| 王燕,邹文燕,陆梅,等.急性发作期哮喘 248例感知控制力及其影响因素分析[J].安徽医药,2021,25(1):120-123. |
| 急性发作期哮喘 248例感知控制力及其影响因素分析 |
| Analysis of perceived control and influencing factors in 248 patients with acute asthma |
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| DOI：10.3969/j.issn.1009?6469.2021.01.030. |
| 中文关键词: 哮喘 嗜酸粒细胞增多 感知控制力 危险因素 调查和问卷 |
| 英文关键词: Asthma Eosinophilia Perceived control Risk factors Surveys and questionnaires |
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| 中文摘要: |
| 目的研究分析急性发作期支气管哮喘病人哮喘感知控制力(perceived control of asthma，PCA)水平及其影响因素。方法采取方便抽样的方法，于 2015年 1月至 2018年 5月调查张家港地区两家三级乙等综合性医院(张家港市中医医院，张家港市第一人民医院)共 248例急性发作期支气管哮喘病人和 250例哮喘慢性持续期病人的感知控制力现状，采用问卷调查的方法收集资料，对影响病人感知控制力现状的相关因素进行分析。结果本研究中 248例病人急性发作期哮喘病人 PCA总分(32.94±3.51)分明显低于哮喘慢性持续期病人(39.85±4.01)分，差异有统计学意义(t＝20.455，P＜0.05)。单因素分析结果显示，年龄、文化程度、是否接受哮喘教育、是否合并过敏性鼻炎、第 1秒用力呼气容积占预计值百分比(FEV1%)、哮喘病程、血嗜酸粒细胞水平与哮喘病人 PCA总评分密切相关(P＜0.05)。多元线性回归分析显示，是否合并过敏性鼻炎、哮喘病程以及血嗜酸粒细胞水平是影响 PCA水平的独立危险因素(P＜0.05)。结论急性发作期哮喘病人 PCA水平明显低于哮喘慢性持续期病人，是否合并过敏性鼻炎、哮喘病程以及血嗜酸粒细胞水平是影响急性发作期哮喘病人 PCA总分的独立危险因素。 |
| 英文摘要: |
| Objective To analysis of the level of perceived control of asthma(PCA)and its influencing factors in 248 patients with acute asthma.Methods By using the method of convenient sampling，248 patients with acute asthma and 250 patients with stable asthmain two tertiary B hospitals in Zhangjiagang(Zhangjiagang Hospital of Traditional Chinese Medicine，ZhangjiagangFirst People’s Hospital)from January 2015 to May 2018 were selected as the research object.The method of questionnaire survey was used to collect data，and the present situation of the research object of perception control evaluation was investigated，and the related factors affecting patients perception control present situation was analyzed.Results The total score of PCA in patients with acute asthma attack(32.94±3.51)was significantly lower than that in patients with stable asthma(39.85±4.01)in Zhangjiagang ar? ea，and the difference was statistically significant(t＝20.455，P＜0.05).Single factor analysis results showed that age，culture level， whether to accept education of asthma，and whether the merger of allergic rhinitis，asthma，FEV1 % duration，blood level of acido? philic granulocyte and PCA were closely related to the total PCA score in asthma patients(P＜0.05).A multiple linear regression analysisshowed that combination of allergic rhinitis，asthma，blood acidophilic granulocyte level were independent risk factors affect? ing the PCA level.Conclusion The total score of PCA in patients with acute asthma attack is significantly lower than that in pa?tients with stable asthma.Combination of allergic rhinitis，asthma course and serum eosinophil level are independent risk factors af?fecting the PCA level of asthma patients in Zhangjiagang region. |
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