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韩国依从性差的成年哮喘患者健康相关生活质量的影响因素。

Factors associated with health-related quality of life among low-compliant asthmatic adults in Korea.

作者信息

Choi Ja Yun, Hwang Seon Young

机构信息

Chonnam National University, Gwangju, South Korea.

出版信息

Res Nurs Health. 2009 Apr;32(2):140-7. doi: 10.1002/nur.20285.

Abstract

This cross-sectional descriptive study was conducted to identify the factors associated with health-related quality of life (HRQoL) in low-compliant Korean adults with asthma. The sample consisted of 178 patients referred by a physician to the education clinic at a University hospital in Korea. Stepwise multiple regression analysis revealed that previous hospital admissions, recent asthma-related symptoms within the previous week, lower peak expiratory flow rate, and lower level of asthma knowledge were independently associated with lower HRQoL and accounted for 46% of the total variance. Health care providers should focus on these factors to increase perceptions of HRQoL among low-compliant patients. Interventional strategies need to be developed to emphasize the importance of compliance to the self-monitoring regimen and management protocols.

摘要

本横断面描述性研究旨在确定韩国哮喘控制不佳的成年人中与健康相关生活质量(HRQoL)相关的因素。样本包括由医生转介至韩国一家大学医院教育诊所的178名患者。逐步多元回归分析显示,既往住院史、前一周内近期的哮喘相关症状、较低的呼气峰值流速以及较低的哮喘知识水平与较低的HRQoL独立相关,且占总方差的46%。医疗服务提供者应关注这些因素,以提高控制不佳患者对HRQoL的认知。需要制定干预策略,以强调遵守自我监测方案和管理协议的重要性。

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