中文版莱斯特咳嗽问卷在成人重度哮喘患者慢病管理中的应用  

Application of the mandarin Chinese version of the Leicester cough questionnaire in the chronic disease management of adult patients with severe asthma

作　　者：黄雪梅[1] 陈雪芬 杨美玲[1] 何志义[1] 邓静敏[1] Huang Xuemei;Chen Xuefen;Yang Meiling;He Zhiyi;Deng Jingmin(Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院呼吸与危重症医学科,南宁530021

出　　处：《中华健康管理学杂志》2022年第6期378-381,共4页Chinese Journal of Health Management

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20210942)。

摘　　要：目的探讨中文版莱斯特咳嗽问卷(LCQ-MC)在成人重度哮喘慢病管理中的应用。方法选取2018年12月至2020年12月于广西医科大学第一附属医院诊治并进行慢病管理的符合纳入标准的30例无吸烟史重度哮喘患者作为研究对象, 记录其临床症状、进行LCQ-MC、哮喘控制测试(ACT)、迷你哮喘生活质量问卷(MiniAQLQ)、咳嗽视觉模拟评分(VAS)评估及肺功能检测, 分析LCQ-MC信度及其与ACT、MiniAQLQ、VAS、肺功能的相关性。结果 30例患者中男14例, 女16例, 年龄(50.5±10.5)岁, 病史(38.3±15.5)年;主要表现为咳嗽29例(96.7%)、喘息25例(83.3%)、鼻部症状14例(46.7%)、胸闷11例(36.7%);肺功能均符合哮喘诊断。LCQ-MC总分为(16.1±4.2)分, 其中生理、心理、社会维度分别为(5.0±1.2)、(5.6±1.6)、(5.5±1.7)分, ACT(18.9±5.5)分, MiniAQLQ(4.9±1.4)分, VAS(33.5±32.4)分。LCQ-MC信度的Cronbach系数(Cronbach′s α)≥0.70, 结果与ACT、MiniAQLQ均呈正相关(r=0.553、0.593, P=0.002、0.001), 与VAS呈负相关(r=-0.762, P<0.001);6个月后复查前述评分相关性结果一致。结论咳嗽是重度哮喘的重要症状, LCQ-MC可有效用于成人重度哮喘患者评估及慢病管理。Objective To explore the application of the mandarin Chinese version of the Leicester cough questionnaire(LCQ-MC)in the chronic disease management of adult patients with severe asthma.Methods Thirty patients with severe asthma without a smoking history who received treatment and chronic disease management in the First Affiliated Hospital of Guangxi Medical University from December 2018 to December 2020 and met the inclusion criteria were selected as the research subjects.Their clinical symptoms,LCQ-MC,asthma control test(ACT),mini asthma quality of life questionnaire(MiniAQLQ),visual analogue scale(VAS)and lung function test were recorded.The reliability of LCQ-MC and its correlation with ACT,MiniAQLQ,VAS and lung function were analyzed.Results Among the 30 patients,there were 14 males and 16 females,with an average age of(50.5±10.5)years old and a medical history of(38.3±15.5)years.The main manifestations were cough which was observed in 29 cases(96.7%),wheezing in 25 cases(83.3%),nasal symptoms in 14 cases(46.7%)and chest tightness in 11 cases(36.7%).All lung functions were consistent with the diagnosis of asthma.The total score of LCQ-MC was(16.1±4.2),in which the physiological,psychological and social dimensions were(5.0±1.2),(5.6±1.6),(5.5±1.7),respectively;and ACT(18.9+5.5),MiniAQLQ(4.9±1.4),VAS(33.5±32.4).The Cronbach′sαfor the questionnaire was more than 0.70,and the results were positively correlated with ACT and MiniAQLQ(r=0.553,0.593,P=0.002,0.001),negatively correlated with VAS(r=-0.762,P<0.001).The correlations between LCQ-MC and these scores were consistent with the results after 6 months.Conclusion Cough is an important symptom of severe asthma,and LCQ-MC can be effectively used for evaluation and chronic disease management of adult patients with severe asthma.

关 键 词：重度哮喘 慢病管理 中文版莱斯特咳嗽问卷 

分 类 号：R562.25[医药卫生—呼吸系统]