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首页> 外文期刊>BMC Pulmonary Medicine >“I did not know it was so important to take it the whole time” ? self-reported barriers to medical treatment among individuals with asthma
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“I did not know it was so important to take it the whole time” ? self-reported barriers to medical treatment among individuals with asthma

机译：“我不知道要一直坚持下去是如此重要”？哮喘患者自我报告的医疗障碍

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Asthma is an extensive public health problem and inadequate disease control is not uncommon. Individuals’ self-perceived barriers to medical treatment for the entire treatment chain (from seeking care for symptoms to using a medicine) have seldom been studied for chronic diseases such as asthma. The aim of this study was to explore self-perceived barriers to medical treatment among individuals with asthma within the framework of AAAQ (availability, accessibility, acceptability and quality). Individuals with asthma visiting the asthma nurse at a primary health care centre, and who currently had a prescription for anti-asthmatic medicines, were informed about the study. The nurse asked the persons for their consent to be contacted by an interviewer. The interview guide was constructed from the elements of AAAQ exploring self-perceived barriers to asthma treatment. Interviews were conducted in Swedish, English, Arabic and Persian. They were transcribed verbatim and a manifest content analysis was conducted. Fourteen interviews were conducted. There was a large variation in both age and reported number of years with asthma. Self-perceived barriers to asthma treatment were experienced throughout the whole treatment chain. Barriers that emerged were health care accessibility, perceived quality of care, beliefs about medicines, life circumstances, knowledge gap about asthma and medicines, practical obstacles to using medicines, and experiences with treatment. The self-perceived barriers cover all four elements of AAAQ, but there are also some barriers that go beyond those elements (life circumstances and practical obstacles to using medicines). Self-perceived barriers among individuals with asthma cover the whole treatment chain. We want to highlight the inadequate information/education of patients leading to knowledge gaps about both disease and the effect of medicines, and also the perceived unsatisfactory treatment at the PHCC, which could partly be counteracted if patients know what to expect from health care visits.
机译：哮喘是一个广泛的公共卫生问题，疾病控制不充分的情况并不罕见。很少研究个体对整个治疗链（从寻求症状的护理到使用药物）的药物治疗障碍，这些疾病对于哮喘等慢性疾病没有进行研究。这项研究的目的是在AAAQ（可用性，可及性，可接受性和质量）的框架内探讨哮喘患者自我认知的医疗障碍。患有哮喘的个体在基层医疗中心拜访了哮喘护士，并且目前已经开了抗哮喘药处方，并被告知了这项研究。护士问这些人是否同意采访员。采访指南是根据AAAQ的要素构建的，探讨了哮喘治疗的自我认知障碍。采访以瑞典语，英语，阿拉伯语和波斯语进行。他们被逐字记录，并进行了清单内容分析。进行了十四次采访。哮喘的年龄和报道的年数都有很大差异。在整个治疗链中都经历了哮喘治疗的自我感觉障碍。出现的障碍包括卫生保健的可及性，对医疗的感知质量，对药物的信念，生活状况，对哮喘和药物的知识差距，使用药物的实际障碍以及治疗经验。自我认知的障碍涵盖了AAAQ的所有四个要素，但也有一些障碍超越了这些要素（生活环境和使用药物的实际障碍）。哮喘患者中自我感知的障碍覆盖了整个治疗链。我们想强调的是，对患者的信息/教育不足会导致疾病和药物效果方面的知识差距，以及在PHCC所感觉到的治疗效果不佳，如果患者知道从医疗看诊中会得到什么，则可以部分抵消。

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