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哮喘青年患者的哮喘控制和急性保健访问‐基于人群的研究
Author(s) -
Selberg Stina,
Hedman Linnea,
Jansson SvenArne,
Backman Helena,
Stridsman Caroline
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14174
Subject(s) - asthma , medicine , health care , acute care , family medicine , young adult , population , emergency medicine , gerontology , environmental health , economics , economic growth
Aims To study asthma control and acute healthcare visits among young adults with asthma. Background Despite the access to effective treatment and nursing interventions, poor asthma control is still common among individuals with asthma. However, studies describing clinical characteristics among young adults with asthma are rare. Design A population‐based cohort study. Methods In 2015, as a part of the OLIN paediatric cohort I (recruited in 1996 at age 7–8 years), N = 2,291 young adults (27–28 years) completed a postal questionnaire survey including questions on asthma and respiratory symptoms. Of these, N = 280 (12%) were identified as having current asthma and were further studied. Results Of those with current asthma, women reported respiratory symptoms and smoking to a greater extent than men. Approximately one‐fourth had uncontrolled asthma and acute healthcare visits due to asthma was reported by 15% of women and 8% of men. Uncontrolled asthma was associated with smoking, lower educational level, use of reliever treatment most days, and acute healthcare visits. Acute healthcare visits due to asthma were associated with periodic use of regular controller treatment also after adjustment for uncontrolled asthma. Conclusion The result indicate poor adherence to asthma treatment which may lead to decreased asthma control and acute healthcare visits. Impact Most young adults with asthma are diagnosed and treated in primary care, ideally in a team with a nurse. The main findings highlight the need for evidenced‐based nursing interventions, contributing to a more efficient asthma management in primary care.