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哮喘患者的感知哮喘控制护理与医疗保健参与情况

Perceived Asthma Control Care and Health Care Participation in Patients with Asthma.

作者信息

Haghighati Mohammad Ali, Vali Leila, Goudarzi Reza, Samareh Fekri Mitra, Ghorbani Nia Rahil

机构信息

Medical Informatics Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Tanaffos. 2021 Feb;20(2):109-115.

Abstract

BACKGROUND

Asthma is one of the most severe and life-threatening health problems, the better control of which is one of the main goals in asthma management to be achieved by patients' balanced participation in the treatment process. This study aimed to investigate asthma control, perceived care, and health care participation in patients with asthma.

MATERIALS AND METHODS

This descriptive-analytical study included 221 asthmatic patients, who were selected using the convenience sampling method from those referring to pulmonary clinics in Kerman, Iran. The required data were collected using three questionnaires including Asthma Control Test (ACT), Perceived Care of Asthma Questionnaire (PCAQ), and Partners in Health Scale (PIH). The linear regression test was used to analyze the collected data with SPSS software version 21.

RESULTS

In this study, 14.31, 42.22, and 87.33% of the patients had a favorable condition in asthma control, perceived asthma care, health participation, respectively. The disease duration was significantly associated with the level of perceived asthma care. Moreover, perceived asthma care had a significant relationship only with occupation. From another perspective, the relationship between marital status, level of education, city of residence, disease duration, and occupation with health care participation was significant.

CONCLUSION

Patients would have more control over asthma if there were training programs underpinned by disease-based strategies and educational content regarding the risk factors of the disease, and the patients' experience and knowledge of the disease were promoted. Furthermore, reinforcing self-control and perceived asthma care skills and involving patients in healthcare process would also enhance the disease control.

摘要

背景

哮喘是最严重且危及生命的健康问题之一,更好地控制哮喘是哮喘管理的主要目标之一,需要患者均衡参与治疗过程才能实现。本研究旨在调查哮喘患者的哮喘控制情况、感知到的护理以及医疗保健参与情况。

材料与方法

这项描述性分析研究纳入了221名哮喘患者,这些患者采用便利抽样法从伊朗克尔曼市肺部诊所的就诊者中选取。所需数据通过三份问卷收集,包括哮喘控制测试(ACT)、哮喘感知护理问卷(PCAQ)和健康伙伴量表(PIH)。使用SPSS 21版软件对收集的数据进行线性回归测试。

结果

在本研究中,分别有14.31%、42.22%和87.33%的患者在哮喘控制、哮喘感知护理、健康参与方面状况良好。疾病持续时间与哮喘感知护理水平显著相关。此外,哮喘感知护理仅与职业有显著关系。从另一个角度来看,婚姻状况、教育程度、居住城市、疾病持续时间和职业与医疗保健参与之间的关系显著。

结论

如果有基于疾病策略和疾病危险因素教育内容的培训项目,并且提升患者对疾病的经验和知识,患者对哮喘的控制会更好。此外,加强自我控制和哮喘感知护理技能,并让患者参与医疗保健过程,也会增强疾病控制。

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