缓解药物依赖测试：评估一种新工具以解决 SABA 过度依赖问题。
The Reliever Reliance Test: evaluating a new tool to address SABA over-reliance.
机构信息
Spoonful of Sugar Ltd, a UCL Business Company, London, UK.
Family Physician Airways Group of Canada, Clinical Lecturer University of Toronto, Toronto, ON, Canada.
出版信息
NPJ Prim Care Respir Med. 2024 Nov 5;34(1):36. doi: 10.1038/s41533-024-00389-4.
Over-use of SABA is associated with poor asthma control and greater risk of exacerbations and death. Identifying and addressing the beliefs driving SABA over-reliance is key to reducing over-use. This study aimed to assess the utility, impact and acceptability of the Reliever Reliance Test (RRT), a brief patient self-test behaviour-change tool to identify and address SABA over-reliance. Patients with asthma who completed the RRT in Argentina were invited to an online survey exploring the acceptability of the RRT, and its impact on patients' perceptions of SABA and intention to discuss asthma treatment with a doctor. 93 patients completed the questionnaire. The RRT classified 76/93 (82%) as medium-to-high risk of SABA over-reliance (a mindset where SABA is perceived as the most important aspect of asthma treatment), with 73% of these reporting SABA overuse (3 or more times a week). 75% intended to follow the RRT recommendations to review their asthma treatment with their doctor. The RRT is acceptable to patients and was effective at raising awareness of, identifying and addressing SABA over-reliance and encouraging patients to review their treatment with their doctor.
过度使用 SABA 与哮喘控制不佳以及加重和死亡风险增加有关。识别和解决导致 SABA 过度依赖的信念是减少过度使用的关键。本研究旨在评估缓解依赖测试（RRT）的效用、影响和可接受性，这是一种简短的患者自我测试行为改变工具，用于识别和解决 SABA 过度依赖。在阿根廷完成 RRT 的哮喘患者被邀请参加一项在线调查，以探讨 RRT 的可接受性及其对患者对 SABA 的看法和与医生讨论哮喘治疗的意愿的影响。93 名患者完成了问卷调查。RRT 将 76/93（82%）归类为 SABA 过度依赖的中高度风险（一种将 SABA 视为哮喘治疗最重要方面的心态），其中 73%的患者报告 SABA 过度使用（每周使用 3 次或更多次）。75%的患者打算按照 RRT 的建议与医生一起复查他们的哮喘治疗。RRT 易于患者接受，可有效提高对 SABA 过度依赖的认识、识别和处理，并鼓励患者与医生一起复查他们的治疗方案。
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