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首页> 外文期刊>The journal of asthma >Predictors of asthma self-management education among children and adults-2006-2007 behavioral risk factor surveillance system asthma call-back survey
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Predictors of asthma self-management education among children and adults-2006-2007 behavioral risk factor surveillance system asthma call-back survey

机译：儿童和成人哮喘自我管理教育的预测因素-2006-2007年行为危险因素监测系统哮喘回访调查

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Background. Patient self-management, besides expert care, is necessary to improve health outcomes among persons with asthma. Our objective was to describe the characteristics of persons with asthma likely to receive asthma self-management education. Methods. The 2006 and 2007 Behavioral Risk Factor Surveillance System (BRFSS) Child and Adult Asthma Call-back Survey (ACBS) data were analyzed. Binary and multinomial response logistic regression models were used to examine the association between asthma self-management education and explanatory variables. Results. Of the 31,278 persons who ever had asthma, 3953 of the children (75.8%) and 19,723 of the adults (72.8%) were classified as having active asthma. For both children and adults, the three most commonly reported asthma education components were being taught how to use an inhaler (78.6% and 89.8%, respectively); being taught what to do during an asthma episode (86.3% and 74.6%); and to recognize early signs or symptoms of an asthma episode (82.0% and 64.4%). Children and adults who reported routine care visits, hospitalization, and asthma episodes in the past 12 months because of asthma were more likely to report several asthma education components and higher asthma education scores. Children aged 1217 years were more likely to report having instruction in peak flow meter use (1.3; 1.11.6) and inhaler use (1.3; 1.21.4), whereas older adults (aged 5464 years or 65+ years), adults who were not high school (HS) graduates, and smokers were less likely to report having asthma management education than the corresponding comparison groups. Conclusions. Having a routine care visit, being hospitalized, and having an asthma episode were significantly associated with reporting multiple asthma education components, whereas being an older adult, having less than a HS degree, and being a smoker were associated with reporting fewer asthma education components. Asthma control programs should continue to monitor asthma self-management education and promote asthma education to all persons with asthma, especially for older adults, persons with less education, and smokers.
机译：背景。除了专家护理外，患者的自我管理对于改善哮喘患者的健康结局也是必要的。我们的目的是描述可能接受哮喘自我管理教育的哮喘患者的特征。方法。分析了2006年和2007年的行为危险因素监视系统（BRFSS）儿童和成人哮喘回访调查（ACBS）数据。使用二元和多项式响应逻辑回归模型检查哮喘自我管理教育与解释变量之间的关联。结果。在曾经患过哮喘的31278人中，有3953名儿童（75.8％）和19723名成年人（72.8％）被归为活动性哮喘。对于儿童和成人，正在教三个最常报告的哮喘教育内容如何使用吸入器（分别为78.6％和89.8％）。被教导在哮喘发作期间该怎么做（86.3％和74.6％）;并识别出哮喘发作的早期体征或症状（分别为82.0％和64.4％）。在过去的12个月中，由于哮喘而报告了常规护理就诊，住院和哮喘发作的儿童和成人，更有可能报告几种哮喘教育内容和较高的哮喘教育得分。 1217岁的儿童更有可能报告对峰值流量计使用（1.3; 1.11.6）和吸入器使用（1.3; 1.21.4）的指导，而较大的成年人（5464岁或65岁以上）的成年人不是高中（HS）毕业生，而且吸烟者与相应的比较组相比，接受哮喘管理教育的可能性较小。结论。进行常规护理就诊，住院和哮喘发作与报告多种哮喘教育成分显着相关，而对于成年人，HS程度不高以及吸烟者则与报告哮喘教育成分较少相关。哮喘控制计划应继续监测哮喘的自我管理教育，并向所有哮喘患者，特别是对老年人，教育程度较低的人和吸烟者，推广哮喘教育。

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