Nguyen Vinh Nhu, Huynh Thuong Thi Hoai, Chavannes Niels H
Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands.
Department of Family Medicine, Faculty of Medicine, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.
Int J Gen Med. 2018 Feb 26;11:81-89. doi: 10.2147/IJGM.S157050. eCollection 2018.
Most asthma patients in Vietnam have poorly controlled asthma. Besides reasons related to the health care system and health care providers, knowledge on the self-management of patients has also contributed to this situation.
To assess knowledge on asthma self-management among adult asthma patients in Ho Chi Minh City.
A cross-sectional study with convenience sampling was conducted among 322 ambulatory patients using questionnaires filled in via a face-to-face interview. The questionnaires enquired about: 1) sociodemographic details, 2) the Global Initiative for Asthma 2017 criteria of asthma control, 3) the Asthma Control Test, and 4) the Asthma Self-Management Questionnaire (ASMQ). Knowledge on asthma self-management was determined by the ASMQ score. The relationship between this knowledge and demographic factors and asthma control levels was determined.
The knowledge on asthma self-management was low, with a mean raw ASMQ score of 4.3 (maximum 14); this is equivalent to 30 in a transformed score (maximum 100). Only 0.3% of these patients had good knowledge, 16.2% had adequate knowledge, and 83.5% had poor knowledge. Of all participants, 52% stated erroneously that asthma can be cured, 30% were confused about control and rescue medications, 68% failed to correctly describe the inhalation technique, and only 15.5% could answer correctly about the management of an exacerbation. Although most participants had poor asthma control, the higher the patient's level of control, the better the ASMQ score. Conversely, patients with better knowledge of asthma self-management (ASMQ score ≥50) had better asthma control based on the Asthma Control Test score. Also, a higher education level was associated with more knowledge on asthma self-management.
In these patients, the level of knowledge on asthma self-management was low and significantly correlated with the level of asthma control. There is a clear need to improve knowledge in order to improve asthma control in Vietnam.
越南大多数哮喘患者的哮喘控制不佳。除了与医疗保健系统和医疗保健提供者相关的原因外，患者自我管理方面的知识也导致了这种情况。
评估胡志明市成年哮喘患者对哮喘自我管理的知识水平。
采用便利抽样法对322名门诊患者进行横断面研究，通过面对面访谈填写问卷。问卷询问了：1）社会人口学细节，2）《2017年全球哮喘防治创议》的哮喘控制标准，3）哮喘控制测试，4）哮喘自我管理问卷（ASMQ）。通过ASMQ评分确定哮喘自我管理知识水平。确定了该知识与人口统计学因素和哮喘控制水平之间的关系。
哮喘自我管理知识水平较低，ASMQ原始平均得分为4.3（满分14分）；换算后的分数相当于30分（满分100分）。这些患者中只有0.3%具备良好知识，16.2%具备足够知识，83.5%知识匮乏。在所有参与者中，52%错误地表示哮喘可以治愈，30%对控制药物和急救药物感到困惑，68%未能正确描述吸入技术，只有15.5%能够正确回答哮喘急性发作的处理方法。尽管大多数参与者的哮喘控制不佳，但患者的控制水平越高，ASMQ评分越高。相反，根据哮喘控制测试评分，哮喘自我管理知识较好（ASMQ评分≥50）的患者哮喘控制更好。此外，教育水平越高，哮喘自我管理知识越多。
在这些患者中，哮喘自我管理知识水平较低，且与哮喘控制水平显著相关。越南显然需要提高知识水平以改善哮喘控制。
