强用药教育。

OBJECTIVE To investigate the status of inhalants use in asthma and chronic obstructive pulmonary diseases（ COPD）patients and analyze its influence factors,and then provide a reference for targeted drug education. METHODS Totally 121 patients on inhalants therapy for more than half a year were investigated by a unified test of the adherence to inhales（ TAI） questionnaire. RESULTS The degree of compliance with inhaled drug therapy in patients with asthma and COPD was only 19. 83 %,37. 19 % of the respondents showed unconscious non-compliance. Medication adherence was affected by age and education level. CONCLUSION The inhalation compliance is poor for asthma and COPD patients receiving inhaled drug therapy,especially in poorly educated and elderly patients. It is recommended to strengthen the usage education of inhalants in corresponding population.