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慢性呼吸道疾病(CRD)患者对呼吸道疾病非药物治疗效果的认知。

Perceptions of the effectiveness of non-pharmacological management of respiratory disorders among CRD patients.

作者信息

Aldabayan Yousef S

机构信息

Department of Respiratory Care, King Faisal University, AL Ahsa, Saudi Arabia.

出版信息

Medicine (Baltimore). 2023 Oct 13;102(41):e35474. doi: 10.1097/MD.0000000000035474.

Abstract

Chronic respiratory diseases (CRDs) are among the leading cause of mortality worldwide. While pharmacological approaches are commonly used to manage symptoms, non-pharmacological management of CRDs is considered crucial in preventing disease progression and improving patient self-efficacy. To describe the perceived effectiveness of non-pharmacological management of CRDs among CRD patients and determine whether the CRD patients perceptions of the effectiveness of non-pharmacological management are associated with their demographic characteristics. An analytic cross-sectional study design was utilized. The non-pharmacological management practices of CRD patients and their perception of the effectiveness of these therapeutic measures were assessed using a researcher-developed questionnaire. Data collection took place in primary healthcare centers in Al Ahsa, Saudi Arabia from October 2021 to March 2022. The proportion of CRD patients who perceived that non-pharmacological interventions were effective was computed. Binary logistic regression was performed to determine the association between the demographic characteristics of the respondents and their perception of the effectiveness of non-pharmacological management. Among the 390 respondents, 42% perceived that non-pharmacological measures were effective. Half of the respondents believed that smoking cessation, influenza vaccination, improving physical activity, and nutrition support helped alleviate CRD symptoms, while less than half of the respondents considered pulmonary rehabilitation, educational programs, and oxygen therapy effective measures to control symptoms. Women were found to be 3.24 times more likely to perceive non-pharmacological interventions as effective (P < .0000) compared to men. Those with university-level education were 66.6% less likely to consider non-pharmacological interventions to be effective (P < .0000) than those who completed preuniversity-level education. Age and marital status did not significantly influence perceptions of effectiveness. Differences in the perceptions of the effectiveness of various non-pharmacological measures to alleviate CRD symptoms existed among the CRD patients of Al Ahsa. The perception of effectiveness was significantly associated with the patient's gender and educational attainment.

摘要

慢性呼吸道疾病(CRDs)是全球主要死因之一。虽然药物治疗方法常用于控制症状,但CRDs的非药物管理在预防疾病进展和提高患者自我效能方面被认为至关重要。描述CRD患者对CRDs非药物管理的感知效果,并确定CRD患者对非药物管理效果的看法是否与其人口统计学特征相关。采用分析性横断面研究设计。使用研究人员编制的问卷评估CRD患者的非药物管理实践及其对这些治疗措施效果的看法。数据收集于2021年10月至2022年3月在沙特阿拉伯艾哈萨的初级医疗中心进行。计算了认为非药物干预有效的CRD患者比例。进行二元逻辑回归以确定受访者的人口统计学特征与其对非药物管理效果的看法之间的关联。在390名受访者中,42%认为非药物措施有效。一半的受访者认为戒烟、流感疫苗接种、增加体育活动和营养支持有助于缓解CRD症状,而不到一半的受访者认为肺康复、教育项目和氧疗是控制症状的有效措施。发现女性认为非药物干预有效的可能性是男性的3.24倍(P <.0000)。与完成大学预科教育的人相比,受过大学教育的人认为非药物干预有效的可能性低66.6%(P <.0000)。年龄和婚姻状况对效果认知没有显著影响。艾哈萨的CRD患者对各种缓解CRD症状的非药物措施效果的认知存在差异。效果认知与患者的性别和教育程度显著相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82c7/10578682/4df33e68c800/medi-102-e35474-g001.jpg

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