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Determinants of patients’ needs in asthma treatment: a cross-sectional study

机译:决定患者哮喘治疗需求的一项横断面研究

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摘要

Patients’ needs in asthma remain insufficiently understood and met. We therefore aimed to investigate the potential determinants of patients’ needs in asthma treatment. Our study was based on survey data on 189 adults with asthma. Needs were measured using the 13-item Needs in Asthma Treatment questionnaire, which yields a total score and subscale-specific scores (‘exacerbations’, ‘patient expertise’, ‘handling drugs’ and ‘drug effects’). We considered age, sex, education, years since diagnosis and anxiety/depression (measured by the Patient Health Questionnaire-4) as potential determinants. Associations were estimated by multivariable linear regression. Overall, we observed that younger age, poor mental health and a more recently established asthma diagnosis were independently associated with increased needs. Information on drug effects was an exception to this pattern as the need in that domain was solely determined by sex (being greater in men). In conclusion, our study provides novel evidence on patient characteristics that are associated with needs in asthma treatment. If confirmed by future studies, our observations may assist healthcare professionals to identify asthma patients with potentially elevated information, support and training needs and could contribute to the development of tailored interventions.
机译:患者对哮喘的需求仍未得到充分理解和满足。因此,我们旨在调查可能影响患者哮喘治疗需求的因素。我们的研究基于对189名成人哮喘的调查数据。使用“哮喘治疗需求”问卷中的13个项目对需求进行了测量,该问卷得出了总分和特定于量表的分数(“加剧”,“患者专业知识”,“处理药物”和“药物效果”)。我们认为年龄,性别,受教育程度,自诊断以来的年数和焦虑/抑郁(由患者健康问卷4衡量)是潜在的决定因素。通过多变量线性回归估计关联。总体而言,我们观察到年龄较小,心理健康状况较差以及较新近建立的哮喘诊断与需求增加独立相关。关于药物作用的信息是该模式的一个例外,因为该领域的需求完全由性别决定(男性的需求更大)。总之,我们的研究提供了与哮喘治疗需求相关的患者特征的新证据。如果将来的研究证实,我们的观察结果可能会帮助医疗保健专业人员识别信息,支持和培训需求可能潜在增加的哮喘患者,并可能有助于制定有针对性的干预措施。

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