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目的探讨影响成人支气管哮喘患者病情控制水平的相关危险因素。方法选择2014年8月至2016年8月就诊于漯河市中心医院的成人哮喘患者180例,根据患者病情控制情况,将其分为控制组与未控制组,回顾性分析患者临床资料,将疾病知识、自我管理教育、自我监测病情、治疗依从性、吸入糖皮质激素(ICS)技术、诱发因素纳入影响成人支气管哮喘病情控制水平的相关因素。结果单因素分析,疾病知识、自我管理教育、自我监测病情、治疗依从性、诱发因素为哮喘控制水平的相关影响因素;经多因素分析,缺乏自我监测病情、治疗依从性较低、诱发因素未避免属于影响哮喘病情控制水平的独立危险因素。结论医药卫生相关部门应积极组织哮喘知识相关讲座或成立培训班,提高患者对哮喘的认知,加强自我管理教育,提高治疗依从性,规范用药,督促或帮助患者避免诱发因素,预防病情再次发作或加重,尽可能改善支气管哮喘患者病情控制水平,提高公共卫生安全性。
Objective To explore the related risk factors affecting the control of asthma in adults. Methods A total of 180 adult asthmatic patients were treated in Luohe Central Hospital between August 2014 and August 2016. According to the patient’s condition control, they were divided into control group and uncontrolled group. The clinical data of patients were retrospectively analyzed. Knowledge, Self-Management Education, Self-Monitoring Illness, Treatment Compliance, Inhaled Glucocorticoid (ICS) Technology, and Inducing Factors into Relevant Factors Affecting the Control of Adult Bronchial Asthma. Results Univariate analysis, disease knowledge, self-management education, self-monitoring condition, treatment compliance and predisposing factors were the related influencing factors of asthma control level. After multivariate analysis, lack of self-monitoring disease, low treatment compliance, Avoid belonging to independent risk factors that affect the control of asthma. Conclusion The relevant departments of medical and health departments should actively organize lectures on the knowledge of asthma or set up training courses to improve patients’ awareness of asthma, strengthen self-management education, improve treatment compliance, standardize medication, supervise or help patients to avoid predisposing factors and prevent the recurrence of illness Or aggravate, as far as possible to improve the condition control of patients with bronchial asthma, improve public health safety.