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巴西南部某城市地区儿童和青少年的哮喘治疗:流行的误区与特点

Asthma treatment in children and adolescents in an urban area in southern Brazil: popular myths and features.

作者信息

Roncada Cristian, Oliveira Suelen Goecks de, Cidade Simone Falcão, Rafael Joseane Guimarães, Ojeda Beatriz Sebben, Santos Beatriz Regina Lara Dos, Gustavo Andréia da Silva, Pitrez Paulo Márcio

机构信息

Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brasil.

出版信息

J Bras Pneumol. 2016 Apr;42(2):136-42. doi: 10.1590/S1806-37562015000000166.

DOI:10.1590/S1806-37562015000000166
PMID:27167435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4853067/
Abstract

OBJECTIVE

To describe the frequency of popular myths about and features of asthma treatment in children and adolescents in an urban area in southern Brazil.

METHODS

The parents or legal guardians of public school students (8-16 years of age) completed a specific questionnaire regarding their understanding of asthma, asthma control, and treatment characteristics. The sample included parents or legal guardians of students with asthma (n = 127) and healthy controls (n = 124).

RESULTS

The study involved 251 parents or legal guardians, of whom 127 (68.5%) were the mothers and 130 (51.8%) were White. The mean age of these participants was 38.47 ± 12.07 years. Of the participants in the asthma and control groups, 37 (29.1%) and 26 (21.0%), respectively, reported being afraid of using asthma medications, whereas 61 (48%) and 56 (45.2%), respectively, believed that using a metered dose inhaler can lead to drug dependence. However, only 17 (13.4%) and 17 (13.7%) of the participants in the asthma and control groups, respectively, reported being afraid of using oral corticosteroids. In the asthma group, 55 students (43.3%) were diagnosed with uncontrolled asthma, only 41 (32.3%) had a prescription or written treatment plan, and 38 (29.9%) used asthma medications regularly.

CONCLUSIONS

Popular myths about asthma treatment were common in our sample, as were uncontrolled asthma and inappropriate asthma management. Further studies in this field should be conducted in other developing countries, as should evaluations of pediatric asthma treatment programs in public health systems.

摘要

目的

描述巴西南部城市地区儿童和青少年中关于哮喘治疗的常见误区及治疗特点的发生率。

方法

公立学校学生(8 - 16岁)的父母或法定监护人完成了一份关于他们对哮喘、哮喘控制和治疗特征理解的特定问卷。样本包括哮喘学生的父母或法定监护人(n = 127)和健康对照者(n = 124)。

结果

该研究涉及251名父母或法定监护人,其中127名(68.5%)为母亲,130名(51.8%)为白人。这些参与者的平均年龄为38.47 ± 12.07岁。在哮喘组和对照组参与者中,分别有37名(29.1%)和26名(21.0%)报告害怕使用哮喘药物,而分别有61名(48%)和56名(45.2%)认为使用定量吸入器会导致药物依赖。然而,在哮喘组和对照组参与者中,分别只有17名(13.4%)和17名(13.7%)报告害怕使用口服糖皮质激素。在哮喘组中,55名学生(43.3%)被诊断为哮喘未得到控制,只有41名(32.3%)有处方或书面治疗计划,38名(29.9%)定期使用哮喘药物。

结论

在我们的样本中,关于哮喘治疗的常见误区很普遍,哮喘未得到控制和哮喘管理不当的情况也很常见。该领域应在其他发展中国家开展进一步研究,公共卫生系统中的儿科哮喘治疗项目评估也应如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b21/4853067/7fbe537bd0e1/1806-3713-jbpneu-42-02-00136-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b21/4853067/7ae027e260ec/1806-3713-jbpneu-42-02-00136-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b21/4853067/7fbe537bd0e1/1806-3713-jbpneu-42-02-00136-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b21/4853067/7ae027e260ec/1806-3713-jbpneu-42-02-00136-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b21/4853067/7fbe537bd0e1/1806-3713-jbpneu-42-02-00136-gf02.jpg

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