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Allergic rhinitis and asthma ad hoc survey: clinical and psychological perspectives.

机译：过敏性鼻炎和哮喘的专项调查：临床和心理观点。

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BACKGROUND: Several studies have provided evidence of a strong association between asthma and rhinitis, with consequences in terms of therapy and disease management. OBJECTIVES: The aims of our study were to evaluate physicians' knowledge about rhinitis/asthma comorbidity, to note the patients' management behaviour and to assess the patients' experience about symptoms and expectations, and to investigate the clinical and psychological meaning of general practitioners' and patients' awareness. METHODS: One hundred and one general practitioners and 504 asthmatic patients participated in the study. General practitioners and patients filled in two different multiple choice questionnaires concerning asthma-rhinitis link and impact. RESULTS: 34.7% of general practitioners are aware of the link between asthma and rhinitis, and 43.6% of them hypothesize the comorbidity on the basis of their clinical experience. 21.8% of physicians make the diagnosis autonomously. 27.8% of asthmatic patients experience three orless rhinitic symptoms, 41% from four to six symptoms and 31.2 more than six symptoms. These symptoms deeply interfere with daily life, causing sleep problems (87.3%), lack of concentration (78.9%), difficulties in spare time (71.8%) and sport (71.7%). Rhinitis symptoms are responsible for the worsening of asthma, with an increase in dyspnoea (86.3%), cough (73.9%), and wheezing (59%). Ninety-three percent of patients expressed an interest in a combination therapy approach. CONCLUSIONS: Asthma and rhinitis interact in the development of clinical burden and impact on quality of life. The survey results showed different perspectives when evaluated from clinical and psychological points of view.
机译：背景：多项研究提供了证据，证明哮喘与鼻炎之间有很强的联系，并在治疗和疾病管理方面产生后果。目的：本研究的目的是评估医师对鼻炎/哮喘合并症的了解，记录患者的管理行为，评估患者对症状和期望的体验，并调查全科医生的临床和心理意义。和患者的意识。方法：101名全科医生和504名哮喘患者参加了这项研究。全科医生和患者填写了关于哮喘-鼻炎联系和影响的两个不同的多项选择问卷。结果：34.7％的全科医生知道哮喘和鼻炎之间的联系，其中43.6％的医生根据其临床经验来假设合并症。 21.8％的医生是自主诊断的。 27.8％的哮喘患者出现三种或以上的鼻部症状，41％的症状从4到6种，31.2种以上的6种症状。这些症状严重干扰了日常生活，导致睡眠问题（87.3％），注意力不集中（78.9％），业余时间困难（71.8％）和运动（71.7％）。鼻炎症状导致哮喘恶化，呼吸困难（86.3％），咳嗽（73.9％）和喘息（59％）增多。 93％的患者表示对联合疗法感兴趣。结论：哮喘和鼻炎在临床负担的发展中相互作用，并影响生活质量。从临床和心理角度进行评估时，调查结果显示出不同的观点。

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