Utilize este identificador para referenciar este registo: https://hdl.handle.net/1822/28654

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dc.contributor.authorCorreia de Sousa, Jaime-
dc.contributor.authorPina, Alexandra-
dc.contributor.authorCruz, Ana Margarida-
dc.contributor.authorQuelhas, Ana-
dc.contributor.authorLobo, Filipa Almada-
dc.contributor.authorCabrita, Joana-
dc.contributor.authorOliveira, Pedro-
dc.contributor.authorYaphe, John-
dc.date.accessioned2014-04-03T14:19:51Z-
dc.date.available2014-04-03T14:19:51Z-
dc.date.issued2013-
dc.identifier.issn1471-4418por
dc.identifier.issn1475-1534por
dc.identifier.urihttps://hdl.handle.net/1822/28654-
dc.description.abstractBACKGROUND: Self-assessment of asthma and a stronger doctor-patient relationship can improve asthma outcomes. Evidence for the influence of patient enablement on quality of life and the control of asthma is lacking. AIMS: To assess asthma severity, medication use, asthma control, and patient enablement in patients with asthma treated in primary care and to study the relationship between these variables and quality of life. METHODS: A cross-sectional study was conducted in an urban clinic in northern Portugal. Data were collected from both clinical records and questionnaires from a random sample of asthma patients. The modified Patient Enablement Instrument, the Asthma Quality of Life Questionnaire, and the Asthma Control Questionnaire were used. Peak expiratory flow and forced expiratory volume in one second (FEV1) were measured. Receiver operating characteristic curve analysis was performed to establish cut-off values for the quality of life measurements. The associations between enablement, asthma control, and quality of life were tested using logistic regression models. RESULTS: The study sample included 180 patients. There was a strong correlation between asthma control and quality of life (r=0.81, p<0.001). A weak association between patient enablement and asthma control and quality of life was found in the logistic regression models. Poor control of asthma was associated with female gender, concomitant co-morbidities, reduced FEV1, and increased severity of asthma. CONCLUSIONS: The weak correlation between enablement and asthma control requires further study to determine if improved enablement can improve asthma outcomes independent of gender, severity, and concomitant co-morbidities. This study confirms the strong correlation between asthma control and quality of life.por
dc.description.sponsorshipNo conflicts of interests are reported for this study. JCS was an unpaid member of the scientific board of AstraZeneca (AZ) Foundation Portugal from June 2009 until August 2011. His department has received research funding from AZ in 2008. He has received sponsorships from or delivered consultancy services to AZ, Nycomed, GSK, MSD, and Novartis. He is a member of the editorial Board of PCRJ.por
dc.language.isoengpor
dc.publisherElsevier 1por
dc.rightsrestrictedAccesspor
dc.subjectAsthmapor
dc.subjectManagementpor
dc.subjectPrimary carepor
dc.subjectObservational studypor
dc.titleAsthma control, quality of life, and the role of patient enablement: a cross-sectional observational studypor
dc.typearticle-
dc.peerreviewedyespor
dc.relation.publisherversionhttp://www.thepcrj.org/journ/view_article.php?article_id=1020por
sdum.publicationstatuspublishedpor
oaire.citationStartPage181por
oaire.citationEndPage187por
oaire.citationIssue2por
oaire.citationVolume22por
dc.date.updated2014-03-26T17:13:18Z-
dc.identifier.doi10.4104/pcrj.2013.00037-
dc.identifier.pmid23603870por
dc.subject.wosScience & Technologypor
sdum.journalPrimary Care Respiratory Journalpor
Aparece nas coleções:ICVS - Artigos em revistas internacionais / Papers in international journals

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