在教学医院的哮喘门诊就诊的成年哮喘患者中，与哮喘药物合理使用相关的因素。
Factors associated with the appropriate use of asthma medications among adult asthmatic patients attending asthma clinic in a teaching hospital.
机构信息
Department of Epidemiology and Disease Control, School of Public Health, College of Health Sciences, University of Ghana, Accra, Ghana.
School of Biomedical and Allied Health Sciences, Department of Radiography, University of Ghana, Accra, Ghana.
出版信息
Pan Afr Med J. 2021 Sep 17;40:44. doi: 10.11604/pamj.2021.40.44.29137. eCollection 2021.
INTRODUCTION
asthma tends to be more severe with worse symptoms in Africa due to late diagnosis and delayed initiation of treatment. To identify patient and treatment-related factors which influence the appropriate use of asthma medications.
METHODS
the study was institution based cross-sectional design. Patients were invited to provide information regarding the use of their asthma medications and factors potentially associated with appropriate use of these medications. A stepwise multivariate logistic regression analysis was used to evaluate the most important factor at a 0.05 level of significance.
RESULTS
respondents with better knowledge of their asthma medications were more likely to use them appropriately (OR 5.82 [CI 95% 2.25-15.04]) as were those with positive attitudes and beliefs towards asthma and asthma medications (OR 3.88 [CI 95% 1.44-10.44]).
CONCLUSION
patients need to understand the importance of adhering to the prescribed regimen for their asthma medications even in the absence of overt symptoms in order to optimize clinical outcome.
引言
由于诊断较晚和治疗开始较晚，非洲的哮喘往往更为严重，症状也更差。为了确定影响哮喘药物合理使用的患者和治疗相关因素。
方法
本研究为基于机构的横断面设计。邀请患者提供有关其哮喘药物使用情况以及可能与这些药物合理使用相关的因素的信息。使用逐步多元逻辑回归分析在 0.05 的显著性水平上评估最重要的因素。
结果
对哮喘药物有更好了解的受访者更有可能正确使用它们（OR 5.82 [95%CI 2.25-15.04]），对哮喘和哮喘药物持积极态度和信念的受访者也是如此（OR 3.88 [95%CI 1.44-10.44]）。
结论
即使没有明显症状，患者也需要了解坚持服用规定的哮喘药物的重要性，以优化临床结果。
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