| Purpose: Through the investigation of the present situation of disease control and disease cognition in bronchial asthma patients,to evaluate the status of asthma control and the degree of disease cognition of the subjects,and to provide evidence for the prevention and treatment for asthma.Method: 77 patients with bronchial asthma who were admitted to the General Hospital of Ningxia Medical University from October 31,2015 to October 31,2016 were selected as the subjects,using the self-designed questionnaire,including the basic information of the patients,the level of disease control,asthma management and disease cognition questionnaire survey,and the information received by the statistics and correlation analysis.Result:1.77 cases of asthma patients,44 cases were women(57.1%),33 cases of male(42.9%).The average age of the subjects was 49.5±13.6 years old,The average duration of asthma was 8.83 ± 11.5 years.Cultural lever: junior high school and above accounted for 64 cases(83.1%),below the junior high school accounted for 13 cases(16.9%).The patients with other diseases were 61 cases(79.2%),38 cases(49.4%)of asthma patients in combination of allergic rhinitis.There are significant differences of culture degree and the level of asthma control(P < 0.05),namely high education level of patients,the level of asthma control;asthma with concomitant disease and asthma control level have significant difference(P < 0.05),which is associated with many diseases of the patients,the poor level of asthma control.2.Investigation of 77 cases bronchial asthma control level: the level control of GINA guidelines for assessing patients,complete control of 9 cases(11.7%),partial control of 22 cases(28.6%),the control part is not controlled in 46 cases(59.7%);the control patients ACT score evaluation,results showed that the mean value of ACT was 16.9 + 4.8 points,complete control(25 points)in 1 cases(1.3%),good control(20 to 24)and 25 cases(32.5%),no control(less than 20)of 51 cases(66.2%).analysis of the correlation between ACT score and the number of visits,the Spearman test results show that the lower the ACT score,the number of visits.3.There was a significant difference in the level of asthma control and whether the patients in the past 1 year visits(P < 0.05).4.the results of asthma disease management survey: 77 cases of patients with asthma in the daily use of corticosteroids in patients with 35(45.5%),the correct use of short acting β2 agonists in patients with 65(n = 84.4%).5.The results of investigation showed that cognitive disorders in patients with asthma in 77 cases of asthma patients can correct understanding of asthma is airway inflammatory disease in 56 cases(72.7%);correct understanding of 60 cases of asthma patients(77.9%).The treatment target had used remedies in the treatment of 33 cases with asthma(42.9%).Conclusion:1.77 cases of asthma patients with low level of asthma control,the control condition is not ideal.2.the ACT score of asthma patients was associated with asthma attacks,suggesting that the level of asthma control was good,and the number of visits was low.3.77 cases of disease management of patients with asthma and the cognitive level is acceptable,but still need to strengthen the management of chronic asthma,improve self management awareness,improve the level of control. |
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