Treatment Compliance of Patients Diagnosed With Chronic Obstructive Pulmonary Disease And Their Quality of Life After Follow-up: Evaluation Via Telemedicine
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 74
- 试验地点
- 2
- 主要终点
- Inhaler adherence
研究概览
简要总结
The Covid-19 pandemic has disrupted the follow-up and treatment processes for patients, and telemedicine has emerged as an important alternative method. Our aim was to test compare COPD Assessment Test (CAT) scores, inhaler treatment techniques and adherence between telemedicine-mediated healthcare and healthcare provided face-to-face.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who were diagnosed with COPD according to Global Initiative for Obstructive Lung Disease (GOLD)
- •GOLD spirometric grade 3-4
- •At least one hospital admission in the past year
- •Acceptable score on the Mini-Mental State Examination
- •Residing in Ankara
- •Patient or caregiver must understand the process and be able to provide clear information
- •Medical records and laboratory test results must be accessible to healthcare professionals
- •Patient must have access to prescribed medications
- •Comorbidities outside of the lungs are included
排除标准
- •Patients diagnosed with asthma
- •Patients with lung cancer
- •Patients with combined pulmonary fibrosis and emphysema
- •Patients with active infections such as pneumonia or COVID-19
- •Patients being followed for COPD without spirometry
- •Patients with low cognitive function as determined by the Mini-Mental State Examination
- •Patients who do not consent to participate in the study
- •Patients lacking adequate social support
- •Patients with COPD grade 1-2
- •Patients with no hospital admissions in the past year
- •Patients diagnosed with psychotic disorders
- •Patients residing outside of Ankara
- •Patients enrolled in inpatient or supervised outpatient rehabilitation programs
- •Patients unable to use telemedicine devices or without a caregiver to assist
- •Patients and caregivers having difficulty providing information
- •Patients without internet access or video call capabilities at home
结局指标
主要结局
Inhaler adherence
时间窗: 3 months
At the end of 3 months, inhaler adherence was compared. A 6-item Inhaler Adherence Scale (IAS) was used to evaluate inhaler treatment compliance. If the patient answered "yes" to even one of the items, they were deemed non-compliant. The questions: ''During the last 3 months; * have you at times been careless about using your inhaler or nebulizer?, * have you ever forgotten to use your inhaler or nebulizer? * have you ever stopped using your inhaler because you felt better? * have you ever stopped using your inhaler or nebulizer because you felt worse? * have you ever used your inhaler or nebulizer less than the doctor prescribed because you felt better? * have you ever used your inhaler or nebulizer more than the doctor prescribed because you felt you were having an attack?''.
次要结局
- COPD Assesment Test (CAT) score(3 months)
研究者
Zeynep Sena Doğan
MD
Gazi University