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[患者对特发性肺纤维化管理的认知。Explora-IPF项目]

[Patients' Perceptions of the Management of Idiopathic Pulmonary Fibrosis. Explora-IPF Project].

作者信息

Peña Miguel Teresa, Ortoll Polo Virginia, Lizán Luis, Armengol Silvia, Ramón Alba

机构信息

Servicio de Neumología, Hospital Universitario de Burgos, Burgos, España.

Servicio de Farmacia, Hospital Universitario de Burgos, Burgos, España.

出版信息

Open Respir Arch. 2022 Jan 17;4(1):100158. doi: 10.1016/j.opresp.2022.100158. eCollection 2022 Jan-Mar.

Abstract

INTRODUCTION

Idiopathic pulmonary fibrosis (IPF) impacts the life of patients and their families, so it is necessary to ascertain their perception in the approach to their disease.

METHODS

Observational study by means of a specific questionnaire that includes socio-demographic and clinical variables, perception of the impact of the disease (5-point Likert scale), preferences regarding the characteristics of the medication (degree of importance/concern 1-10) and satisfaction with treatment (SATMED-Q® scale 0-100).

RESULTS

69 individuals participated (age: 66.5 ± 7.6 years; time until diagnosis: 16.5 ± 17.4 months; diagnosis time: 49.6 ± 42.3 months). The majority state that IPF limits them physically (90%) and emotionally (75%). The most highly valued features of the treatment were: slowing down progression of the disease (7.4 ± 2.8), stabilising lung capacity (6.9 ± 2.8) and improving quality of life (6.9 ± 2.8), above stabilising/improving symptoms (6.1 ± 2.8/6.3 ± 2.8) or avoiding hospitalisation (6.6 ± 2.7). The principal factors of concern were suffering gastric disorders (7.1 ± 2.9), photosensitivity (6.6 ± 3.0) or interaction with other drugs (6.0 ± 3.0). Overall satisfaction with the current treatment scored 61.1 points, with the highest scores being for medical follow-up (79.5) and overall opinion of the medicine (74.3).

CONCLUSIONS

A study conducted in Spain on the perspective of IPF patients regarding the disease and its treatment. The results show a high level of awareness in terms of the seriousness of the disease on the part of patients, whose main concern is to slow down its progression. The information provided may help to optimise the management of IPF patients.

摘要

引言

特发性肺纤维化(IPF)会影响患者及其家人的生活,因此有必要了解他们对自身疾病治疗方法的看法。

方法

通过一份特定问卷进行观察性研究,问卷包括社会人口统计学和临床变量、对疾病影响的认知(5级李克特量表)、对药物特性的偏好(重要性/关注度1 - 10级)以及对治疗的满意度(SATMED - Q®量表0 - 100)。

结果

69人参与研究(年龄:66.5±7.6岁;确诊前时间:16.5±17.4个月;确诊时间:49.6±42.3个月)。大多数人表示IPF在身体上(90%)和情绪上(75%)限制了他们。治疗中最受重视的特征是:减缓疾病进展(7.4±2.8)、稳定肺功能(6.9±2.8)和改善生活质量(6.9±2.8),高于稳定/改善症状(6.1±2.8/6.3±2.8)或避免住院(6.6±2.7)。主要担忧因素是患胃部疾病(7.1±2.9)、光敏性(6.6±3.0)或与其他药物相互作用(6.0±3.0)。对当前治疗的总体满意度得分为61.1分,其中对医疗随访的满意度最高(79.5),对药物的总体评价次之(74.3)。

结论

在西班牙进行的一项关于IPF患者对疾病及其治疗看法的研究。结果显示患者对疾病严重性的认识程度较高,他们主要关心的是减缓疾病进展。所提供的信息可能有助于优化IPF患者的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e2/10369542/b43345f6054a/fx1.jpg

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