日本儿科和青少年喘患者的症状控制和药物坚持:一个大规模的基于网络的横截面调查
Shigemi Yoshihara1, Toshiko Itazawa2, Taiji Nakano3
1Department of Pediatrics, Dokkyo Medical University, 880 Kita-Kobayashi, Mibu-machi, Shimotsuga-gun, Tochigi, 321-0293, Japan.
在日本,儿童喘管理面临着指导方针的遵守和药物使用的挑战,导致许多儿童的控制能力不佳,特别是那些有过敏的儿童. 改善患者教育和解决共存疾病对于更好的喘结果至关重要.
科学领域:
- 儿科肺病学 儿科肺病学
- 公共卫生 公共卫生
- 过敏和免疫学 过敏和免疫学
背景情况:
- 儿童喘是日本的主要公共卫生问题.
- 不一致地遵守治疗指南和药物使用是普遍存在的.
- 当前的管理实践需要进行改进评估.
研究的目的:
- 评估目前在日本的儿科喘管理.
- 为了确定影响喘控制的因素.
- 为改善儿童喘护理的未来策略提供信息.
主要方法:
- 在全国范围内对2000名患有喘儿童 (0-19岁) 的照顾者进行了基于网络的横截面调查.
- 评估了喘控制,药物坚持,环境暴露和过敏并发症.
- 从日本各地的医疗机构收集的数据.
主要成果:
- 65.8%的患者接受了治疗,但许多人缺乏基于指南的持续护理.
- 观察到吸入药物,特别是皮质类固醇的坚持度较低.
- 26.2%的患者喘控制不良,特别是0-3岁的儿童,与过敏和物所有有关.
结论:
- 在儿科喘管理方面存在持续的挑战,特别是在幼儿中.
- 同时存在的过敏性疾病显著影响喘控制.
- 加强患者教育,遵守指导方针和治疗并发病症对于改善喘控制至关重要.
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