Ana Sayfa | Dergi Hakkında | Yayın Kurulu | Bilimsel Danışma Kurulu | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | İletişim  
2017, Cilt 31, Sayı 3, Sayfa(lar) 125-133   
THE FREQUENCY AND REASONS OF TREATMENT NONADHERENCE IN PATIENTS WITH ASTHMA
Seçil KEPİL ÖZDEMİR, Selcan ÖZGÜÇLÜ
Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, İmmünoloji ve Allerji Birimi, Ankara, Türkiye
Keywords: Adherence, asthma, asthma treatment

Aim: An important reason for poor asthma control is nonadherence to treatment. The aim of this study was to explore treatment nonadherence rates and reasons in patients with asthma.

Material and Methods: The study included 103 patients with a diagnosis of asthma for at least three months, in whom regular controller treatment was recommended. Treatment adherence during the last three months was evaluated based on self-reports and pharmacy records. The status of receiving ≥80% of the required controller medication was classified as ‘‘complete adherence’’, while receiving <80% was classified as ‘‘ treatment nonadherence’’. In case of nonadherence the reasons were questioned.

Results: The frequency of treatment nonadherence based on patients self-reports and pharmacy records was 47.6% and 48.5%, respectively. When patients self-reports and pharmacy records were evaluated together, the frequency of treatment nonadherence was 56.3%. The most frequent reasons for treatment non-adherence were ‘‘I forget to take my medication’’ (43.1%), ‘‘I am afraid of medication side effects’’ (39.7%), and ‘‘I do not think that I should use regular medication’’ (29.3%). Intelligent nonadherence was detected in 75.9%, erratic nonadherence in 43.1%, and unwitting nonadherence in 22.4% of the nonadherent patients. Presence of atopic comorbid diseases and well control according to GINA criteria were more frequent in patients with good adherence compared to patients with nonadherence.

Conclusion: More than half of the patients with asthma show treatment nonadherence. Assessment of treatment adherence both by asking the patient and by an objective method like examining pharmacy records increases detection rates of treatment nonadherence.