心理状态作为过敏症状和过敏测试之间的关联的效果修饰器
Minjee Kim1,2, Anne Li3, Anthony A Prince1
1Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, Massachusetts, USA.
概括
心理健康显著影响过敏症状报告. 更好的心理健康增强了患者报告的过敏评分和客观过敏测试结果之间的联系.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 心理医学 心理医学
- 临床研究方法论 临床研究方法论
背景情况:
- 患者报告的结果指标 (PROM) 在医疗保健中至关重要,但可能并不总是与诊断结果一致.
- 主观患者报告和客观测试结果之间的差异在过敏诊断中很常见.
- 了解影响这种相关性的因素对于准确的患者评估至关重要.
研究的目的:
- 调查心理健康是否改变了患者报告的过敏结果和过敏测试结果之间的关联.
- 探索心理状态作为影响修饰剂在过敏性鼻炎评估中的作用.
主要方法:
- 展望结果研究涉及600名患有过敏性鼻炎症状的成年患者.
- 使用鼻腔结局测试 (SNOT) 评估鼻腔,过敏和心理领域.
- 采用几率比率和斯皮尔曼相关系数的分层分析来评估心理状态的影响修改.
主要成果:
- 在心理健康较好的患者中,更糟糕的过敏症状和积极的过敏测试之间发现了显著的关联 (OR 1.69).
- 在心理健康较差的患者中,没有观察到症状和测试结果之间的显著关联 (OR 1.06).
- 相关性分析支持了这些发现,显示过敏分数和测试结果之间只有在心理上更健康的患者中存在积极联系.
结论:
- 心理状态在主观过敏报告和客观过敏测试之间的关系中起着显著的效果修饰作用.
- 考虑到心理状态对于解释PROM以及过敏护理中的诊断测试至关重要.
- 这凸显了需要在临床实践和涉及过敏评估的研究中考虑心理因素的必要性.
关键词:
过敏性鼻炎 过敏性鼻炎过敏是一种过敏.过敏测试 过敏测试 过敏测试效果的修改影响的修改.客观测试 客观测试是指对客观测试进行的测试.心理状态 心理状态鼻结局测试试验 鼻结局测试主观测试是主观的测试.更多相关视频
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