Boulet L P
Centre de Pneumologie de l'Hôpital Laval, Université Laval, Sainte-Foy, Québec, Canada.
Chest. 1998 Mar;113(3):587-92. doi: 10.1378/chest.113.3.587.
Misunderstanding of the role of asthma medication and fear of untoward side effects may reduce compliance to therapy, potentially resulting in poor asthma control and increased risk of severe asthma events.
We report the results of a recent Canadian survey of 603 asthmatic patients recruited from the general population, aimed at determining their perception of the role and potential side effects of inhaled corticosteroids (ICS).
The survey revealed that a large proportion of asthmatic patients do not understand the role of their medications and have many misconceptions and fears in regard to ICS, reducing their willingness to use them. Among the most common fears are those concerning troublesome side effects, particularly in regard to corporeal image, bone density, and a reduction in efficacy of medication over time. More than half of the population said they were very or somewhat concerned using ICS on a regular basis; two thirds of patients had not discussed their concerns about ICS with their physicians or other health-care professionals. Finally, in a large number of asthma patients, asthma was not adequately controlled, according to recent asthma consensus guidelines.
These observations stress the importance for those involved in asthma care of questioning patients about their understanding of the role of asthma medications, particularly ICS, their fears and misconceptions, and what they consider to be adequate asthma control, in order to provide appropriate education and counseling.
对哮喘药物作用的误解以及对不良副作用的恐惧可能会降低治疗依从性，从而可能导致哮喘控制不佳以及严重哮喘事件风险增加。
我们报告了最近一项对从普通人群中招募的603名哮喘患者进行的加拿大调查结果，旨在确定他们对吸入性糖皮质激素（ICS）的作用和潜在副作用的看法。
调查显示，很大一部分哮喘患者不了解其药物的作用，并且对ICS存在许多误解和恐惧，从而降低了他们使用ICS的意愿。最常见的恐惧包括对麻烦副作用的担忧，特别是在身体形象、骨密度以及随着时间推移药物疗效降低方面。超过一半的人表示他们非常或有点担心经常使用ICS；三分之二的患者尚未与他们的医生或其他医疗保健专业人员讨论过他们对ICS的担忧。最后，根据最近的哮喘共识指南，在大量哮喘患者中，哮喘未得到充分控制。
这些观察结果强调了参与哮喘护理的人员向患者询问其对哮喘药物（特别是ICS）作用的理解、他们的恐惧和误解以及他们认为什么是充分的哮喘控制的重要性，以便提供适当的教育和咨询。
