ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ NGOẠI TRÚ BỆNH NHÂN MẮC BỆNH PHỔI TẮC NGHẼN MẠN TÍNH TẠI ĐƠN VỊ QUẢN LÝ BỆNH PHỔI MẠN TÍNH BỆNH VIỆN PHỔI TỈNH PHÚ THỌ

Abstract

Objectives: To evaluate some results of outpatient treatment and factors related to medication adherence in patients with chronic obstructive pulmonary disease (COPD). Methods: A prospective, descriptive, longitudinal, and interventional study on 200 outpatients with COPD at the chronic lung disease management unit (CMU), Phu Tho Provincial Lung Hospital. The improvement of clinical and sub-clinical symptoms was assessed at 3 months compared with the initial time. Results: The mean age was 66 ± 9 years old. The male/female ratio was 5.89/1. Smoking was the most common risk factor, with 74%. After 3 months: GOLD 2 group reduced from 43% to 39%, and GOLD 3 reduced from 30% to 28.5% (p > 0.05); mMRC 2-4 reduced from 73.5% to 64% (p < 0.05); CAT ≥ 10 reduced from 49% to 45% (p > 0.05); BODE 7-10 points reduced from 13% to 10.5% (p > 0.05). Some factors associated with non-adherence to inhaled medication were lower education, lower BMI, higher mMRC score, higher CAT score, higher BODE score, lower FEV1, and lower FEV1/FVC at the initial time of study. Conclusion: After 3-month treatment, patients with COPD significantly reduced the severity of dyspnea; however, airway obstruction, CAT, and BODE scores were not significantly improved.