Ruffin R E, Wilson D, Southcott A M, Smith B, Adams R J
Queen Elizabeth Hospital, Adelaide, SA.
Med J Aust. 1999 Oct 4;171(7):348-51. doi: 10.5694/j.1326-5377.1999.tb123690.x.
To examine the relationships between ownership of written asthma action plans, asthma morbidity, use of devices, and patients' perceptions of their asthma management.
A random population survey (in 1996) of the South Australian population aged 15 years or over, using interviewers to administer a questionnaire.
People who reported that they had current, doctor-diagnosed asthma.
Prevalence of written asthma action plans; night-time awakenings from asthma; ownership of peak flow meters; and people's perceptions of their asthma management.
The ownership of asthma action plans by people with self-reported asthma was 33% and has declined since 1995 (42%; P < 0.001). Fifteen per cent were awakened weekly or more frequently by asthma symptoms. These people were more likely to have a peak flow meter and a written action plan, but less likely to consider they had been provided with enough information about their asthma, to feel comfortable managing their asthma, or to find it easy to see their doctor. Having a written asthma action plan was associated with regular corticosteroid use, understanding asthma, having enough information and owning a peak flow meter.
Ownership of asthma action plans in South Australia is suboptimal. Before we develop new strategies to improve asthma outcomes, we must determine whether there is a need to target people with less severe asthma and/or improve the use of guidelines by health professionals.
研究书面哮喘行动计划的拥有情况、哮喘发病率、设备使用情况以及患者对其哮喘管理的认知之间的关系。
1996年对南澳大利亚15岁及以上人群进行随机人口调查，由访员发放问卷。
报告患有当前经医生诊断的哮喘的人群。
书面哮喘行动计划的患病率；因哮喘夜间醒来的情况；峰流速仪的拥有情况；以及人们对其哮喘管理的认知。
自我报告患有哮喘的人群中，哮喘行动计划的拥有率为33%，自1995年以来有所下降（1995年为42%；P<0.001）。15%的人每周或更频繁地因哮喘症状醒来。这些人更有可能拥有峰流速仪和书面行动计划，但不太可能认为自己获得了足够的哮喘相关信息，不太可能对管理哮喘感到安心，也不太容易看医生。拥有书面哮喘行动计划与经常使用皮质类固醇、了解哮喘、获得足够信息以及拥有峰流速仪有关。
南澳大利亚哮喘行动计划的拥有率不理想。在制定改善哮喘治疗效果的新策略之前，我们必须确定是否有必要针对病情较轻的哮喘患者，和/或提高卫生专业人员对指南的应用。
