哮喘联盟

   摘要
   目的：患者的积极性、个人的知识水平、技能和管理自己的健康和保健的信心能够在慢性疾病管理中发挥重要作用。然而，很少有关于调查医疗服务差的农村地区患者积极性的研究。本研究旨在描述患者的积极性并检测低收入的农村哮喘人群的积极性如何与哮喘药物依从性和疾病控制相关。
   方法：我们对98例成年人进行了一项横断面电话调查。通过患者积极性措施对患者的积极性进行评估。通过Morisky服药依从性量表（MMAS）和哮喘控制测试（ACT）对长期控制（LTC）药物的依从性和哮喘控制进行检测。使用多元回归分析评估患者的积极性与（1）对长期控制（LTC）药物的依从性和（2）哮喘控制的关系。
   结果：大部分参与者（50％）被归类为患者积极性最高的水平。积极性最低的参与者较积极性较高参与者的平均MMAS和ACT得分更低。多变量分析结果显示，患者的积极性与依从性和哮喘控制之间存在显著的正相关。
   结论：患者的积极性对于低收入的农村患者在使用哮喘药物和疾病控制方面是有帮助的。研究结果对帮助患者正确使用哮喘药物以及更好的控制哮喘的干预措施作了提示。除了增加农村社区的卫生保健服务设施，卫生保健专业人员也可能制定和实施一些战略，以积极影响农村患者对保健的参与度。
 

(林江涛 审校)
J Rural Health. 2014 Apr;30(2):121-7. doi: 10.1111/jrh.12031. Epub 2013 Jun 11.

 

The active patient role and asthma outcomes in an underserved rural community.
 

Young HN1, Larson TL, Cox ED, Moreno MA, Thorpe JM, Mackinnon NJ.
 

Abstract
PURPOSE: Patient activation, an individual's knowledge, skills, and confidence for managing their own health and health care, can play an important role in the management of chronic conditions. However, few studies have examined patient activation in underserved rural communities. The purpose of this study was to describe patient activation and examine how patient activation is associated with adherence to asthma maintenance medication and disease control in a low-income rural population with asthma.
METHODS: We conducted a cross-sectional telephone survey with 98 adults. Patient activation was assessed with the Patient Activation Measure. Adherence to long-term controller (LTC) medications and asthma control were examined using the Morisky Medication Adherence Scale (MMAS) and Asthma Control Test (ACT). Multivariate regression analyses were used to assess the associations between patient activation and: (1) adherence to LTC medications and (2) asthma control.
FINDINGS: The majority of participants (50%) were classified in the highest level of patient activation. The least activated participants had lower mean MMAS and ACT scores in comparison to participants who were classified in higher patient activation levels. Multivariate analyses found significant positive associations between patient activation and adherence and asthma control.
CONCLUSIONS: Patient activation may be instrumental in low-income rural patients' use of asthma medication and disease control. Study results inform interventions to help patients use asthma medications appropriately and achieve better asthma control. In addition to increasing access to health care services in rural communities, health care professionals also may develop and implement strategies to positively impact rural patients' involvement in care.
 

J Rural Health. 2014 Apr;30(2):121-7. doi: 10.1111/jrh.12031. Epub 2013 Jun 11.