Arora Nonie, Lowe Desmond, Sarsour Nadeen, Jaffee Hannah, Eftekhari Sanaz, Carpenter Laurie M, Bansal Priya, Baptist Alan P
Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Medical School, University of Michigan, Ann Arbor, MI, USA.
J Asthma. 2022 May;59(5):859-865. doi: 10.1080/02770903.2021.1887214. Epub 2021 Feb 24.
The aim of this study was to explore differences in attitudes, behaviors and expectations related to COVID-19 between physicians and patients with asthma.
An anonymous survey was distributed through email and social media to adult patients with asthma during a three-week period in April-May 2020. A separate survey was sent to physicians. The surveys asked about demographic information, specific challenges and concerns due to COVID-19, and attitudes/behaviors during this time.
A total of 1171 patients and 225 physicians completed the surveys. Overall, patients with asthma and physicians had large differences in expectations related to COVID-19. Patients were more likely than physicians to believe that individuals with asthma are at a higher risk to get COVID-19 (37.5% vs. 12.0%, < 0.001), have increased anxiety due to COVID-19 (79.6% vs 70.0%, = 0.002), and should not go to work (62.7% vs 11.9%, < 0.001). Neither patients nor physicians felt confident they could distinguish COVID-19 symptoms from asthma (61.2% and 74.5% did not feel confident, respectively). Patients with severe asthma were significantly more impacted by the pandemic (e.g., became unemployed [OR 2.15], had difficulty getting asthma medications [OR 2.37]) compared to those with nonsevere asthma.
Patients with asthma and their physicians have markedly different attitudes and opinions regarding care during the COVID-19 pandemic. Such differences have important implications when providing patient-centered care.
Supplemental data for this article can be accessed at publisher's website.
本研究旨在探讨哮喘患者与医生在新冠肺炎相关态度、行为和期望方面的差异。
2020年4月至5月的三周内，通过电子邮件和社交媒体向成年哮喘患者发放了一份匿名调查问卷。同时向医生发放了一份单独的调查问卷。这些问卷询问了人口统计学信息、新冠肺炎带来的具体挑战和担忧，以及在此期间的态度/行为。
共有1171名患者和225名医生完成了调查。总体而言，哮喘患者和医生在新冠肺炎相关期望方面存在很大差异。患者比医生更有可能认为哮喘患者感染新冠肺炎的风险更高（37.5%对12.0%，<0.001），因新冠肺炎而焦虑增加（79.6%对70.0%，P = 0.002），并且不应去工作（62.7%对11.9%，<0.001）。患者和医生都不自信自己能够区分新冠肺炎症状和哮喘症状（分别有61.2%和74.5%的人不自信）。与非重度哮喘患者相比，重度哮喘患者受疫情影响更大（例如，失业[比值比2.15]，难以获得哮喘药物[比值比2.37]）。
哮喘患者及其医生在新冠肺炎疫情期间对护理的态度和看法明显不同。这些差异在提供以患者为中心的护理时具有重要意义。
本文的补充数据可在出版商网站获取。
