2019冠状病毒病大流行期间埃及哮喘相关生活质量和治疗的多中心调查

IF 1.7 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Eastern Mediterranean Health Journal Pub Date : 2023-04-27 DOI:10.26729/emhj.23.051

Naglaa Youssef, Josie Evans, Atef Elrifai, Fatemaalzahraa Abdalrazik, Mohamed Abu Almaaty, Shazly Ahmed

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引用次数: 0

摘要

背景:哮喘是一种常见的慢性非传染性疾病，可损害患者的健康相关生活质量。目的:了解2019冠状病毒病(COVID-19)大流行期间埃及哮喘患者的治疗相关经历及HRQOL。方法:于2020年7月21日至12月17日在埃及3所教学医院对哮喘患者进行多中心横断面研究。我们使用社会经济和临床变量、COVID-19的感知威胁水平、COVID-19之前和期间的经历、哮喘控制问卷(ACQ)和哮喘生活质量问卷(mini- aqlq)来收集数据。结果:200名被调查者中，男性占66.0%;平均年龄40.2岁)，80.0%患有未控制的哮喘。对HRQOL的最大损害是由于活动的限制。女性报告了更高水平的COVID-19感知威胁(卡方= -2.33,P = 0.02)。在大流行之前，有更多的患者在出现症状时去看临床医生，但在大流行期间这样做的频率更高。超过75%的人无法区分哮喘和COVID-19症状。患者在新冠肺炎前感知哮喘未控制、治疗依从性差与HRQOL的损害显著相关(P < 0.05)。结论:COVID-19大流行改善了部分哮喘相关健康行为，但HRQOL的局限性仍然明显。不受控制的哮喘是HRQOL的关键因素，应继续关注所有患者。

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A multicentre survey of asthma-related quality-of-life and treatment in Egypt during the COVID-19 pandemic.

Background: Asthma is a common chronic noncommunicable disease which can impair the health-related quality-of-life (HRQOL) of patients.

Aims: To investigate treatment-related experiences and HRQOL of asthma patients in Egypt during the COVID-19 pandemic.

Methods: A multicentre cross-sectional study was conducted from 21 July to 17 December 2020 in 3 teaching hospitals in Egypt among a convenience sample of asthma patients. We used socioeconomic and clinical variables, perceived threat level of COVID-19, experiences before and during COVID-19, the Asthma Control Questionnaire (ACQ), and the mini Asthma Quality of Life Questionnaire (mini-AQLQ) to collect data.

Results: Among the 200 respondents (66.0% male; mean age 40.2 years), 80.0% had uncontrolled asthma. The greatest impairment to HRQOL was due to limitation of activity. Females reported a higher level of perceived threat from COVID-19 (Chi squared = -2.33, P = 0.02). Before the pandemic, more patients visited the clinician when they had symptoms but did so more regularly during the pandemic. Over 75% could not differentiate between asthma and COVID-19 symptoms. Perceived uncontrolled asthma and poor compliance with treatment were significantly associated with impairment of HRQOL (P < 0.05) before COVID-19.

Conclusion: The COVID-19 pandemic improved some asthma-related health behaviours, but limitations in HRQOL were still evident. Uncontrolled asthma is a key factor for HRQOL and should remain a focus for all patients.

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来源期刊

Eastern Mediterranean Health Journal HEALTH CARE SCIENCES & SERVICESPUBLIC, ENV-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

3.30

自引率

4.80%

发文量

112

期刊介绍： The Eastern Mediterranean Health Journal, established in 1995, is the flagship health periodical of the World Health Organization Regional Office for the Eastern Mediterranean. The mission of the Journal is to contribute to improving health in the Eastern Mediterranean Region by publishing and publicising quality health research and information with emphasis on public health and the strategic health priorities of the Region. It aims to: further public health knowledge, policy, practice and education; support health policy-makers, researchers and practitioners; and enable health professionals to remain informed of developments in public health. The EMHJ: -publishes original peer-reviewed research and reviews in all areas of public health of relevance to the Eastern Mediterranean Region -encourages, in particular, research related to the regional health priorities, namely: health systems strengthening; emergency preparedness and response; communicable diseases; noncommunicable diseases and mental health; reproductive, maternal, child health and nutrition -provides up-to-date information on public health developments with special reference to the Region. The Journal addresses all members of the health profession, health educational institutes, as well as governmental and nongovernmental organizations in the area of public health within and outside the Region.