Willingness of patients to perform self-management of asthma and the role of inhaled steroids.
Scand J Prim Health Care
; 20(1): 60-4, 2002 Mar.
Article
em En
| MEDLINE
| ID: mdl-12086288
ABSTRACT
OBJECTIVE:
Asthma self-management is a generally accepted effective treatment strategy for asthma patients. Acceptance by patients may be a barrier for successful implementation. In this study, the role of inhaled steroids in starting asthma self-management is described.DESIGN:
Cross-sectional explorative study.SETTING:
General practice.SUBJECTS:
283 adult steroid-requiring asthma patients were invited by their GP to participate in a self-management programme. MAIN OUTCOMEMEASURES:
In a multivariate logistic regression model, the relation between baseline dosage of inhaled steroids, occupational status, age and sex as independent variables and willingness to participate as dependent variables was explored.RESULTS:
Of all invited, 148 (52%) were willing to participate. Subjects not using inhaled steroids were least willing to participate (43/143 = 30%). Subjects with low doses of inhaled steroids ( < 400 mcg daily) were most willing to participate (44/54 = 81%). Unemployed asthmatics had a higher tendency to participate than patients with a regular job.CONCLUSION:
Acceptance of self-management by patients is not a limiting issue in promoting self-management of asthma in general practice. High acceptance in patients taking low or intermediate doses of inhaled steroids makes general practice the most appropriate setting for self-management. A selection procedure is recommended.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Asma
/
Autocuidado
/
Aceitação pelo Paciente de Cuidados de Saúde
/
Anti-Inflamatórios
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Scand J Prim Health Care
Ano de publicação:
2002
Tipo de documento:
Article
País de afiliação:
Holanda