Asian Journal of Nursing Education and Research

Abstract

Background: COPD is currently the fifth-leading cause of global mortality and a major public health problem in both developed and developing countries. By the year 2020, COPD is expected to become the third-most-common cause of death in the world and the fifth-leading cause of disease burden. As with all chronic diseases, non-adherence in patients with COPD is common and contributes to adverse health outcomes, reduced quality of life and increased healthcare expenditures. The evidence base for adherence to therapy in chronic obstructive pulmonary disease patients is very thin. The limited data available suggest that, as in other chronic diseases, adherence is often poor, and this has a negative influence on outcomes. Objectives: To measure the adherence level of COPD patients to respiratory drug therapy. To find out the association of adherence of COPD patients with selected demographic variables. Method: The study design was descriptive survey design. The purposive sampling technique was used to draw 50 patients as samples. Data was collected by administering the medication adherence rating scale to assess the adherence. Results: The result shows that majority 40 (80%) of patients are non adherent to the respiratory drug therapy and only 10 (20%) of patients are adherent to the drug therapy. there is no association between the adherence to respiratory therapy and the selected demographic variables like age, sex, education, diagnosed to have COPD since, habits and significant association between the occupation (χ²=18.889,p<0.05) and the adherence level of COPD patients to respiratory drug therapy.

Interpretation and conclusion: The findings of the study showed that majority of patients are non adherent to respiratory drug therapy.

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Abstract

Background: Coronary heart disease is now the leading cause of mortality worldwide and accounts for the death of 3.8 million men and 3.4 million women each year. In developing countries, coronary artery diseases have been recognized as a major public health problem. The lack of knowledge regarding personal risk of CHD may impact decision-making regarding risk prevention, and this impact may be heightened among socio demographic groups under-educated on the risk and prevention of cardiovascular disease.

Objectives: To determine the knowledge of patient regarding coronary artery disease. To find out the relationship between knowledge level and selected demographic variables.

Method: The study design was descriptive survey design. The purposive sampling technique was used to draw 75 patients as samples. Data was collected by administering the CAD questionnaire to assess the knowledge.

Results: The result shows that there was significant relationship between knowledge level and age group, occupation, and education with odds ratio [95% confidence interval], age group between 25-35 years have OR 1.632 (0.208 ,1.934), age group of 36-45 years OR 1.325 (0.352 , 4.989) (verses age group of 46-55 years)and Pre university OR 1.442 (0.423,4.91) Diploma OR 1.02 (0.287,3.489), Private employee OR 1.513 (0.136, 1.939), Govt.employee OR 1.418(0.083, 2.114). But there was no significant relationship between knowledge level and religion, any related diseases and when was diagnosed to have CAD.

Interpretation and conclusion: The findings of the study showed that patients have moderate level of knowledge regarding CAD.

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