In asthma patients: relationship between symptom control, quality of life, and the beck anxiety scale

Gülden Bilgin, Damla Gülmez
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Abstract

Aims: Asthma is a chronic disease characterized by recurrent airway obstruction. It affects the quality of life of patients and can lead to anxiety and other psychological disorders. In this study, we aimed to find out how asthma affects patients' quality of life and psychological state by using the SF-36 Quality of Life Scale and the Beck Anxiety Scale (BAS) in patients diagnosed with asthma. Methods: 222 patients diagnosed with asthma in our outpatient clinics were included in the study. Patient demographic characteristics and respiratory function test parameters were recorded. Outcomes were determined by assessing asthma control status with the Asthma Control Test (ACT), patients' emotional state with the BAS, and quality of life with the SF-36. Results: According to ACT, 37.8% of patients were uncontrolled, 33.8% were partially controlled, and controlled 28.4%. The distribution in terms of asthma classification: 29.8% were mild intermittent, 5% mild persistent, 35.1% moderate persistent and 40.1% severe persistent. When comparing between ACT groups in relation to the SF-36 quality of life scale; physical function (p<0.001), physical role difficulties (p<0.001), emotional role difficulties (p<0.001), vitality (p<0.001), mental health (p<0.001), social function (p<0.001), pain (p<0.001), and general health (p<0.001). There was a difference between the groups ACT in relation to BAS (p<0.001). Conclusion: We believe that when regulating the medical treatment of asthma patients, not only their respiratory functions but also their quality of life and psychological status should be evaluated, and measures should be taken to improve the quality of life and psychological disorders.
哮喘患者:症状控制、生活质量和贝克焦虑量表之间的关系
目的:哮喘是一种慢性疾病,其特点是反复发作的气道阻塞。它影响患者的生活质量,并可能导致焦虑和其他心理障碍。本研究旨在通过使用 SF-36 生活质量量表和贝克焦虑量表(BAS)了解哮喘对哮喘患者生活质量和心理状态的影响。方法:本研究纳入了在本院门诊确诊的 222 名哮喘患者。研究记录了患者的人口统计学特征和呼吸功能测试参数。通过哮喘控制测试(ACT)评估哮喘控制状况,通过BAS评估患者的情绪状态,通过SF-36评估患者的生活质量。结果显示根据哮喘控制测试结果,37.8%的患者病情未得到控制,33.8%的患者病情得到部分控制,28.4%的患者病情得到控制。哮喘分类的分布情况为:29.8%为轻度间歇性哮喘,5%为轻度持续性哮喘,35.1%为中度持续性哮喘,40.1%为重度持续性哮喘。比较 ACT 组与 SF-36 生活质量量表的关系:身体功能(P<0.001)、身体角色困难(P<0.001)、情绪角色困难(P<0.001)、活力(P<0.001)、心理健康(P<0.001)、社会功能(P<0.001)、疼痛(P<0.001)和一般健康(P<0.001)。ACT 组与 BAS 组之间存在差异(p<0.001)。结论我们认为,在规范哮喘患者的医疗治疗时,不仅要评估其呼吸功能,还要评估其生活质量和心理状态,并采取措施改善其生活质量和心理障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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