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

作　　者：王燕 邹文燕[2] 陆梅 褚叶 陈淑琴 WANG Yan;ZOU Wenyan;LU Mei;CHU Ye;CHEN Shuqin(Department of Respiratory,Zhangjiagang Hospital of Traditional Chinese Medicine,Suzhou,Jiangsu 215600,China;Department of Respiratory,The First People’s Hospital of Zhangjiagang,Suzhou,Jiangsu 215600,China)

机构地区：[1]张家港市中医医院呼吸科,江苏苏州215600 [2]张家港市第一人民医院呼吸科,江苏苏州215600

出　　处：《安徽医药》2021年第1期120-123,共4页Anhui Medical and Pharmaceutical Journal

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。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,Zhangjiagang First 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 area,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 acidophilic 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 affecting the PCA level.Conclusion The total score of PCA in patients with acute asthma attack is significantly lower than that in patients with stable asthma.Combination of allergic rhinitis,asthma course and serum eosinophil level are independent risk factors affecting the PCA level of asthma patients in Zhangjiagang region.

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 

分 类 号：R562.25[医药卫生—呼吸系统]