患者症状感知和喘控制的关联和相关性 - 快速文献综述
Hugo Neffen1, Arzu Yorgancıoğlu2, Hamdan Al-Jahdali3
1Center of Allergy and Immunology, Santa Fe, Argentina.
Asian Pacific journal of allergy and immunology
|June 15, 2024
概括
喘患者经常高估他们的控制水平,可能导致治疗不足. 虽然更糟糕的症状与较差的喘控制相关,但这种联系通常是微弱到中度的.
科学领域:
- 肺部医学 肺部医学
- 患者报告的结果
背景情况:
- 患有喘的患者经常低估症状严重程度,并高估他们的喘控制水平.
- 这种感知差距可能导致吸入性皮质类固醇治疗不足,影响疾病管理.
研究的目的:
- 研究患者对喘症状的感知与客观测量的喘控制之间的关联和相关性.
- 在成人和儿科喘群体中识别症状感知与实际喘控制的模式.
主要方法:
- 通过使用MEDLINE,Embase和Cochrane图书馆数据库进行了快速文献审查.
- 包括2011-2021年间发表的英语研究,统计分析了感知症状和喘控制之间的关系.
- 通过Joanna Briggs Institute (JBI) 仪器评估研究质量.
主要成果:
- 在22项研究中,9项检查了相关性,13项报告了相关性. 八项关联研究揭示了不一致性,过高估计喘控制比低估更常见.
- 报告相关系数的所有10项研究都发现症状增加和喘控制恶化之间存在显著联系.
- 然而,这些相关性的强度主要为弱到中等 (系数0.120.74).
结论:
- 相当数量的喘患者高估了他们的喘控制.
- 虽然症状严重程度在统计学上与较差的控制有关,但相关性强度差异很大,通常是弱或中度.
- 需要进一步的研究,以了解这些患者症状误解的根本原因.
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