Factores asociados a la adherencia de los inhaladores en pacientes con EPOC en los hospitales José Carrasco Arteaga y Vicente Corral Moscoso. Cuenca, 2018

Abstract

Introduction: adherence of medication in patients with COPD influences complications, exacerbations, hospitalizations and quality of life.

Objective: To determine the prevalence of adherence to treatment with inhalers in patients with COPD and associated factors.

Materials and methods: Observational, cross-sectional and analytical study in the period between January 2018 and October 2018. The sample was 299 patients calculated with 95% confidence, and with 23% frequency as a minor associated factor. The TAI Test was applied to measure adherence to inhalers. The data was collected through a questionnaire previously designed and validated by the author. The information was analyzed with the statistical software SPSS version 20.0. For the hypothesis test RP, IC95% and p-value <0.05 are applied.

Results: The prevalence of adherence to inhalers in patients with COPD was 40.5%. The average age of the group was 75.2 years. Of the population studied, 68.6% were male. A significant association was found between adherence and instruction (p value 0.001) as well as short - long anticholinergic (p: 0,00) polypharmacy (p: 0,00), continuing smoking (p: 0,00), frequency in the Use of the inhaler (p: 0.00)

Conclusions: The prevalence of adherence to inhalers in patients with COPD was 40.5% and had a positive, anticholinergic relation of short - long action, polypharmacy, continued smoking, frequency of inhaler use (p 0, 00)