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海湾地区患者和医生对哮喘的态度和看法:来自海湾和俄罗斯的哮喘洞察和管理调查的一个子组分析。

Patients' and physicians' attitudes and perception about asthma in the Gulf: A subset analysis from the Asthma Insights and Management Survey in the Gulf and Russia.

机构信息

From the Respiratory Division, Zayed Military Hospital, Abu Dhabi, United Arab Emirates.

Pulmonary Division, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.

出版信息

Allergy Asthma Proc. 2021 May 1;42(3):e77-e85. doi: 10.2500/aap.2021.42.210027.

Abstract

Asthma is a prevalent disorder in the Gulf region. However, available data concerning asthma control and patients' perception with regard to their disease are still insufficient. To investigate patients' perception and behavior with regard to the asthma-related burden, the level of asthma control, and asthma management in three Gulf countries. This study presented a subset analysis of the Asthma Insights and Management survey about the asthma burden and management in the Gulf region and Russia. In this subset analysis, we retrieved the data of the patients from Saudi Arabia, United Arab Emirates, and Kuwait. The current survey's population was composed of 452 patients. One hundred fifty-four patients (34.1%) rated themselves as having poorly controlled asthma, whereas 60.3% of the patients perceived their asthma as completely or well controlled. However, only two patients (0.4%) had controlled asthma according to the global asthma guidelines criteria for asthma control. Most of the patients (67.7%) reported that their asthma got worse when outdoors. Almost 70% of the patients on daily control plus a quick relief regimen reported that their asthma got worse when they were outdoors. Over the past 12 months, 95 patients (21%) reported asthma exacerbation. More than half of the included patients experienced an asthma attack that stopped their activities, whereas 54.2% of the patients were forced to leave work or school due to an asthma attack, and 53.1% had to cancel an appointment or had to go to bed due to the severity of the attack. With concern to asthma management, only 30.5% of the patients were given a lung function test for the assessment of their asthma. A written action plan for asthma treatment was developed by the physician or the practice nurse for only 21.7% of the patients. In the Gulf region, asthma exerts a substantial burden on patients who are affected. Such a burden significantly impacted patients' quality of life.

摘要

哮喘是海湾地区常见的疾病。然而,有关哮喘控制和患者对疾病认知的可用数据仍然不足。为了调查海湾地区和俄罗斯三个国家的患者对哮喘相关负担、哮喘控制水平以及哮喘管理的认知和行为。本研究对哮喘认知和管理调查的海湾地区部分进行了亚组分析,该调查涉及哮喘负担和管理。在该亚组分析中,我们检索了来自沙特阿拉伯、阿拉伯联合酋长国和科威特的患者数据。目前调查的人群由 452 名患者组成。154 名患者(34.1%)自我评估为哮喘控制不佳,而 60.3%的患者认为他们的哮喘完全或基本得到控制。然而,根据全球哮喘指南的哮喘控制标准,只有 2 名患者(0.4%)哮喘得到控制。大多数患者(67.7%)报告说他们的哮喘在户外时会恶化。近 70%的使用每日控制加快速缓解方案的患者报告说他们在户外时哮喘会恶化。在过去的 12 个月中,95 名患者(21%)报告哮喘加重。超过一半的纳入患者经历了哮喘发作,导致活动停止,而 54.2%的患者因哮喘发作而被迫离开工作或学校,53.1%的患者因发作严重而取消预约或不得不卧床休息。关于哮喘管理,只有 30.5%的患者接受了肺功能测试以评估他们的哮喘。只有 21.7%的患者的医生或执业护士为其制定了哮喘治疗书面行动计划。在海湾地区,哮喘给受影响的患者带来了巨大的负担。这种负担显著影响了患者的生活质量。

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