Adherence to Asthma Control Measures Among Adults: An Assessment of Patient-Based Factors Among Patients in Mama Lucy Kibaki Hospital, Kenya

Hellen Kagwaini

Adherence to Asthma Control Measures Among Adults: An Assessment of Patient-Based Factors Among Patients in Mama Lucy Kibaki Hospital, Kenya

Keywords : asthma, control measures, patient-based


Abstract

Non-adherence to asthma control measures arises from different factors such as unintentional non-adherence whereby patients may be faced with financial constrains to purchase medications, inadequate environmental control measures, inadequate knowledge on asthma and poor techniques in using inhalers. Intentional non-adherence to asthma control measures arise from attitude and beliefs. This study assesses patient-based factors that influence adherence to asthma control measures in Mama Lucy Kibaki Hospital, Kenya. The target population was 132 patients registered and attending asthma clinic in Mama Lucy Kibaki Hospital, Kenya. A census was conducted so as to include all the patients in the study. Data was collected from the patient clinic-based adherence data for the past 12 weeks patients’ clinical encounters. The data was obtained from electronic data provided by the hospital administration and with the patients’ consent. A questionnaire was used to collect data on patients’ knowledge, attitude and perceptions. Data collected was entered in SPSS version 26 for analysis. The main finding of the study was that adherence to asthma control measures was not satisfactory. The Chi-square test also revealed that patient-based factors including attitude, knowledge, education, proper use of inhaler and cigarette smoking significantly influenced adherence to asthma control measures. Due to the knowledge gaps identified among the patients on asthma control measures the study recommends that government and non-government factors initiate education and awareness campaigns on asthma medication and other management measures so as to help in creating awareness and thus hasten adherence to asthma control measures.

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