Taytard A, Tessier J F, Gervais M, Gachie J P, Douet C, Kombou L, Vergeret J, Freour P
Service des Maladies Respiratoires, Hôpital du Haut-Lévêque, Centre Hospitalo-Universitaire de Bordeaux, Pessac, France.
Eur Respir J. 1990 Sep;3(8):856-60.
Until recently the medical management of asthmatic patients with respect to their socio-cultural environment had only been superficially studied. Four hundred and fifty eight adult asthmatics were identified through a two-stage questionnaire in two rural districts of south west France. The study has mainly demonstrated: 1) the large number of subjects experiencing more than one attack per week (33% in Gironde, 40% in Lot et Garonne); 2) the large number of subjects feeling disabled in their occupational and day-to-day life (52% in Gironde, 54% in Lot et Garonne); 3) the absence of a relationship between the severity of the disease and the use of medical facilities in the community. Despite the frequency of the attacks and the perceived disability, 27% of the patients felt that their asthma did not require any treatment and up to 60% did not seek medical help even during an attack; 4) the role of population density, type of dwelling and social status in the management of asthma. We conclude that under-treatment is widespread in these two rural settings and is closely related with the association of at least two of these three characteristics: 1) living in a low population density area; 2) living in an isolated dwelling; and 3) being a farm owner.
直到最近，才对哮喘患者在社会文化环境方面的医学管理进行了初步研究。通过两轮问卷调查，在法国西南部的两个农村地区确定了458名成年哮喘患者。该研究主要表明：1）每周发作不止一次的患者数量众多（吉伦特省为33%，洛特-加龙省为40%）；2）大量患者在职业和日常生活中感到行动不便（吉伦特省为52%，洛特-加龙省为54%）；3）疾病严重程度与社区医疗设施的使用之间不存在关联。尽管发作频繁且明显感到行动不便，但27%的患者认为他们的哮喘不需要任何治疗，高达60%的患者即使在发作期间也不寻求医疗帮助；4）人口密度、居住类型和社会地位在哮喘管理中的作用。我们得出结论，在这两个农村地区，治疗不足的情况很普遍，并且与以下三个特征中至少两个的组合密切相关：1）生活在人口密度低的地区；2）居住在孤立的住所；3）是农场主。
