患者症状感知与哮喘控制的关联和相关性--快速文献综述。

IF 2.3 4区 医学 Q3 ALLERGY
Hugo Neffen, Arzu Yorgancıoğlu, Hamdan Al-Jahdali, Steve McLachlan, Julie Myers, Christopher Bly, Pamela Martin, Saeed Noibi
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引用次数: 0

摘要

背景:多项研究表明,患者往往低估了自己的哮喘症状,高估了自己的哮喘控制水平,这可能使他们面临吸入皮质类固醇治疗不足的风险:确定患者症状感知与哮喘控制之间的关联和相关性:快速文献综述包括在 MEDLINE、Embase 和 Cochrane 图书馆中进行检索,找出 2011-2021 年间发表的、包含哮喘患者(成人和/或儿童)症状感知与哮喘控制之间的关联性或相关性统计测量的英文文章。[ProCORD42021230152].研究质量评估采用乔安娜-布里格斯研究所(JBI)工具:结果:在已确定的 22 项研究中,9 项提供了关联数据,13 项报告了相关分析。在 9 项关联研究中,有 8 项研究显示患者感知症状与哮喘控制水平或肺功能之间存在不一致;其中,患者高估哮喘控制水平的频率高于低估哮喘控制水平的频率。在 10 项报告相关系数的研究中,所有研究都报告症状加重与哮喘控制恶化之间存在统计学意义上的显著相关性;然而,在大多数研究中,相关性的强度仅为微弱或中等(系数从 0.12 到 0.74 不等):结论:许多哮喘患者倾向于高估自己的哮喘控制水平。结论:许多哮喘患者倾向于高估自己的哮喘控制水平。虽然更频繁或更严重的症状在统计学上与哮喘控制水平的恶化有显著相关性,但相关性的强弱差异很大,大多数研究显示相关性较弱或中等。有必要开展研究,进一步了解患者对症状误解的原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association and correlation of patient symptom perception and asthma control - a rapid literature review.

Background: Several studies suggest that patients often under-estimate their asthma symptoms and over-estimate their level of asthma control, potentially putting them at risk of undertreatment with inhaled corticosteroids.

Objective: To determine the association and correlation between patient symptom perception and asthma control.

Methods: A rapid literature review comprising searches in MEDLINE, Embase and Cochrane Library identified English language articles published between 2011-2021 that included a statistical measure of the association or correlation between perceptions of symptoms and asthma control in patients with asthma (adults and/or children). [PROSPERO CRD42021230152]. The Joanna Briggs Institute (JBI) instrument was used for study quality appraisal.

Results: Of 22 identified studies, nine presented association data and 13 reported correlation analyses. Eight of nine association studies showed a discordance between patients perceived symptoms and level of asthma control or lung function; among these, patients more frequently overestimated their asthma control than they underestimated their asthma control. Of 10 studies reporting correlation coefficients, all reported a statistically significant correlation between increased symptoms and worse asthma control; however, the strength of the correlation was shown to be only weak or moderate in most studies (coefficients numerically ranged from 0.12 to 0.74).

Conclusion: Many patients with asthma tend to overestimate their level of asthma control. Although more frequent or worse symptoms were shown to be statistically significantly correlated with worsening asthma control, there was wide variation in correlation strengths, most showing weak or moderate correlations. Research to further understand the reasons for patient symptom misperceptions are warranted.

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来源期刊
CiteScore
12.80
自引率
0.00%
发文量
74
审稿时长
>12 weeks
期刊介绍: The Asian Pacific Journal of Allergy and Immunology (APJAI) is an online open access journal with the recent impact factor (2018) 1.747 APJAI published 4 times per annum (March, June, September, December). Four issues constitute one volume. APJAI publishes original research articles of basic science, clinical science and reviews on various aspects of allergy and immunology. This journal is an official journal of and published by the Allergy, Asthma and Immunology Association, Thailand. The scopes include mechanism, pathogenesis, host-pathogen interaction, host-environment interaction, allergic diseases, immune-mediated diseases, epidemiology, diagnosis, treatment and prevention, immunotherapy, and vaccine. All papers are published in English and are refereed to international standards.
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