哮喘联盟

   摘要
   目的：研究旨在评估症状情况的程度、身体活动、对药物的信任程度、自我效能、情绪状况和医疗保健利用程度对初级保健人群16个月期间的感知哮喘控制的预测作用。
   方法：目前的研究是对一项纵向研究数据进行的二次分析，纵向研究对从初级保健诊所招募的哮喘参与者的健康结果进行了检测。路径分析基于威尔逊和克利和国际功能分类。研究使用残疾和健康架构对感知哮喘控制的预测进行评估。
   结果：路径分析确定初始感知哮喘控制哮喘（β＝0.43，P＜0.0001）、症状（β＝0.35，P＜0.0001）、体育活动（β＝0.27，P＜0.0001）和自我效能感（β＝0.29，P＜0.0001）是感知哮喘控制的重要预测因子（总影响，例如直接和间接），而通过身体活动评估的情感状态（β= 0.08，P = 0.03）是一个重要的间接预测因子。
   该模型解释了感知哮喘控制的24%的变异。总之，该模型与数据相符良好（χ2= 6.65，DF = 6，P值= 0.35，近似均方根误差=0.02，相对拟合指数= 0.999，加权残差平方根= 0.27）
   结论：初始感知哮喘控制、目前的状况、身体活动和自我效能感可以用来识别可能在未来有良好的感知哮喘控制的个体。情绪状态也可以通过身体活动对感知哮喘控制产生影响，应在计划患者管理时有所考虑。确定这些预测因子对帮助护理团队量身定制干预措施是重要的，干预措施可以使个人可以最佳地管理他们的哮喘、防止病情加重、预防其他呼吸相关的慢性疾病发生、并最大限度地提高生活质量。
 

（苏楠 审校）
Qual Life Res. 2014 May 8. [Epub ahead of print]


 

Predictors of perceived asthma control among patients managed in primary care clinics.
 

Eilayyan O1, Gogovor A, Mayo N, Ernst P, Ahmed S.
 

ABSTRACT
OBJECTIVE: To estimate the extent to which symptom status, physical activity, beliefs about medications, self-efficacy, emotional status, and healthcare utilization predict perceived asthma control over a period of 16 months among a primary care population.
METHODS: The current study is a secondary analysis of data from a longitudinal study that examined health outcomes of asthma among participants recruited from primary care clinics. Path analysis, based on the Wilson and Cleary and International Classification of Functioning, Disability and Health frameworks, was used to estimate the predictors of perceived asthma control.
RESULTS: The path analysis identified initial perceived asthma control asthma (β = 0.43, p < 0.0001), symptoms (β = 0.35, p < 0.0001), physical activity (β = 0.27, p < 0.0001), and self-efficacy (β = 0.29, p < 0.0001) as significant predictors of perceived asthma control (total effects, i.e., direct and indirect), while emotional status (β = 0.08, p = 0.03) was a significant indirect predictor through physical activity. The model explained 24 % of the variance of perceived asthma control. Overall, the model fits the data well (χ 2 = 6.65, df = 6, p value = 0.35, root-mean-square error of approximation = 0.02, Comparative Fit Index = 0.999, and weighted root-mean-square residual = 0.27).
CONCLUSION: Initial perceived asthma control, current symptoms status, physical activity, and self-efficacy can be used to identify individuals likely to have good perceived asthma control in the future. Emotional status also has an impact on perceived asthma control mediated through physical activity and should be considered when planning patient management. Identifying these predictors is important to help the care team tailor interventions that will allow individuals to optimally manage their asthma, to prevent exacerbations, to prevent other respiratory-related chronic disease, and to maximize quality of life.
 

Qual Life Res. 2014 May 8. [Epub ahead of print]