患者自主管理他们的支气管喘恶化及其相关因素,2024年
Sadik Abdulwehab1, Frezer Kedir2
1School of Nursing, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Frontiers in allergy
|November 11, 2024
概括
只有41.7%的喘患者在控制喘恶化方面具有自主性. 城市居住,医疗保险和高健康素养等因素与更大的自主性有关,突出了改善自我管理的有针对性的干预措施的领域.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 公共卫生 公共卫生
背景情况:
- 喘是一种全球性慢性呼吸道疾病,患者自主性可变.
- 诸如有限的资源,健康素养和文化信仰等因素影响自我管理.
- 了解患者的自主权对于有效的喘管理策略至关重要.
研究的目的:
- 评估患者在管理喘恶化中的自主程度.
- 确定与患者在喘自我管理中的自主性相关的因素.
主要方法:
- 在吉马大学综合专门医院对175名喘患者进行了横截面研究.
- 面对面的采访收集了关于社会人口统计,临床因素和患者自主权的数据,使用患者自主权偏好指数.
- 使用了描述性统计和二进制物流回归分析.
主要成果:
- 41.7%的参与者报告说,他们在管理喘恶化方面具有自主性.
- 城市居住 (AOR=3.24),医疗保险 (AOR=4.30),定期炼 (AOR=4.79),家族病史 (AOR=7.47),以及高健康素养 (AOR=1.10) 都与提高自主性有关.
- 诊断持续时间超过五年与自主性降低有关 (AOR=0.44).
结论:
- 很大一部分喘患者在处理喘恶化时缺乏自主权.
- 医疗保健提供者应该专注于支持农村地区的患者,那些没有保险的人,最近被诊断出来的人,以及健康素养较低的人.
- 提高患者的自主性和自我管理是改善喘健康结果的关键.
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