Przybyszowski Marek, Bochenek Grażyna
Department of Pulmonology, 2nd Chair of Internal Medicine, Jagiellonian University Medical College, Kraków, Poland.
Pneumonol Alergol Pol. 2015;83(3):220-8. doi: 10.5603/PiAP.2015.0036.
The achievement and the maintenance of asthma control is currently considered the main goal of asthma treatment. Recent guidelines recommend regular assessment of asthma control and indicate questionnaires as important tools that can facilitate its evaluation. Questionnaires relate to GINA or NAEPP guidelines. Questionnaires constitute complex numerical or categorical scales and consist of several to over a dozen questions relating to the patient's symptoms of asthma, limitations in daily activities and usage of rescue medications within a period of time. Each questionnaire is characterized by the features that affect its reliability and usefulness. In the following paper we discuss most of the questionnaires which assess asthma control. We focus on the items they include and present the results of studies that prove the effectiveness of individual questionnaires in assessment of asthma control. Attention was drawn to the patient groups to which the questionnaires are addressed. We list the features of the questionnaire which should be considered before choosing a test, so that it satisfies both the doctor's and the patient's needs. The role of questionnaires as the easy-to-use tools is growing steadily. Unfortunately, not all are available in Polish language. Conducting appropriate validation studies may allow to use many of them in Polish conditions.
目前,实现并维持哮喘控制被视为哮喘治疗的主要目标。近期指南建议定期评估哮喘控制情况,并指出问卷是有助于评估的重要工具。问卷与全球哮喘防治创议(GINA)或美国国立心肺血液研究所(NAEPP)指南相关。问卷构成复杂的数值或分类量表,由若干至十几道问题组成,涉及患者在一段时间内的哮喘症状、日常活动受限情况以及急救药物的使用情况。每份问卷都具有影响其可靠性和实用性的特点。在下文我们将讨论大多数评估哮喘控制的问卷。我们关注问卷所包含的项目,并呈现证明各问卷在评估哮喘控制方面有效性的研究结果。我们提请注意问卷所针对的患者群体。我们列出在选择测试前应考虑的问卷特点,以便其能满足医生和患者的需求。问卷作为易于使用的工具,其作用正在稳步增强。不幸的是,并非所有问卷都有波兰语版本。开展适当的验证研究可能会使其中许多问卷能在波兰的情况下使用。