摘要
目的评估我国支气管哮喘(简称哮喘)未控制患者治疗依从性不佳的影响因素。方法2017年4月至2018年4月,以《全国移动哮喘评估与管理项目》中纳入的我国28个省市32家三甲医院未达到哮喘控制且治疗依从性差的全部哮喘患者作为研究对象,共纳入研究对象923例,其中男性388例,女性535例,通过对项目入组时患者的初访基线资料进行分析,采用组间比较和χ2检验的方法了解我国哮喘患者治疗依从性不佳的影响因素。结果年龄59~68岁、病程20年以上、文化水平低、外地随访、合并阻塞性通气功能障碍、对疾病认知水平低的哮喘患者,药物依从性评分量表(MARS-A)评分更低,即治疗依从性更差,P值分别为0.026(t=1.20)、0.004(t=3.97)、0.001(t=4.92)、0.003(t=3.98)、0.032(t=1.22)、0.001(t=4.99)。对于哮喘疾病相关问题回答全部正确的患者243例(26.33%),MARS-A评分明显高于回答不完全正确的哮喘患者[(36.23±5.85)分比(31.77±5.74)分,P=0.001]。结论哮喘患者治疗依从性受个体因素及外界环境等多种因素影响,临床医师应结合患者的特点选择个体化管理方式,同时加强患者宣教,提高疾病认知水平。
作者
王文雅
林江涛
唐华平
霍建民
顾玉海
刘荣玉
陈萍
袁雅冬
杨晓红
许建英
孙德俊
李娜嘉
姜淑娟
陈一强
王长征
杨岚
刘晓菊
杨冬
张伟
陈卓昌
林其昌
刘春涛
周建英
周新
胡成平
蒋萍
周玮
张捷
蔡绍曦
邱晨
黄茂
黄奕江
刘辉国
Wang Wenya;Lin Jiangtao;Tang Huaping;Huo Jianmin;Gu Yuhai;Liu Rongyu;Chen Ping;Yuan Yadong;Yang Xiaohong;Xu Jianying;Sun Dejun;Li Najia;Jiang Shujuan;Chen Yiqiang;Wang Changzheng;Yang Lan;Liu Xiaoju;Yang Dong;Zhang Wei;Chen Zhuochang;Lin Qichang;Liu Chuntao;Zhou Jianying;Zhou Xin;Hu Chengping;Jiang Ping;Zhou Wei;Zhang Jie;Cai Shaoxi;Qiu Chen;Huang Mao;Huang Yijiang;Liu Huiguo(Department of Pulmonary and Critical Care Medicine,National Clinical Research Center of Respiratory Disease,China-Japan Friendship Hospital,Beijing 100029,China;Department of Pulmonary and Critical Care Medicine,Qingdao Municipal Hospital,Qingdao 266071,China;Department of Respiratory Medicine,the Second Affiliated Hospital of Harbin Medical University,Harbin 150086,China;Department of Respiratory Medicine,Qinghai Provincial People′s Hospital,Xining 810007,China;Department of Pulmonary and Critical Care Medicine,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Department of Respiratory Medicine,General Hospital of Northern Theater Command,Shenyang 110016,China;Department of Respiratory Medicine,the Second Hospital of Hebei Medical University,Shijiazhuang 050030,China;Department of Pulmonary and Critical Care Medicine,Xinjiang Uygur Municipal People′s Hospital,Urumqi 830001,China;Department of Pulmonary and Critical Care Medicine,Shanxi Bethune Hospital,Taiyuan 030032,China;Department of Pulmonary and Critical Care Medicine,Inner Mongolia People′s Hospital,Hohhot 737399,China;Department of Respiratory Medicine,Daqing Oilfield General Hospital,Daqing 163001,China;Department of Pulmonary and Critical Care Medicine,Shandong Provincial Hospital,Jinan 250021,China;Department of Respiratory Medicine,the First Affiliated Hospital of Guangxi Medical University,Nanning 537406,China;Department of Respiratory Medicine,Xinqiao Hospital of Army Medical University,Chongqing 400037,China;Department of Pulmonary and Critical Care Medicine,First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Geriatric Respiration,the First Hospital of Lanzhou University,Lanzhou 730013,China;Department of Pulmonary and Critical Care Medicine,Zhongshan Hospital Fudan University,Shanghai 200032,China;Department of Pulmonary and Critical Care Medicine,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Respiratory Medicine,Henan Provincial People′s Hospital,Zhengzhou 463599,China;Department of Pulmonary and Critical Care Medicine,the First Affiliated Hospital of Fujian Medical University,Xiamen 350004,China;Department of Pulmonary and Critical Care Medicine,West China Hospital,Sichuan University,Chengdu 610044,China;Department of Pulmonary and Critical Care Medicine,the First Affiliated Hospital,College of Medicine,Zhejiang University,Hangzhou 310009,China;Department of Respiratory Medicine,the First People′s Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200080,China;Department of Pulmonary and Critical Care Medicine,Xiangya Hospital Central South University,Changsha 410008,China;Department of Pulmonary and Critical Care Medicine,Tianjin First Central Hospital,Tianjin 300190,China;Department of Pulmonary and Critical Care Medicine,General Hospital of Ningxia Medical University,Yinchuan 750003,China;Department of Pulmonary and Critical Care Medicine,the Second Hospital of Jilin University,Changchun 130061,China;Department of Respiratory and Critical Care Medicine,Nanfang Hospital,Southern University of Science and Technology,Guangzhou 410008,China;Department of Pulmonary and Critical Care Medicine,Shenzhen People′s Hospital,the Second Clinical Medical College of Jinan University,Shenzhen 518020,China;Department of Pulmonary and Critical Care Medicine,the First Affiliated Hospital of Nanjing Medical University,Nanjing 211103,China;Department of Pulmonary and Critical Care Medicine,Hainan Provincial People′s Hospital,Haikou 570311,China;Department of Pulmonary and Critical Care Medicine,Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2023年第2期121-127,共7页
Chinese Journal of Tuberculosis and Respiratory Diseases
