Willingness of patients to perform self-management of asthma and the role of inhaled steroids.
Objective - Asthma self-management is a generally accepted effective treatment strategy for asthma patients. Acceptance by patients may be a barrier for successful implementation. In this study, the role of inhaled steroids in starting asthma self-management is described. Design - Cross-sectional ex...
| Publicado en: | Scandinavian Journal of Primary Health Care Vol. 20; no. 1; pp. 60 - 65 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Taylor & Francis Ltd
Mar2002
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106096255&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106096255 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02813432 BDB jtl: Scandinavian Journal of Primary Health Care issn: 02813432 maglogo: Y pubinfo: dt: Mar2002 vid: 20 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 106096255 106096255 2009444614 10.1080/028134302317282770 NLM12086288 106096255 ppf: 60 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Willingness of patients to perform self-management of asthma and the role of inhaled steroids. aug: au: Thoonen BP Schermer TR Akkermans RP Den Otter JJ Grol R Van Schayck OC sug: subj: Antiinflammatory Agents Therapeutic Use Asthma Drug Therapy Asthma Psychosocial Factors Patient Attitudes Self Care Psychosocial Factors Administration, Inhalation Adult Age Factors Cross Sectional Studies Family Practice Female Logistic Regression Male Multivariate Analysis Occupations and Professions Patient Selection Primary Health Care Administration Self Care Methods Steroids Human Adult: 19-44 years Female Male ab: Objective - Asthma self-management is a generally accepted effective treatment strategy for asthma patients. Acceptance by patients may be a barrier for successful implementation. In this study, the role of inhaled steroids in starting asthma self-management is described. Design - Cross-sectional explorative study. Setting - General practice. Subjects - 283 adult steroid-requiring asthma patients were invited by their GP to participate in a self-management programme. Main outcome measures - In a multivariate logistic regression model, the relation between baseline dosage of inhaled steroids, occupational status, age and sex as independent variables and willingness to participate as dependent variables was explored. Results - Of all invited, 148 (52%) were willing to participate. Subjects not using inhaled steroids were least willing to participate (43/143 =30%). Subjects with low doses of inhaled steroids (< 400 mcg daily) were most willing to participate (44/54 =81%). Unemployed asthmatics had a higher tendency to participate than patients with a regular job. Conclusion - Acceptance of self-management by patients is not a limiting issue in promoting self-management of asthma in general practice. High acceptance in patients taking low or intermediate doses of inhaled steroids makes general practice the most appropriate setting for self-management. A selection procedure is recommended. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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