[Is the asthmatic patient competent to manage his disease? A study of 280 patients in Seine-Saint-Denis, France].

Abstract:

INTRODUCTION:The correct use of medication and the ability to assess the severity of the disease and to react appropriately in the case of exacerbation are essential objectives in the management of asthma patients. This study, conducted in a school of asthma in Seine-Saint-Denis, aims to measure the influence of socio-demographic and clinical factors, before any educational process, on these four security skills. METHODS:A prospective observational study concerning 280 consecutive patients managed between 2008 and 2011 (70 % women, mean age: 44 years [14-85 years]; deprivation: 48 %; born abroad: 39 %, low level of education: 23 %). The initial educational diagnosis was compared with the clinical and socio-demographic characteristics. RESULTS:In relation to asthma control, social characteristics (unemployment, deprivation), geographic or ethnic origin and educational level significantly influence the command of all or some of the security skills. In medical terms, a period of evolution of the disease of less than 10 years, outpatient follow-up without specialized monitoring and the absence of recent exacerbations also appear as predictors of inappropriate conduct in the management of the disease. CONCLUSIONS:This study suggests new priority targets for therapeutic education in asthma.

journal_name

Rev Mal Respir

authors

Maurer C,Nozick M,Lahmek P,Bonhour G,Kabbani J,Kangue P,Smahi F,Tecucianu L,Piquet J

doi

10.1016/j.rmr.2014.02.008

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

229-39

issue

3

eissn

0761-8425

issn

1776-2588

pii

S0761-8425(14)00073-4

journal_volume

32

pub_type

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