哮喘控制问卷与哮喘生命质量问卷在哮喘患者中的应用价值研究

目的探讨哮喘控制问卷（ACQ）与哮喘生命质量问卷（AQLQ）在哮喘患者中的应用价值。方法选取中国医科大学附属第一医院呼吸内科就诊的哮喘患者132例,其中男性60例,女性72例,平均年龄（47．64-12．3）岁。所有患者填写ACQ、AQLQ问卷并完成肺功能测试。按FEV-％pred将患萏分为三组：1组FEVi％pred≥80％;2组60％≤FEV1％pred〈80％;3组FEV1％pred〈60％。采用Pearson相关分析ACQ分值、AQLQ分值与肺功能指标之间的相关性。结果3组患者的ACQ、AQLQ评分差异有统计学意义（F：32．27、4．65,P〈0．01）,且ACQ、AQI。Q评分能很好的反映肺功能的差异。ACQ评分与肺功能指标呈负相关,AQI。Q评分与肺功能指标呈正相关。结论哮喘患者的肺功能指标与ACQ评分、AQLQ评分有很好的相关性,能更准确的评价患者病情,ACQ与AQLQ在哮喘患者中有很好的应用价值。     

应用哮喘生命质量问卷的临床体会

随着城市和工业化发展 ,支气管哮喘 (简称哮喘 )呈逐年增加趋势。哮喘可引起患者气喘、咳嗽 ,严重影响患者的生活质量。哮喘的临床治疗不仅要改善患者的肺通气功能 ,更要以提高其生活质量为首要目的 ;因此 ,关于哮喘患者生命质量问卷 (AQLQ)调查表得到了越来越普遍的应用。AQLQ是 1992年由Juniper等设计 ,并首先应用于哮喘的一种问卷调查[1] 。近 10年研究表明 ,AQLQ对于评价哮喘患者生活质量各方面的可信性、有效性和对病情变化的敏感性很高[2 7] 。AQLQ在我国应用才起步 ,我们的研究是应用AQLQ来评价我国哮喘患者生活质量的有效…     

St.George''s呼吸疾病问卷评价支气管哮喘患者生活质量的价值

St．George’s呼吸疾病问卷（SGRQ）是用于评价慢性气流受限疾病患者生活质量的量表，在国际上广泛用于测评支气管哮喘（简称哮喘）患者的生活质量。我们试图通过SGRQ的应用对我国哮喘患者进行其可靠性、有效性和灵敏性的评价，为病情和临床治疗效果的判断提供一项实用的评价指标。     

如何评价成人哮喘的生命质量

既往临床上仅以哮喘的发作程度，用药量，第一秒用力呼气量以及气道反应性的改变来评价哮喘的治疗效果，是不全面的。生命质量是综合评估患健康水平高低的指标，可以全面客观地评估哮喘的治疗效果有助于选择治疗方案。     

支气管哮喘患者生命质量评估及影响因素的分析

目的探讨支气管哮喘（简称哮喘）患者生命质量水平及其影响因素,为提高患者生命质量,增强用药依从性提供理论依据。方法横断面研究采用一般情况调查表,哮喘控制测试（ACT）表,哮喘患者生命质量量表,用药依从性评分表调查问卷。资料数据输入统计软件SPSS 15.0处理分析。结果患者用药依从性、认知水平、ACT得分与生命质量各领域的相关系数呈正相关且差异均有统计学意义。结论在生命质量总体水平和各领域影响因素中,用药依从性、病程长短及受教育程度的作用较大,其中受教育程度和病程长短客观存在,无法人为影响,用药依从性可给予干预行为,从而提高哮喘患者生命质量。     

支气管哮喘患者生命质量评估及影响因素的分析

目的 探讨支气管哮喘(简称哮喘)患者生命质量水平及其影响因素,为提高患者生命质量,增强用药依从性提供理论依据.方法 横断面研究采用一般情况调查表,哮喘控制测试(ACT)表,哮喘患者生命质量量表,用药依从性评分表调查问卷.资料数据输入统计软件SPSS 15.0处理分析.结果 患者用药依从性、认知水平、ACT得分与生命质量...     

支气管哮喘患者的生命质量影响因素分析

目的探讨支气管哮喘（BA）患者的生命质量影响因素，为其临床治疗及干预提供参考依据。方法采用自行设计并经方法学评价的BA患者生命质量测定量表QLICD—BA（V2．0测试版），对100例BA患者的生命质量进行测定。结果客观指标对BA患者生命质量的影响不大；多重线性回归分析发现，年龄、民族、文化程度、婚姻状况、肺功能与其生命质量相关（P均〈0．05）。结论BA患者生命质量客观指标的影响是多因素的，治疗BA时应综合考虑以上因素对患者的影响。     

如何评价成人哮喘的生命质量

既往临床上仅以哮喘的发作程度、用药量、第一秒用力呼气量以及气道反应性的改变来评价哮喘的治疗效果,是不全面的。生命质量是综合评估患者健康水平高低的指标,可以全面客观地评估哮喘的治疗效果有助于选择治疗方案。     

生命质量在风湿病临床中的应用

随着社会经济的发展和医学科学技术的进步 ,关节炎和骨骼肌肉疾病逐渐成为最常见的慢性疾病之一。由美国国家健康调查局的资料 (1989— 1991年 )显示 ,美国有 15 %的成年人患有关节炎 ,其中 2 8%的人因关节炎症致外出活动减少 ,随着年龄的上升 ,关节炎患病人数逐年增加 ,75岁以上人群患病人数超过 75 % ,而其中的 10 %外出活动受到了限制。加拿大安大略洲 (1990年 )提供的健康调查报告 :2 1 6 %的成年人患有骨骼肌肉疾病 ,4 6 %因骨骼肌肉疾病长期残疾 ;在 16～ 44岁人群中该类疾病患病率为 12 5 % ,6 5岁以上则上升为 43 2 % [1] 。人口…     

支气管哮喘的生活质量量表的研究

生活质量的研究倍受医学界的关注,国外每年有近千篇有关生活质量的文献,而国内1989～2002年仅280篇,有关哮喘的仅14篇.哮喘是一种最常见的气道慢性炎症性疾病之一,本文就其主要生活质量量表作一综述,对制定更精细、更全面的哮喘生活质量量表将起到一定的作用.     

Psychometric properties of a Chinese asthma quality of life questionnaire

Purpose: To assess the acceptability, reliability, validity, and responsiveness of the Chinese Asthma Quality of Life Questionnaire (C-AQLQ) in a sample of Chinese asthma patients. Methods: The C-AQLQ and Short Form 36 Health Survey (SF-36) scales were administered to patients at baseline and 3 months later. Asthma severity condition and lung function were evaluated. Necessary data were gathered to assess the psychometric properties such as the feasibility, internal consistency, test-retest reliability, structural validity, discriminant validity, convergent validity, and responsiveness of the C-AQLQ. Results: One hundred and thirty-seven patients completed the investigation. The Cronbach's alpha coefficient for the total scale was 0.96. Factor analysis yielded five factors that generally corresponded to the five proposed subscales. Patients with mild asthma reported higher scores than patients with moderate/severe asthma on all subscales other than environmental stimuli. Lung function measurement and the asthma severity score correlated significantly with domains of the C-AQOL but with fewer domains of the SF-36. The questionnaire detected within-subject changes in patients' asthma status during follow-up. Conclusions: Results indicated preliminary support that the C-AQLQ is a reliable, valid, discriminating, and responsive measure of quality of life in Chinese asthma patients. It is more sensitive than the generic SF-36 in detecting differences in asthma severity.     

哮喘对儿童生活质量的影响

支气管哮喘为儿童常见的慢性炎症性疾病，近年来其发病率在各国明显上升，影响了患儿及其家庭的生活质量。本文主要讨论哮喘给患儿家庭带来沉重的经济负担以及对家庭成员的身心健康的影响，疾病导致的缺课以及夜间的睡眠打断对患儿白天的学习表现的不良影响，患儿与同龄儿童相处的影响，以及疾病带来的不同程度体育运动受限和各种心理行为障碍。     

Factors affecting quality of life of asthma patients in Spain: The importance of patient education

ObjectivesAssessment of demographic and clinical factors that have an impact on the quality of life (QoL) of patients with asthma in Spain.Patients and methodsMulticenter, prospective, observational, cohort study, conducted in 40 Spanish Pneumology Units during a 12-month period. Data on sociodemographic, clinical variables, asthma treatment and QoL were collected in a case report form.Results536 patients (64.6% women, mean age: 54) were recruited. Reported QoL was better for patients from Northern and Central Spain as compared with those from the South and the East (p < 0.001), students and employed patients as compared with housewives and unemployed (p < 0.01), for those who had received asthma information (p < 0.01), for those with milder daytime symptoms (p < 0.01) and for patients with higher level of education (p < 0.05).ConclusionsAmong the factors that have a significant effect on patients’ QoL only symptom control and patient education on asthma control are modifiable. Therefore, all the strategies should be tailored to improve such factors when managing asthma patients.     

Relationship between exercise capacity and quality of life in adolescents with asthma

OBJECTIVE:

To determine whether the quality of life of adolescents with asthma correlates with parameters obtained prior to and after the six-minute step test (6MST); spirometric results after the 6MST; and level of physical activity.

METHODS:

Nineteen adolescents with asthma, ranging from 11-15 years of age, were assessed with spirometry, 6MST, the International Physical Activity Questionnaire (IPAQ), the Pediatric Asthma Quality of Life Questionnaire (PAQLQ), and the 10-point Borg category-ratio scale.

RESULTS:

Sensation of dyspnea correlated negatively with the total PAQLQ score (r = −0.54) and with the scores of its activity limitation (AL) and symptoms domains (r = −0.64 and r = −0.63, respectively), leg fatigue also correlating negatively with those same domains (r = −0.49 and r = −0.56, respectively). The total IPAQ score correlated with the total PAQLQ score (r = 0.47) and with the PAQLQ AL domain (r = 0.51); IPAQ time spent walking correlated with the PAQLQ symptoms domain (r = 0.45); and IPAQ time spent in vigorous activity correlated with the AL domain (r = 0.50). In the regression analysis, only sensation of dyspnea remained significantly correlated with the total PAQLQ score and the PAQLQ AL domain; leg fatigue remained significantly correlated with the symptoms domain.

CONCLUSIONS:

Higher levels of physical activity indicate better quality of life, as do lower perception of dyspnea and less leg fatigue. The 6MST proved to be a viable option for evaluating exercise capacity in adolescents with asthma, because it reflects the discomfort that asthma causes during activities of daily living.     

Impact of shared decision making on asthma quality of life and asthma control among children

Objective: Few studies have examined the effectiveness of shared decision making (SDM) in clinical practice. This study evaluated the impact of SDM on quality of life and symptom control in children with asthma. Methods: We conducted a prospective 3-year study in six community-based practices serving a low-income patient population. Practices received training on SDM using an evidence-based toolkit. Patients aged 2–17 with a diagnosis of asthma were identified from scheduling and billing data. At approximate 6-month intervals, patients completed a survey consisting of the Mini Pediatric Asthma Quality of Life Questionnaire (range 1–7) and the control domain of the Pediatric Asthma Therapy Assessment Questionnaire (range 0–7). We used propensity scores to match 46 children receiving SDM to 46 children receiving usual care with decision support. Included children had completed a baseline survey and at least one follow-up survey. Random coefficient models incorporated repeated measures to assess the effect of SDM on asthma quality of life and asthma control. Results: The sample was primarily of non-White patients (94.6%) with Medicaid insurance (92.4%). Receipt of SDM using an evidence-based toolkit was associated with higher asthma quality of life [mean difference 0.9; 95% confidence interval (CI) 0.4–1.4] and fewer asthma control problems (mean difference ?0.9; 95% CI ?1.6–?0.2) compared to usual care with decision support. Conclusions: Implementation of SDM within clinical practices using a standardized toolkit is associated with improved asthma quality of life and asthma control for low-income children with asthma when compared to usual care with decision support.     

慢性咳嗽对生活质量的影响

慢性咳嗽可以对患者的生理、心理和社会生活产生严重影响,医师能轻易发现慢性咳嗽对患者生理方面的并发症,而患者在心理和社会生活方面的影响却往往被忽视.近年来.国外一些学者陆续研究制定了咳嗽特异性生活质量问卷、Leicester咳嗽问卷和慢性咳嗽影响问卷等与咳嗽相关的生活质量问卷,用于评价咳嗽的严重度和咳嗽的治疗效果.     

Rhinitis in pregnant women with asthma is associated with poorer asthma control and quality of life

Objective: To describe the pattern and severity of rhinitis in pregnancy and the impact rhinitis has on asthma control and quality of life (QoL) in pregnant women with asthma. Methods: Two hundred and eighteen non-smoking pregnant women with asthma were participants in a randomised controlled trial of exhaled nitric oxide guided treatment adjustment. Rhinitis was assessed using a visual analogue scale (VAS) scored from 0 to 10 and classified as current (VAS?>?2.5), moderate/severe versus mild (VAS?>?6 vs <5), atopic versus non-atopic and pregnancy rhinitis. At baseline, women completed the 20-Item Sino-Nasal Outcome Test (SNOT20), asthma-specific (AQLQ-M) QoL questionnaires and the Six-Item Short-Form State Trait Anxiety Inventory (STAI-6). Asthma control was assessed using the asthma control questionnaire (ACQ). Perinatal outcomes were collected after delivery. Results: Current rhinitis was present in 142 (65%) women including 45 (20%) women who developed pregnancy rhinitis. Women with current rhinitis had higher scores for ACQ (p?=?0.004), SNOT20 (p?<?0.0001) and AQLQ-M (p?<?0.0001) compared to women with no rhinitis. Current rhinitis was associated with increased anxiety symptoms (p?=?0.002), rhinitis severity was associated with higher ACQ score (p?=?0.004) and atopic rhinitis was associated with poorer lung function (p?=?0.037). Rhinitis symptom severity improved significantly during gestation (p?<?0.0001). There was no impact on perinatal outcomes. Improved asthma control was associated with improvement in rhinitis. Conclusion: Rhinitis in pregnant women with asthma is common and associated with poorer asthma control, sino-nasal and asthma-specific QoL impairment and anxiety. In the context of active asthma management there was significant improvement in rhinitis symptoms and severity as pregnancy progressed.