Abstract：
:Patient cooperation in controlling asthma is a key element for achieving the most efficient therapy possible according to current guidelines. Cooperation requires that the patient be adequately informed about his disease and able to make certain decisions. The aim of this study was to analyze whether patients really desire information about asthma and to what point they are disposed to cooperate actively in managing their disease. Ninety-five adult asthmatics with different levels of severity of disease were studied in stable condition. All responded to the Spanish version of the questionnaire on autonomy in asthma, an instrument with a scoring range of 0 to 100 and 26 items grouped in two subscales: preferences in the search for information (PSI) and preferences in decision making (PDM). The second subscale was based on three scenarios describing stable asthma, slight exacerbation and severe exacerbation. The results obtained indicate that although patients are greatly interested in receiving information (PSI scores of 86.4 +/- 8.7) they express substantially less desire to make decisions (PDM 45 +/- 10.2) (p < 0.01). Attitudes did not change in relation to education, number of exacerbations during the last year, duration of disease or severity as assessed by the patient. Only patient age (with older patients scoring higher on PSI) and presence of severe asthma (according to consensus guidelines) increased the desire for information (but not the preference for decision making). These data indicate the need to implement educational programs about asthma, components of which promote effective desire for self-management.
journal_name
Arch Bronconeumoljournal_title
Archivos de bronconeumologiaauthors
Perpiñá M,Sobradillo V,Castillo J,Duce F,Manresa F,Martínez J,Valencia A,Viejo JL,Villasante Cdoi
10.1016/s0300-2896(15)30039-9keywords:
subject
Has Abstractpub_date
1999-10-01 00:00:00pages
435-9issue
9eissn
0300-2896issn
1579-2129pii
S0300-2896(15)30039-9journal_volume
35pub_type
杂志文章,多中心研究abstract：:The diaphragm is the main muscle involved in ventilation and is supplied exclusively by the phrenic nerves. Congenital defects of the diaphragm muscle or phrenic nerve injury cause diaphragmatic paralysis-eventration. Prognosis and treatment depend on whether involvement is unilateral or bilateral and on the patient's...
journal_title：Archivos de bronconeumologia
pub_type： 杂志文章,评审
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更新日期：2011-01-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章,评审
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章,多中心研究,随机对照试验
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abstract：:Chronic obstructive pulmonary disease (COPD) and lung cancer (LC) are prevalent diseases and are a leading cause of morbidity and mortality worldwide. There is strong evidence to show that COPD is an independent risk factor for LC. Chronic inflammation plays a significant pathogenic role in COPD comorbidities, particu...
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pub_type： 杂志文章,评审
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
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更新日期：2015-02-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章,多中心研究
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更新日期：2010-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：1995-02-01 00:00:00
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更新日期：2004-04-01 00:00:00
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pub_type： 杂志文章,多中心研究
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journal_title：Archivos de bronconeumologia
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更新日期：2008-05-01 00:00:00
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更新日期：1997-03-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
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更新日期：1994-03-01 00:00:00
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更新日期：2002-07-01 00:00:00
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journal_title：Archivos de bronconeumologia
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doi：
更新日期：2008-07-01 00:00:00
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