Adherence to Inhaled Corticosteroids among patients with asthma in the United Arab Emirates
摘要
Asthma is a severe health condition that causes hyperresponsiveness, blockage, and mucus production. Inhaled corticosteroids (ICS) are crucial in asthma therapy and suppress the activation of inflammatory mediators in airway epithelial cells. This study aimed to determine the relationship between ICS adherence and the likelihood of UAE patients with persistent asthma to attain controlled asthma status.
MethodsA cross-sectional online survey of UAE residents was conducted over one month. The relationships between variables were tested using Pearson’s chi-squared test, whereas the relationships between concerns about ICS side effects and the level of asthma control were tested using Pearson’s correlations. Research reliability was ensured by testing the feasibility of the study tool through a pilot test of 20 patients (≤ 10% of the sample size).
ResultsThe study revealed that 72% of the participants had poorly controlled asthma, 22% had well-controlled asthma, and only 6% were completely controlled. UAE nationals had superior asthma control levels than expatriates with UAE residency, while 46% of UAE nationals were provided with health care insurance coverage by the UAE government, but had poorly controlled asthma (62%). Patients with health insurance, higher education, and better self-education about asthma were identified as being completely and well-controlled.
ConclusionThis study found that better patient education and communication regarding their condition and related medications are essential for improving medication compliance. Knowing their patients’ living circumstances will help healthcare practitioners better assist their patients in self-managing challenging medication regimens.