Sinclair B L, Clark D W, Sears M R
Department of Pharmacology, University of Otago Medical School, Dunedin.
N Z Med J. 1987 Nov 11;100(835):674-7.
Patient understanding of the nature of asthma and of its management was assessed using an interviewer administered questionnaire in a community sample of asthmatics identified through prescriptions at randomly selected Dunedin city pharmacies. Of 135 subjects whose histories, and lung function data where available, were consistent with asthma, 20 did not know they had asthma. Only half could give a simple explanation of asthma, and many were confused about therapies, especially the use of corticosteroids. Only half demonstrated satisfactory aerosol inhalation technique. Deficiencies in medical management including lack of lung function monitoring, regular followup and provision of a crisis plan for severe attacks were noted. Patients previously hospitalised more often had a crisis plan and recalled advice on management of asthma, but had little knowledge about the nature of the condition. The continuing high asthma mortality rate in New Zealand may in part reflect management deficiencies both in long term care and in recognition and management of severe attacks. These may be compounded by poor patient understanding of asthma.
通过由访谈者管理的问卷，对在达尼丁市随机选择的药店中通过处方识别出的社区哮喘患者样本进行调查，以评估患者对哮喘本质及其管理的理解。在135名病史和（如有）肺功能数据与哮喘相符的受试者中，20人不知道自己患有哮喘。只有一半的人能够对哮喘做出简单解释，许多人对治疗方法感到困惑，尤其是皮质类固醇的使用。只有一半的人展示了令人满意的气雾剂吸入技术。注意到在医疗管理方面存在不足，包括缺乏肺功能监测、定期随访以及为严重发作提供危机处理计划。以前住院次数较多的患者有危机处理计划，并且记得有关哮喘管理的建议，但对病情的本质了解甚少。新西兰持续较高的哮喘死亡率可能部分反映了长期护理以及严重发作的识别和管理方面的管理不足。患者对哮喘的理解不足可能会使这些情况更加复杂。
