Asthma control and acute healthcare visits among young adults with asthma-A population-based study.
asthma
health services
nurses
nursing
patient care
primary health care
quantitative research
smoking
treatment adherence and compliance
young adult
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
26
11
2018
revised:
04
07
2019
accepted:
06
08
2019
pubmed:
24
8
2019
medline:
2
6
2020
entrez:
24
8
2019
Statut:
ppublish
Résumé
To study asthma control and acute healthcare visits among young adults with asthma. 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. A population-based cohort study. 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. 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. The result indicate poor adherence to asthma treatment which may lead to decreased asthma control and acute healthcare visits. 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. 目的: 研究哮喘青年患者的哮喘控制和急性保健访问。 背景: 尽管可以获得有效的治疗和护理干预,但哮喘控制不良在哮喘患者中仍然很常见。然而,描述哮喘青年患者临床特征的研究很少。 设计: 基于人群的队列研究。 方法: 2015年,作为OLIN儿科队列一(1996年招募,年龄为7-8岁)的一部分,N = 2291名年轻人(27-28岁)完成了一项邮寄问卷调查,其中包括关于哮喘和呼吸道症状的问题。其中,N = 280(12%)被确定为患有哮喘并进行了进一步的研究。 结果: 在目前患有哮喘的患者中,女性报告的呼吸道症状和吸烟情况比男性更多。大约有1/4的人患有不能控制的哮喘,15%的女性和8%的男性报告了因哮喘而进行的急性保健访问。哮喘失控与吸烟、较低的教育水平、大多数日子使用救济治疗和急性保健访问有关。由哮喘引起的急性保健访问与定期使用常规控制者治疗相关,在对不能控制的哮喘进行调整后也是如此。 结论: 结果表明,没有坚持对哮喘进行治疗可能导致哮喘控制和急性保健访问下降。 影响: 大多数患有哮喘的年轻人在初级保健中得到诊断和治疗(最好是在有护士的团队中)。主要的调查结果强调了基于证据的护理干预的必要性,有助于在初级护理中更有效地管理哮喘。.
Sections du résumé
AIMS
OBJECTIVE
To study asthma control and acute healthcare visits among young adults with asthma.
BACKGROUND
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
METHODS
A population-based cohort study.
METHODS
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
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
CONCLUSIONS
The result indicate poor adherence to asthma treatment which may lead to decreased asthma control and acute healthcare visits.
IMPACT
CONCLUSIONS
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.
目的: 研究哮喘青年患者的哮喘控制和急性保健访问。 背景: 尽管可以获得有效的治疗和护理干预,但哮喘控制不良在哮喘患者中仍然很常见。然而,描述哮喘青年患者临床特征的研究很少。 设计: 基于人群的队列研究。 方法: 2015年,作为OLIN儿科队列一(1996年招募,年龄为7-8岁)的一部分,N = 2291名年轻人(27-28岁)完成了一项邮寄问卷调查,其中包括关于哮喘和呼吸道症状的问题。其中,N = 280(12%)被确定为患有哮喘并进行了进一步的研究。 结果: 在目前患有哮喘的患者中,女性报告的呼吸道症状和吸烟情况比男性更多。大约有1/4的人患有不能控制的哮喘,15%的女性和8%的男性报告了因哮喘而进行的急性保健访问。哮喘失控与吸烟、较低的教育水平、大多数日子使用救济治疗和急性保健访问有关。由哮喘引起的急性保健访问与定期使用常规控制者治疗相关,在对不能控制的哮喘进行调整后也是如此。 结论: 结果表明,没有坚持对哮喘进行治疗可能导致哮喘控制和急性保健访问下降。 影响: 大多数患有哮喘的年轻人在初级保健中得到诊断和治疗(最好是在有护士的团队中)。主要的调查结果强调了基于证据的护理干预的必要性,有助于在初级护理中更有效地管理哮喘。.
Autres résumés
Type: Publisher
(chi)
目的: 研究哮喘青年患者的哮喘控制和急性保健访问。 背景: 尽管可以获得有效的治疗和护理干预,但哮喘控制不良在哮喘患者中仍然很常见。然而,描述哮喘青年患者临床特征的研究很少。 设计: 基于人群的队列研究。 方法: 2015年,作为OLIN儿科队列一(1996年招募,年龄为7-8岁)的一部分,N = 2291名年轻人(27-28岁)完成了一项邮寄问卷调查,其中包括关于哮喘和呼吸道症状的问题。其中,N = 280(12%)被确定为患有哮喘并进行了进一步的研究。 结果: 在目前患有哮喘的患者中,女性报告的呼吸道症状和吸烟情况比男性更多。大约有1/4的人患有不能控制的哮喘,15%的女性和8%的男性报告了因哮喘而进行的急性保健访问。哮喘失控与吸烟、较低的教育水平、大多数日子使用救济治疗和急性保健访问有关。由哮喘引起的急性保健访问与定期使用常规控制者治疗相关,在对不能控制的哮喘进行调整后也是如此。 结论: 结果表明,没有坚持对哮喘进行治疗可能导致哮喘控制和急性保健访问下降。 影响: 大多数患有哮喘的年轻人在初级保健中得到诊断和治疗(最好是在有护士的团队中)。主要的调查结果强调了基于证据的护理干预的必要性,有助于在初级护理中更有效地管理哮喘。.
Substances chimiques
Anti-Asthmatic Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3525-3534Subventions
Organisme : Norrbotten County Council
Organisme : Visare Norr
ID : 465281
Organisme : Visare Norr
ID : 553291
Organisme : The Swedish Heart-Lung Foundation
ID : 20140264
Organisme : The Swedish Heart-Lung Foundation
ID : 20120247
Informations de copyright
© 2019 John Wiley & Sons Ltd.
Références
Andersson, M., Hedman, L., Bjerg, A., Forsberg, B., Lundbäck, B., & Rönmark, E. (2013). Remission and persistence of asthma followed from 7 to 19 years of age. Pediatrics, 132(2), e435-e442. https://doi.org/10.1542/peds.2013-0741
Asher, M. I., Keil, U., Anderson, H. R., Beasley, R., Crane, J., Martinez, F., … Williams, H. C. (1995). International study of asthma and allergies in childhood (ISAAC): Rationale and methods. The European Respiratory Journal, 8(3), 483-491. https://doi.org/10.1183/09031936.95.08030483
Axelsson, M., Ekerljung, L., & Lundbäck, B. (2015). The significance of asthma follow-up consultations for adherence to asthma medication, asthma medication beliefs, and asthma control. Nursing Research and Practice, 139070, 2015, 1-7. https://doi.org/10.1155/2015/139070
Backman, H., Räisänen, P., Hedman, L., Stridsman, C., Andersson, M., Lindberg, A., … Rönmark, E. (2017). Increased prevalence of allergic asthma from 1996 to 2006 and further to 2016-Results from three population surveys. Epidemiology of Allergic Disease, 47, 1426-1435. https://doi.org/10.1111/cea.12963
Bahadori, K., Doyle-Waters, M., Marra, C., Lynd, L., Alasaly, K., Swiston, J., & FitzGerald, M. (2009). Economic burden of asthma: A systematic review. BMC Pulmonary Medicine, 9, 24. https://doi.org/10.1186/1471-2466-9-24
Bateman, E. D., Reddel, H. K., O’Byrne, P. M., Barnes, P. J., Zhong, N., Keen, C., … FitzGerald, J. M. (2018). As-needed budesonide-formoterol versus maintenance budesonide in mild asthma. The New England Journal of Medicine, 378, 1877-1887. https://doi.org/10.1056/NEJMoa1715275
Bel, E. H. (2004). Clinical phenotypes of asthma. Current Opinion in Pulmonary Medicine, 10(1), 44-50. https://doi.org/10.1097/00063198-200401000-00008
Boulet, L.-P., Vervloet, D., Magar, Y., & Foster, J. (2012). Adherence: The goal to control asthma. Clinics in Chest Medicine, 33(3), 405-417. https://doi.org/10.1016/j.ccm.2012.06.002
Carson, K., Chandratilleke, M., Picot, J., Brinn, M., Esterman, A., & Smith, B. (2013). Physical training for asthma. The Cochrane Database of Systematic Reviews, 30(9), CD001116. https://doi.org/10.1002/14651858.CD001116.pub4
Coyle, J., & Williams, B. (2001). Valuing people as individuals: Development of an instrument through a survey of person-centredness in secondary care. Journal of Advanced Nursing, 36(3), 450-459. https://doi.org/10.1046/j.1365-2648.2001.01993.x
Cydulka, R., Emerman, C., Rowe, B., Clark, S., Woodruff, P., Singh, A., & Camargo, C. (2001). Differences between men and women in reporting of symptoms during an asthma exacerbation. Annals of Emergency Medicine, 38(2), 123-128. https://doi.org/10.1067/mem.2001.114305
Dean, B., Calimlim, B., Kindermann, S., Khandker, R., & Tinkelman, D. (2009). The impact of uncontrolled asthma on absenteeism and health-related quality of life. Journal of Asthma, 46, 861-866. https://doi.org/10.3109/02770900903184237
Doz, M., Chouaid, C., Com-Ruelle, L., Calvo, E., Brosa, M., Robert, J., … Detournay, B. (2013). The association between asthma control, health care costs and quality of life in France and Spain. BMC Pulmonary Medicine, 13, 15. https://doi.org/10.1186/1471-2466-13-15
Eijkemans, M., Mommers, M., Draaisma, J., Thijs, C., & Prins, M. (2012). Physical activity and asthma: A systematic review and meta-analysis. PLoS ONE, 7, e50775. https://doi.org/10.1371/journal.pone.0050775
Ekerljung, L., Rönmark, E., Lötvall, J., Wennergren, G., Toren, K., & Lundbäck, B. (2013). Questionnaire layout and wording influence prevalence and risk estimates of respiratory symptoms in a population cohort. The Clinical Respiratory Journal, 7, 53-63. https://doi.org/10.1111/j.1752-699X.2012.00281.x
Gesinde, B., & Harry, S. (2018). The use of motivational interviewing in improving medication adherence for individuals with asthma: A systematic review. Perspectives in Public Health, 138, 329-335. https://doi.org/10.1177/1757913918786528
Global Initiative for Asthma (GINA). (2018). GINA Report, Global Strategy for Asthma Management and Prevention. Retrieved from http://www.ginasthma.org
Goodman, M., & Hays, S. (2008). Asthma and swimming: A meta-analysis. Journal of Asthma, 45(8), 639-647. https://doi.org/10.1080/02770900802165980
Hedman, L., Stridsman, C., Andersson, M., Backman, H., Jansson, S.-A., & Rönmark, E. (2017). Population-based study shows that teenage girls with asthma had impaired health-related quality of life. Acta Peadiatrica, 106, 1128-1135. https://doi.org/10.1111/apa.13847
Holm, M., Omenaas, E., Gíslason, T., Svanes, C., Jögi, R., Norrman, E., … Torén, K. (2007). Remission of asthma: A prospective longitudinal study from northern Europe (RHINE study). European Respiratory Journal, 30, 62-65. https://doi.org/10.1183/09031936.00121705
International Council of Nurses (ICN). (2012). The ICN code of ethics for nurses. Retrieved from http://www.icn.ch/images/stories/documents/about/icncode_english.pdf
Jansson, S.-A., Axelsson, M., Hedman, L., Leander, M., Stridsman, C., & Rönmark, E. (2016). Subjects with well-controlled asthma have similar health-related quality of life as subjects without asthma. Respiratory Medicine, 120, 64-69. https://doi.org/10.1016/j.rmed.2016.09.019
Jansson, S.-A., Rönmark, E., Forsberg, B., Löfgren, C., Lindberg, A., & Lundbäck, B. (2007). The economic consequences of asthma among adults in Sweden. Respiratory Medicine, 101, 2263-2270. https://doi.org/10.1016/j.rmed.2007.06.029
Juel, C., Ali, Z., Nilas, L., & Ulrik, C. (2012). Asthma and obesity: Does weight loss improve asthma control? a systematic review. Journal of Asthma and Allergy, 5, 21-26. https://doi.org/10.2147/JAA.S32232
Lisspers, K., Ställberg, B., Hasselgren, M., Johansson, G., & Svärsudd, K. (2005). Organisation of asthma care in primary health care in Mid-Sweden. Primary Care Respiratory Journal, 14, 147-153. https://doi.org/10.1016/j.pcrj.2005.03.003
Lötvall, J., Ekerljung, L., Rönmark, E. P., Wennergren, G., Lindén, A., Rönmark, E., … Lundbäck, B. (2009). West Sweden asthma study: Prevalence trends over the last 18 years argue no recent increase in asthma. Respiratory Research, 10, 94. https://doi.org/10.1186/1465-9921-10-94
Mendola, P., Männistö, T. I., Leishear, K., Reddy, U. M., Chen, Z., & Laughon, K. S. (2014). Neonatal health of infants born to mothers with asthma. The Journal of Allergy and Clinically Immunology, 133, 85-90.e4. https://doi.org/10.1016/j.jaci.2013.06.012
Nathan, R. A., Sorkness, C., Kosinski, M., Schatz, M., Li, J., Marcus, P., … Pendergraft, T. (2004). Development of the asthma control test: A survey for assessing asthma control. Journal of Allergy and Clinical Immunology, 113, 59-65. https://doi.org/10.1016/j.jaci.2003.09.008
Rabe, K., Adachi, M., Lai, C., Soriano, J., Vermeire, P., Weiss, K., & Weiss, S. (2004). Worldwide severity and control of asthma in children and adults: The global asthma insights and reality surveys. The Journal of Allergy and Clinical Immunology, 114, 40-47. https://doi.org/10.1016/j.jaci.2004.04.042
Reddel, H., & Levi, M. (2015). The GINA asthma strategy report: What’s new for primary care? Primary Care Respiratory Medicine, 25, 15050. https://doi.org/10.1038/npjpcrm.2015.50
Rönmark, E., Lindberg, A., Watson, L., & Lundbäck, B. (2007). Outcome and severity of adult onset asthma-Report from the obstructive lung disease in northern Sweden studies (OLIN). Respiratory Medicine, 101, 2370-2377. https://doi.org/10.1016/j.rmed.2007.06.011
Rönmark, E., Lundbäck, B., Jönsson, E., & Platts-Mills, T. (1998). Asthma, type-1 allergy and related conditions in 7- and 8-year-old children in Northern Sweden: Prevalence rates and risk factor pattern. Respiratory Medicine, 92, 316-324. https://doi.org/10.1016/S0954-6111(98)90115-9
Ronmark, E., Lundback, B., Jonsson, E., Ronmark, E., Lundback, B., & Platts-mills, T. (1999). Different pattern of risk factors for atopic and nonatopic asthma among children-Report from the obstructive lung disease in Northern Sweden study. Allergy, 54, 926-935. https://doi.org/10.1034/j.1398-9995.1999.00044.x
Schatz, M., & Camargo, C. (2003). The relationship of sex to asthma prevalence, health care utilization and medications in a large managed care organization. Annals of Allergy, Asthma & Immunology, 91, 553-558. https://doi.org/10.1016/S1081-1206(10)61533-5
Ställberg, B., Lisspers, K., Hasselgren, M., Janson, C., Johansson, G., & Svärdsudd, K. (2009). Asthma control in primary care in Sweden: A comparison between 2001 and 2005. Primary Care Respiratory Journal: Journal of the General Practice Airways Group, 18, 279-286. https://doi.org/10.4104/pcrj.2009.00024
Stephen, C., McInnes, S., & Halcomb, E. (2018). The feasibility and acceptability of nurse led chronic disease management interventions in primary care: An integrative review. Journal of Advanced Nursing, 74, 279-288. https://doi.org/10.1111/jan.13450
Stridsman, C., Backman, H., Eklund, B. M., Rönmark, E., & Hedman, L. (2017). Adolescent girls with asthma have worse asthma control and health-related quality of life than boys-A population based study. Pediatric Pulmonology, 52, 866-872. https://doi.org/10.1002/ppul.23723
Taylor, D. R., Bateman, E. D., Boulet, L.-P., Boushey, H. A., Busse, W. W., Casale, T. B., … Reddel, H. K. (2008). A new perspective on concepts of asthma severity and control. The European Respiratory Journal, 32, 545-554. https://doi.org/10.1183/09031936.00155307
Toelle, B. G., & Ram, F. S. F. (2004). Written individualized management plans for asthma in children and adults. Cochrane Database of Systematic Reviews, CD002171, https://doi.org/10.1002/14651858.CD002171.pub2
Tollefsen, E., Langhammer, A., Romundstad, P., Bjermer, L., Johnsen, R., & Holmen, T. L. (2007). Female gender is associated with higher incidence and more stable respiratory symptoms during adolescence. Respiratory Medicine, 101, 896-902. https://doi.org/10.1016/j.rmed.2006.09.022
Weiss, S. (2005). Obesity: Insight into the origins of asthma. Nature Immunology, 6, 537-539. https://doi.org/10.1038/ni0605-537
World Health Organization (WHO). (2003). Adherence to long-term therapies: Evidence for action. Retrieved from http://www.who.int/chp/knowledge/publications/adherence_full_report.pdf