首页> 外文期刊>Npj - Primary Care Respiratory Medicine >Perceptions of asthma control in the United Kingdom: a cross-sectional study comparing patient and healthcare professionals’ perceptions of asthma control with validated ACT scores
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Perceptions of asthma control in the United Kingdom: a cross-sectional study comparing patient and healthcare professionals’ perceptions of asthma control with validated ACT scores

机译:英国对哮喘控制的看法:一项横断面研究,将患者和医疗保健专业人员对哮喘控制的看法与经过验证的ACT得分进行比较

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Perceptions of asthma control often vary between patients and physicians. This cross-sectional survey provided UK-specific data on actual and perceived asthma control in patients (18鈥?5 years) attending routine asthma reviews in primary, secondary and tertiary settings. Differences between healthcare professionals鈥?(HCP) and patients鈥?perceptions of asthma control were evaluated via an online questionnaire and compared to a control鈥攖he validated asthma control test (ACT)鈥攚hich patients completed. Treated patients (at least a short acting 脽-agonist) with a documented diagnosis of asthma were enroled and consented within a month of their last appointment. Patients were grouped according to the British Thoracic Society (BTS)/Scottish Intercollegiate Guidelines Network (SIGN) 2014 treatment guidelines (BTS/SIGN steps 1鈥?). A total of 260 patients were screened: 234 were eligible for enrolment: 33, 52, 50, 49 and 50 patients in steps 1鈥?, respectively. Seventy per cent (164) were women. The percentage of patients aged 45鈥?4 years was 47.4%. HCPs classed 70% (164) as non-smokers. 84.2% of patients and 73.9% of HCPs perceived that asthma was controlled but ACT results suggest that asthma was only controlled in 54.7% of patients (ACT score 鈮?0). Patients in steps 4 and 5 had the highest levels of uncontrolled asthma. Correct agreement between ACT score with perceptions of controlled or uncontrolled asthma occurred in 67.9% of patients and 68.8% of HCPs; the poorest levels of agreement occurred in patients in steps 4 and 5. Uncontrolled asthma is common in UK patients. High proportions of patients and HCPs have incorrect perceptions of asthma control, especially in relation to patients with asthma in steps 4 and 5.
机译:哮喘控制的认识在患者和医生之间经常有所不同。这项横断面调查提供了英国特定数据,这些数据涉及在一级,二级和三级环境中接受常规哮喘复查的患者(18-5岁)的实际和可感知的哮喘控制。通过在线调查表评估医护人员(HCP)与患者对哮喘控制的看法之间的差异,并将其与对照组(已验证的哮喘控制测试(ACT))进行比较。记录有哮喘诊断的经治疗患者(至少是短期作用的β-激动剂)入组并在他们最后一次预约的一个月内被同意。根据英国胸科学会(BTS)/苏格兰大学间指南网络(SIGN)2014治疗指南(BTS / SIGN步骤1'?)对患者进行分组。总共筛选了260位患者:234位符合条件的患者:在步骤1'中分别有33位,52位,50位,49位和50位患者。 70%(164)是妇女。 45-4岁的患者比例为47.4%。 HCP将70%(164)归类为不吸烟者。 84.2%的患者和73.9%的HCP认为哮喘得到了控制,但是ACT结果表明,只有54.7%的患者得到了哮喘控制(ACT得分≤0)。步骤4和步骤5中的患者未控制哮喘的水平最高。在67.9%的患者和68.8%的HCP中,ACT评分与对可控或不可控哮喘的认识之间的正确一致性;在第4步和第5步中,患者达成协议的水平最差。在英国患者中,哮喘不受控制很常见。高比例的患者和HCP对哮喘控制的认识不正确,尤其是与第4步和第5步中的哮喘患者有关。

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