Bakke P, Gilja M E, Wang I J, Gulsvik A, Gallefoss F
Lungeavdelingen, Haukeland Sykehus, Bergen.
Tidsskr Nor Laegeforen. 1998 May 20;118(13):2006-10.
250 patients with obstructive lung disease who had attended an out-patient clinic were assessed after reporting on individual medication practices and their personal knowledge of the disease. 56% of the patients reported using two types of asthma medicine. The use of three, four, and five or more antasthmatica was reported by 26%, 9% and 5%, respectively. 90% had been prescribed an inhalation corticosteroid. Of these, one in five reported using it only when required, whereas in the age group 18-34 years the corresponding figure was one in three (34%). Regardless of what medication the patients were using, 20% reported that they often forgot to take it, 20% that they stopped taking it when their asthma improved, and 38% that they did not think about what time of the day they took their medicine. These practices of taking medication occurred more frequently in the young than in older patients. Practices did not vary with either a person's sex, duration of disease, or the patient's personal assessment of the seriousness of the disease. Patients with a higher level of education seemed to have greater knowledge of their disease than those with only secondary education, as was also the case with nonsmokers compared to smokers.
对250名曾到门诊就诊的阻塞性肺病患者进行了评估,评估内容包括他们各自的用药习惯以及对该疾病的个人认知。56%的患者报告使用两种哮喘药物。报告使用三种、四种以及五种或更多种抗哮喘药物的患者分别占26%、9%和5%。90%的患者曾被处方吸入性糖皮质激素。其中,五分之一的患者报告仅在需要时使用,而在18至34岁年龄组中,相应比例为三分之一(34%)。无论患者使用何种药物,20%的患者报告经常忘记服药,20%的患者报告在哮喘病情改善时就停止服药,38%的患者报告没有考虑过一天中何时服药。这些服药习惯在年轻患者中比老年患者更常见。这些习惯不因患者的性别、病程或患者对疾病严重程度的个人评估而有所不同。受教育程度较高的患者似乎比仅接受过中等教育的患者对疾病有更多了解,不吸烟者与吸烟者相比也是如此。