15. Bước đầu đánh giá hiệu quả sử dụng tin nhắn điện thoại trong hỗ trợ tuân thủ và cải thiện hiệu quả điều trị ở bệnh nhân bệnh phổi tắc nghẽn mạn tính

Abstract

A randomized controlled trial was conducted from September 2020 to October 2021 at the National Geriatric Hospital and Dong Da General Hospital, Ha Noi. Outpatients having chronic obstructive pulmonary disease (COPD) with moderate/poor drug adherence according to the Morisky scale (≤ 7 points) were enrolled in the study. The study population was randomly assigned to two groups: (1) The intervention group received standard treatment, monthly re-examination, weekly text messages to remind medication adherence and to provide information to patients; (2) The Control group received standard treatment. The follow-up period was 6 months. A total of 130 patients was recruited in the study. Intervention using text messages significantly increased adherence to COPD treatment in the intervention group (Morisky score was increased from 5.7 to 7.2) in compared with the control group (Morisky score was decreased). Additionally, in the intervention group, the clinical manifestations of the disease, assessed by the MMRC (1.7 scores at T0 to 1.5 scores at T6, p < 0.05) scale and the CAT (17.8 scores at T0 to 14.8 scores at T6, p < 0.001) scale also showed improvement with intervention. After six months, weekly text messages had marked effect on the patient's compliance with COPD treatment and clinical status. This technology support should be applied in clinical practice to improve patient adherence to treatment.