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哮喘患者的知识、自我管理、依从性及生活质量:关于法语版哮喘生活质量问卷的横断面研究

Knowledge, self-management, compliance and quality of life in asthma: a cross-sectional study of the French version of the Asthma Quality of Life Questionnaire.

作者信息

Leroyer C, Lebrun T, Proust A, Lenne X, Lucas E, Rio G, Dewitte J D, Clavier J

机构信息

Department of Chest Medicine, Hôpital de la Cavale Blanche, Brest, France.

出版信息

Qual Life Res. 1998 Apr;7(3):267-72. doi: 10.1023/a:1024902501402.

Abstract

The Asthma Quality of Life Questionnaire (AQLQ) is a well-validated instrument. Our objectives were to explore the cross-sectional validity of the French version, using usual outcomes of asthma, as well as assessment of knowledge of asthma, self-management and compliance. A self-administered version of the AQLQ was given to 124 consecutive patients recruited from two out-patient clinics and an emergency room in order to reflect a wide range of asthma severity. The other outcomes of asthma measured were the FEV1, patient-perceived asthma severity using a visual analogue scale, compliance, knowledge of asthma condition and self-management autonomy. Correlations were predicted before analysis ( r > 0.5, strong correlation, ++ r = 0.35-0.5, moderate correlation and + r = 0.20-0.35, fair correlation). The AQLQ scores correlated moderately to strongly with asthma severity and fairly with the pulmonary function results. Of the behavioural outcomes assessed, only knowledge of asthma correlated fairly with the AQLQ scores, as expected. This study of the French version of the AQLQ, while showing similar cross-sectional correlations with functional assessment and asthma severity to those observed with the original English version, suggested in addition a positive association between quality of life and knowledge of asthma.

摘要

哮喘生活质量问卷(AQLQ)是一种经过充分验证的工具。我们的目标是使用哮喘的常见结果以及哮喘知识、自我管理和依从性评估,探讨法语版的横断面效度。为反映广泛的哮喘严重程度,我们将AQLQ的自填式版本分发给了从两家门诊诊所和一个急诊室连续招募的124名患者。所测量的其他哮喘结果包括第一秒用力呼气容积(FEV1)、使用视觉模拟量表评估的患者感知哮喘严重程度、依从性、哮喘病情知识和自我管理自主性。在分析之前预测了相关性(r>0.5为强相关性,++r = 0.35 - 0.5为中度相关性,+r = 0.20 - 0.35为中等相关性)。AQLQ得分与哮喘严重程度呈中度至强相关性,与肺功能结果呈中等相关性。在所评估的行为结果中,正如预期的那样,只有哮喘知识与AQLQ得分呈中等相关性。对AQLQ法语版的这项研究,虽然显示出与功能评估和哮喘严重程度的横断面相关性与原始英文版相似,但此外还表明生活质量与哮喘知识之间存在正相关。

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