QUALITY OF LIFE AND ADHERENCE TO THERAPY AT SEVERE BRONCHIAL ASTHMA
https://doi.org/10.36604/1998-5029-2019-74-34-39
Abstract
Aim. To study indicators of quality of life and adherence to treatment of patients with severe bronchial
asthma. Materials and methods. The study included 120 patients with severe bronchial asthma with uncontrolled course of the disease, taking basic anti-inflammatory therapy. Adherence to the therapy was assessed using a modified MoriskyGreen questionnaire and a questionnaire «Test of the Adherence to Inhalers – TAI». The quality of life was assessed using an AQLQ questionnaire. Results. The study showed: according to the Morisky–Green adherence questionnaire in patients with severe asthma there was low intentional adherence to the basic anti-inflammatory therapy, which is formed mainly due to the missing of the drug in good health inattention to the clock medication and skipping of the medication. According
to the questionnaire «Test of the Adherence to Inhalers» it was found out that most patients are committed to therapy and ere was no unintentional non-commitment to the doctor’s therapy. Conclusion. In assessing the quality of life of patients with severe bronchial asthma it was revealed that the greatest impact asthma symptoms have on the emotional state, daily activity of the patient and the overall quality of life.
asthma. Materials and methods. The study included 120 patients with severe bronchial asthma with uncontrolled course of the disease, taking basic anti-inflammatory therapy. Adherence to the therapy was assessed using a modified MoriskyGreen questionnaire and a questionnaire «Test of the Adherence to Inhalers – TAI». The quality of life was assessed using an AQLQ questionnaire. Results. The study showed: according to the Morisky–Green adherence questionnaire in patients with severe asthma there was low intentional adherence to the basic anti-inflammatory therapy, which is formed mainly due to the missing of the drug in good health inattention to the clock medication and skipping of the medication. According
to the questionnaire «Test of the Adherence to Inhalers» it was found out that most patients are committed to therapy and ere was no unintentional non-commitment to the doctor’s therapy. Conclusion. In assessing the quality of life of patients with severe bronchial asthma it was revealed that the greatest impact asthma symptoms have on the emotional state, daily activity of the patient and the overall quality of life.
About the Authors
E. A. Sobko
Krasnoyarsk State Medical University;
Krasnoyarsk Regional Clinical Hospital
Russian Federation
Russian Federation
MD, PhD, D.Sc. (Med.), Professor of Department of Internal Medicine and Immunology with Postgraduate Education Course, Head of Department of Allergology
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
3a Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
I. V. Demko
Krasnoyarsk State Medical University,
Krasnoyarsk Regional Clinical Hospital
Russian Federation
Russian Federation
MD, PhD, D.Sc. (Med.), Professor, Head of Department
of Internal Medicine and Immunology with Postgraduate Education
Course; Head of Pulmonary Allergology Сenter
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
3a Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
A. Yu. Kraposhina
Krasnoyarsk State Medical University,
Krasnoyarsk Regional Clinical Hospital
Russian Federation
Russian Federation
MD, PhD (Med.), Associate Professor of Department of Internal Medicine and Immunology with Postgraduate Education Course, ; Pulmonologist
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
3a Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
S. A. Egorov
Krasnoyarsk State Medical University
Russian Federation
Russian Federation
MD, Assistant of of Department of Internal Medicine and Immunology with Postgraduate Education Course
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
O. P. Ischenko
Krasnoyarsk State Medical University,
Krasnoyarsk Regional Clinical Hospital
Russian Federation
Russian Federation
MD, PhD (Med.), Associate Professor of Department of Internal Medicine and Immunology with Postgraduate Education Course, ; Allergologist
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
3a Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
I. A. Soloveva
Krasnoyarsk State Medical University;
Krasnoyarsk Regional Clinical Hospital
Russian Federation
Russian Federation
MD, PhD, D.Sc. (Med.), Associate Professor of Department of Internal Medicine and Immunology with Postgraduate Education Course; Pulmonologist
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
3a Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
N. V. Gordeeva
Krasnoyarsk State Medical University,
Krasnoyarsk Regional Clinical Hospital
Russian Federation
Russian Federation
MD, PhD (Med.), Associate Professor of Department of Internal Medicine and Immunology with Postgraduate Education Course; Pulmonologist
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
3a Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
D. N. Okulova
Krasnoyarsk State Medical University
Russian Federation
Russian Federation
5th year Student of Medical Faculty
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
N. S. Smolnikov
Krasnoyarsk State Medical University
Russian Federation
Russian Federation
5th year Student of Medical Faculty
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
A. S. Deyhina
Krasnoyarsk State Medical University
Russian Federation
Russian Federation
6th year Student of Medical Faculty
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
A. V. Yankova
Krasnoyarsk State Medical University
Russian Federation
Russian Federation
6th year Student of Medical Faculty
1 Partizana Zheleznyaka Str., Krasnoyarsk, 660022, Russian Federation
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Review
For citations:
Sobko E.A., Demko I.V., Kraposhina A.Yu., Egorov S.A., Ischenko O.P., Soloveva I.A., Gordeeva N.V., Okulova D.N., Smolnikov N.S., Deyhina A.S., Yankova A.V. QUALITY OF LIFE AND ADHERENCE TO THERAPY AT SEVERE BRONCHIAL ASTHMA. Bulletin Physiology and Pathology of Respiration. 2019;(74):34-39. (In Russ.) https://doi.org/10.36604/1998-5029-2019-74-34-39
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