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[Influencing factors of poor treatment adherence in uncontrolled asthma patients in China].
Wang, W Y; Lin, J T; Tang, H P; Huo, J M; Gu, Y H; Liu, R Y; Chen, P; Yuan, Y D; Yang, X H; Xu, J Y; Sun, D J; Li, N J; Jiang, S J; Chen, Y Q; Wang, C Z; Yang, L; Liu, X J; Yang, D; Zhang, W; Chen, Z C; Lin, Q C; Liu, C T; Zhou, J Y; Zhou, X; Hu, C P; Jiang, P; Zhou, W; Zhang, J; Cai, S X; Qiu, C; Huang, M; Huang, Y J; Liu, H G.
Afiliación
  • Wang WY; Department of Pulmonary and Critical Care Medicine, National Clinical Research Center of Respiratory Disease, China-Japan Friendship Hospital, Beijing 100029, China.
  • Lin JT; Department of Pulmonary and Critical Care Medicine, National Clinical Research Center of Respiratory Disease, China-Japan Friendship Hospital, Beijing 100029, China.
  • Tang HP; Department of Pulmonary and Critical Care Medicine, Qingdao Municipal Hospital, Qingdao 266071, China.
  • Huo JM; Department of Respiratory Medicine, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China.
  • Gu YH; Department of Respiratory Medicine, Qinghai Provincial People's Hospital, Xining 810007, China.
  • Liu RY; Department of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
  • Chen P; Department of Respiratory Medicine, General Hospital of Northern Theater Command, Shenyang 110016, China.
  • Yuan YD; Department of Respiratory Medicine, the Second Hospital of Hebei Medical University, Shijiazhuang 050030, China.
  • Yang XH; Department of Pulmonary and Critical Care Medicine, Xinjiang Uygur Municipal People's Hospital, Urumqi 830001, China.
  • Xu JY; Department of Pulmonary and Critical Care Medicine, Shanxi Bethune Hospital, Taiyuan 030032, China.
  • Sun DJ; Department of Pulmonary and Critical Care Medicine, Inner Mongolia People's Hospital, Hohhot 737399, China.
  • Li NJ; Department of Respiratory Medicine, Daqing Oilfield General Hospital, Daqing 163001, China.
  • Jiang SJ; Department of Pulmonary and Critical Care Medicine, Shandong Provincial Hospital, Jinan 250021, China.
  • Chen YQ; Department of Respiratory Medicine, the First Affiliated Hospital of Guangxi Medical University, Nanning 537406, China.
  • Wang CZ; Department of Respiratory Medicine, Xinqiao Hospital of Army Medical University, Chongqing 400037, China.
  • Yang L; Department of Pulmonary and Critical Care Medicine, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China.
  • Liu XJ; Department of Geriatric Respiration, the First Hospital of Lanzhou University, Lanzhou 730013, China.
  • Yang D; Department of Pulmonary and Critical Care Medicine, Zhongshan Hospital Fudan University, Shanghai 200032, China.
  • Zhang W; Department of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China.
  • Chen ZC; Department of Respiratory Medicine, Henan Provincial People's Hospital, Zhengzhou 463599, China.
  • Lin QC; Department of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Fujian Medical University, Xiamen 350004, China.
  • Liu CT; Department of Pulmonary and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610044, China.
  • Zhou JY; Department of Pulmonary and Critical Care Medicine, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, China.
  • Zhou X; Department of Respiratory Medicine, the First People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200080, China.
  • Hu CP; Department of Pulmonary and Critical Care Medicine, Xiangya Hospital Central South University, Changsha 410008, China.
  • Jiang P; Department of Pulmonary and Critical Care Medicine, Tianjin First Central Hospital, Tianjin 300190, China.
  • Zhou W; Department of Pulmonary and Critical Care Medicine, General Hospital of Ningxia Medical University, Yinchuan 750003, China.
  • Zhang J; Department of Pulmonary and Critical Care Medicine, the Second Hospital of Jilin University, Changchun 130061, China.
  • Cai SX; Department of Respiratory and Critical Care Medicine, Nanfang Hospital, Southern University of Science and Technology, Guangzhou 410008, China.
  • Qiu C; Department of Pulmonary and Critical Care Medicine, Shenzhen People's Hospital, the Second Clinical Medical College of Jinan University, Shenzhen 518020, China.
  • Huang M; Department of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing 211103, China.
  • Huang YJ; Department of Pulmonary and Critical Care Medicine, Hainan Provincial People's Hospital, Haikou 570311, China.
  • Liu HG; Department of Pulmonary and Critical Care Medicine, Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China.
Zhonghua Jie He He Hu Xi Za Zhi ; 46(2): 121-127, 2023 Feb 12.
Article en Zh | MEDLINE | ID: mdl-36740371
ABSTRACT

Objective:

To evaluate the influencing factors of poor treatment adherence in patients with uncontrolled asthma in China.

Methods:

From April 2017 to April 2018, all asthma patients with uncontrolled asthma and poor compliance in 32 third-class hospitals in 28 provinces and cities of China mainland included in the "National Mobile Asthma Assessment and Management Project" were selected as the subjects. A total of 923 patients were enrolled in the study including 388 males and 535 females. By analyzing the baseline data of the patients at the initial visit when enrolled, the influencing factors of poor adherence of adult asthma was analyzed by inter-group comparison and χ2 test.

Results:

Poor compliance in asthma was related to the following factors age from 59 to 68 years old, course of disease more than 20 years, low education level, non-local follow-up, having obstructive ventilation dysfunction and low awareness of the disease[P values were 0.026(t=1.20), 0.004(t=3.97), 0.001(t=4.92), 0.003(t=3.98), 0.032(t=1.22) and 0.001(t=4.99), respectively]. Totally, 243 patients (26.33%) answered all the questions about asthma correctly. Their medication adherence rating scale (MARS-A) scores were significantly higher than those who answered incompletely correctly (36.23±5.85 vs. 31.77±5.74, P=0.001).

Conclusions:

The adherence of adult asthma patients was affected by individual and external environment factors. Clinicians should choose individualized methods based on the characteristics of patients. Patient education should be strengthened to improve patients' awareness of the disease at the same time.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Asma / Cumplimiento de la Medicación Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: Zh Revista: Zhonghua Jie He He Hu Xi Za Zhi Año: 2023 Tipo del documento: Article País de afiliación: China
Texto completo
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Asma / Cumplimiento de la Medicación Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: Zh Revista: Zhonghua Jie He He Hu Xi Za Zhi Año: 2023 Tipo del documento: Article País de afiliación: China