哮喘教育在哮喘患者中的初步应用及评价

Evaluation and Application of Perceived Control of Asthma Questionnaire

目的 :研究哮喘教育对哮喘患者的作用 ,并了解其心理因素与哮喘的临床表现之间的关系 ,对哮喘控制心理问卷 (PCAQ)的灵敏性、有效性进行评价。方法 :对门诊 74例哮喘病人采用PCAQ问卷 ,哮喘生活质量问卷 (AQLQ)、SF -36问卷、分别在哮喘教育前及教育后二个月进行评定 ,并与哮喘严重度、危险度问卷、哮喘症状记分、哮喘患者半年急诊次数、误工、误学天数等情况进行相关分析。结果 :哮喘教育可改变患者的心理状态 ,哮喘教育后PCAQ问卷分数明显好于哮喘教育前 ( 6 1 4 5± 6 6 9/ 41 86± 6 0 3,t=15 71,P0 0 0 1)。PCAQ简短、易操作 ,问卷测评分数范围在 35 -70分。问卷与SF -36心理因素 (r =0 4 9～0 33,P0 0 1)、哮喘生活质量问卷 (r =-0 4 1,P0 0 1)及、哮喘症状记分误工、误学天数 (r =-0 4 1～0 4 2 ,p均 <0 0 1)有明显的相关关系。未发现与哮喘严重度、危险度及FEV1%之间有明显的相关关系。结果 :哮喘教育可改变患者的心理状态 ,从而影响哮喘的预后 ,PCAQ是一个灵敏、有效的评价工具。

Objectives:To study the relationship between psychological factors and asthma outcomes and to assess Perceived Control of Asthma Questionnaire(PCAQ).Mothods:Seventy-four out-patients of asthma completed PCAQ,the Asthma Quality of Life Questionnaire(AQLQ),asthma symptom scores,the MOS SF-36 Questionnaire(SF-36),perceived severity of asthma and perceived danger from asthma and the days off work(or school).Results:PCAQ was short,easy to administer.It was associated with AQLQ(r=-0.41,P<0.01),asthma symptom scores,SF-36(r=0.33～0.49,P<0.01),FEV 1%,and the days off-work(or school)(r=0.41～0.42,P<0.01).There were statistical differences of PCAQ after asthma education compaired with those before asthma education(61.45±6.69,41.86±6.03 respectively,P0.001).Conclusion:The sychological factors influenced asthma attacks and self-management.PCAQ was a responsiveness,and valid questionnaire.The asthma education could change psycholgical state and enhance PCAQ,therefore influenced asthma outcomes.