Impact of patient compliance with inhaler therapy on chronic obstructive pulmonary disease severity: a rural tertiary care perspective

Abstract Background Inhaled medications have been the cornerstone of treatment for the exacerbations as well as stable chronic obstructive pulmonary disease (COPD) which is one of the leading cause of deaths in the recent times. Inadequate knowledge on handling of inhalers leads to noncompliance whi...

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Main Authors: Nandakishore K. S., Preethiraj Ballal, Anirudha Katipalla, Shruthi Rai P., Supreetha T., Dixith T., Sanjay Srinivas, Shree Dhanusha, Pramod Pujar, Sushmitha Sudeesh, Vignesh T. M.
Format: Article
Language:English
Published: SpringerOpen 2025-02-01
Series:The Egyptian Journal of Internal Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43162-025-00417-w
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author Nandakishore K. S.
Preethiraj Ballal
Anirudha Katipalla
Shruthi Rai P.
Supreetha T.
Dixith T.
Sanjay Srinivas
Shree Dhanusha
Pramod Pujar
Sushmitha Sudeesh
Vignesh T. M.
author_facet Nandakishore K. S.
Preethiraj Ballal
Anirudha Katipalla
Shruthi Rai P.
Supreetha T.
Dixith T.
Sanjay Srinivas
Shree Dhanusha
Pramod Pujar
Sushmitha Sudeesh
Vignesh T. M.
author_sort Nandakishore K. S.
collection DOAJ
description Abstract Background Inhaled medications have been the cornerstone of treatment for the exacerbations as well as stable chronic obstructive pulmonary disease (COPD) which is one of the leading cause of deaths in the recent times. Inadequate knowledge on handling of inhalers leads to noncompliance which in turn results in increased hospital visits limelighting the negative impact on the morbidity status. The aim of our study was to assess the compliance of inhalers and to correlate the level of compliance to the morbidity of COPD as assessed by number of hospital visits. Methods In our cross-sectional observational study conducted in the rural medical college hospital in Dakshina Kannada of Karnataka, 69 subjects with COPD were evaluated for the compliance of inhaler usage, and the morbidity related to the disease was assessed with number of hospital visits in the past 6 months. Appropriate statistical analysis was used in evaluation. Results Out of 69 patients, 24 patients visited the health care facility at least 3 times or more. Of these 24 patients, 20 (83.33%) of them were not compliant with inhalers. Among the 45 patients who visited the health care facility less than 2 times, 28 (62.22%) patients were compliant with inhalers. This relationship was found to be statistically significant proving that the higher the number of visits, the lesser the compliance and vice versa. Conclusions Our study highlights the importance of patient education about compliance to inhalers which is an economical and effective modality which has significant impact on reduction of exacerbations and morbidity.
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spelling doaj-art-f6a8c2c41923498faa657bc2c0beca112025-02-09T12:55:12ZengSpringerOpenThe Egyptian Journal of Internal Medicine2090-90982025-02-013711510.1186/s43162-025-00417-wImpact of patient compliance with inhaler therapy on chronic obstructive pulmonary disease severity: a rural tertiary care perspectiveNandakishore K. S.0Preethiraj Ballal1Anirudha Katipalla2Shruthi Rai P.3Supreetha T.4Dixith T.5Sanjay Srinivas6Shree Dhanusha7Pramod Pujar8Sushmitha Sudeesh9Vignesh T. M.10KVG Medical College & HospitalKVG Medical College & HospitalKVG Medical College & HospitalKVG Medical College & HospitalKVG Medical College & HospitalKVG Medical College & HospitalKVG Medical College & HospitalKVG Medical College & HospitalKVG Medical College & HospitalKVG Medical College & HospitalKVG Medical College & HospitalAbstract Background Inhaled medications have been the cornerstone of treatment for the exacerbations as well as stable chronic obstructive pulmonary disease (COPD) which is one of the leading cause of deaths in the recent times. Inadequate knowledge on handling of inhalers leads to noncompliance which in turn results in increased hospital visits limelighting the negative impact on the morbidity status. The aim of our study was to assess the compliance of inhalers and to correlate the level of compliance to the morbidity of COPD as assessed by number of hospital visits. Methods In our cross-sectional observational study conducted in the rural medical college hospital in Dakshina Kannada of Karnataka, 69 subjects with COPD were evaluated for the compliance of inhaler usage, and the morbidity related to the disease was assessed with number of hospital visits in the past 6 months. Appropriate statistical analysis was used in evaluation. Results Out of 69 patients, 24 patients visited the health care facility at least 3 times or more. Of these 24 patients, 20 (83.33%) of them were not compliant with inhalers. Among the 45 patients who visited the health care facility less than 2 times, 28 (62.22%) patients were compliant with inhalers. This relationship was found to be statistically significant proving that the higher the number of visits, the lesser the compliance and vice versa. Conclusions Our study highlights the importance of patient education about compliance to inhalers which is an economical and effective modality which has significant impact on reduction of exacerbations and morbidity.https://doi.org/10.1186/s43162-025-00417-wCOPDComplianceInhalersExacerbationsMorbidity
spellingShingle Nandakishore K. S.
Preethiraj Ballal
Anirudha Katipalla
Shruthi Rai P.
Supreetha T.
Dixith T.
Sanjay Srinivas
Shree Dhanusha
Pramod Pujar
Sushmitha Sudeesh
Vignesh T. M.
Impact of patient compliance with inhaler therapy on chronic obstructive pulmonary disease severity: a rural tertiary care perspective
The Egyptian Journal of Internal Medicine
COPD
Compliance
Inhalers
Exacerbations
Morbidity
title Impact of patient compliance with inhaler therapy on chronic obstructive pulmonary disease severity: a rural tertiary care perspective
title_full Impact of patient compliance with inhaler therapy on chronic obstructive pulmonary disease severity: a rural tertiary care perspective
title_fullStr Impact of patient compliance with inhaler therapy on chronic obstructive pulmonary disease severity: a rural tertiary care perspective
title_full_unstemmed Impact of patient compliance with inhaler therapy on chronic obstructive pulmonary disease severity: a rural tertiary care perspective
title_short Impact of patient compliance with inhaler therapy on chronic obstructive pulmonary disease severity: a rural tertiary care perspective
title_sort impact of patient compliance with inhaler therapy on chronic obstructive pulmonary disease severity a rural tertiary care perspective
topic COPD
Compliance
Inhalers
Exacerbations
Morbidity
url https://doi.org/10.1186/s43162-025-00417-w
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