Sá-Sousa A, Amaral R, Morais-Almeida M, Araújo L, Azevedo L F, Bugalho-Almeida A, Bousquet J, Fonseca J A
Center for Research in Health Technologies and Information Systems - CINTESIS, Universidade do Porto, Porto, Portugal.
Allergy and Clinical Immunology Department, Hospital CUF-Descobertas, Lisboa, Portugal; Sociedade Portuguesa de Alergologia e Imunologia Clínica, Lisbon, Portugal.
Rev Port Pneumol (2006). 2015 Jul-Aug;21(4):209-13. doi: 10.1016/j.rppnen.2014.08.003. Epub 2015 Mar 3.
We aimed (1) to measure asthma control using a structure-questionnaire and patient self-perception of asthma-control in the Portuguese National Asthma Survey (INAsma) and (2) to study the relationship between asthma control and asthma-related quality of life.
We analyze data of asthma patients from a cross-sectional, nationwide telephone interview study - INAsma. Controlled asthma was defined as CARAT global score >24 or CARAT lower airways score ≥16. Mini-AQLQ was used to measure quality of life.
Two hundred and seven (56.9% [95%CI: 51.8-62.0]) of the 364 patients had controlled asthma. Most patients with non-controlled asthma (88%) perceived their disease as controlled. Patients with controlled asthma presented higher mini-AQLQ scores (median, P25-P75; 6.6, 6.0-6.9) than those with non-controlled asthma (4.9, 3.7-5.7) (p<0.001) and a significant positive correlation between CARAT and mini-AQLQ scores was observed (r=0.706; p<0.001).
More than half of the Portuguese patients presented controlled asthma and showed significantly better asthma-related quality of life. Almost 9 out of 10 patients with non-controlled disease have poor perception of their asthma control, which may hinder them from seeking better asthma control.
我们旨在（1）在葡萄牙全国哮喘调查（INAsma）中使用结构化问卷和患者对哮喘控制的自我认知来衡量哮喘控制情况，以及（2）研究哮喘控制与哮喘相关生活质量之间的关系。
我们分析了来自一项横断面全国电话访谈研究——INAsma的哮喘患者数据。将控制良好的哮喘定义为CARAT全球评分>24或CARAT下呼吸道评分≥16。使用Mini-AQLQ来衡量生活质量。
364例患者中有207例（56.9%[95%CI：51.8 - 62.0]）哮喘得到控制。大多数哮喘控制不佳的患者（88%）认为自己的疾病得到了控制。哮喘得到控制的患者的Mini-AQLQ评分（中位数，P25 - P75；6.6，6.0 - 6.9）高于哮喘控制不佳的患者（4.9，3.7 - 5.7）（p<0.001），并且观察到CARAT与Mini-AQLQ评分之间存在显著正相关（r = 0.706；p<0.001）。
超过一半的葡萄牙患者哮喘得到控制，且哮喘相关生活质量明显更好。几乎十分之九哮喘控制不佳的患者对其哮喘控制情况认知较差，这可能会阻碍他们寻求更好的哮喘控制。
