COMPLIANCE AND SUBJECTIVE SYMPTOMS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN PATIENTS WITH ALCOHOL DISEASE

Introduction. Chronic obstructive pulmonary disease (COPD) and alcohol disease submit a serious health- care problem due to their wide distribution and medical and social burden. Aim. The aim of the study was to reveal the impact of alcoholism on the level of COPD subjective symptoms in patients with different compliance. Material and methods. 147 men with COPD in the age of 40 – 88 years were examined. Spirometry criteria, mMRC, CAT, domestic questionnaire of adherence to therapy, 6-minutes walking tests were performed. The stage of alcohol disease was es- tablished. Results and discussion. We observed the trend to subjective COPD symptoms underestimation in patients with the II, III stages of alcohol disease. Alcohol disease performed no impact on subjective symptoms in patients with stages III, IV of COPD. The compliance level and subjective symptoms severity showed no interrelation in patients suffering from alcoholism. This emphasized the absent association between the high level of compliance and critical self-state perception in patients with concomitant diseases. Conclusion. The poor informativity of mMRC dyspnea scale and CAT-test was demonstrated in patients with mild and moderate COPD and severe alcoholism. The high level of compliance showed no impact on this tendency.