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Assessment of knowledge, attitude, practice and medication adherence among asthmatics at pre and post counselling
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| Author:
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ASHNA ABY, AISWARYA MANGALATH SIVAKUMAR, KRISHNAVENI KANDASAMY, SHANMUGASUNDARAM RAJAGOPAL, SAMBATHKUMAR RAMANATHAN
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| Abstract:
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Background: Poor adherence has been associated with outcomes like mortality, asthma symptoms, direct and indirect costs of care and quality of life.
Methods: This is a randomized control study conducted in an outpatient setting in the pulmonology department of a tertiary health care hospital. Face-to-face interview with the patients was conducted by issuing questionnaires for assessing the knowledge, attitude, practice and medication adher¬ence (Morisky 4-items medication adherence scale) towards their disease and treatment. Factors affecting non adherence was identified.
Results: 96 asthma patients were analyzed for this study. Among them, 46(48%) were males and 50(52%) were females. The knowledge of asthma patients at baseline and after counselling follow up were statistically significant with a p value <0.001 and the score ranges from 4.29±1.679 to 6.61±1.251. Most patients have a moderate attitude at baseline and after counselling session patients developed a positive attitude towards their disease. The patients started proper practice towards their disease after counselling, scores at baseline and after follow up ranges from 2.64±.985 to 4.08±.829 which was statistically significant. The mean adherence score changed from 1.01±1.061 at baseline to 4.66±1.045 after counselling. After the counselling session, 30(32%) patients have high adherence, 61(65%) have medium adherence and 3(3%) have low adherence levels.
Conclusion: The present study established that at pre counselling, patient specific knowledge on asthma is low, patients had moderate attitude towards their disease and poor practice towards disease. Significant changes in the results after post counselling session in KAP as well as adherence levels were obtained.
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| Keyword:
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Bronchial asthma, Compliance, Non-adherence, Attitude
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.03.177
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| Download:
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