[Is the asthmatic patient competent to manage his disease? A study of 280 patients in Seine-Saint-Denis, France].
Identifieur interne : 001101 ( Main/Corpus ); précédent : 001100; suivant : 001102[Is the asthmatic patient competent to manage his disease? A study of 280 patients in Seine-Saint-Denis, France].
Auteurs : C. Maurer ; M. Nozick ; P. Lahmek ; G. Bonhour ; J. Kabbani ; P. Kangue ; F. Smahi ; L. Tecucianu ; J. PiquetSource :
- Revue des maladies respiratoires [ 1776-2588 ] ; 2015.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Africa (ethnology), Aged (MeSH), Aged, 80 and over (MeSH), Anti-Asthmatic Agents (therapeutic use), Asia (ethnology), Asthma (drug therapy), Asthma (epidemiology), Asthma (psychology), Diagnostic Self Evaluation (MeSH), Educational Status (MeSH), Emigrants and Immigrants (psychology), Employment (MeSH), Female (MeSH), France (epidemiology), Humans (MeSH), Male (MeSH), Medication Adherence (MeSH), Mental Competency (MeSH), Middle Aged (MeSH), Patient Education as Topic (MeSH), Patients (psychology), Prospective Studies (MeSH), Self Care (MeSH), Social Class (MeSH), Status Asthmaticus (diagnosis), Status Asthmaticus (psychology), Surveys and Questionnaires (MeSH), Young Adult (MeSH).
- MESH :
- chemical , therapeutic use : Anti-Asthmatic Agents.
- geographic , epidemiology : France.
- geographic , ethnology : Africa, Asia.
- diagnosis : Status Asthmaticus.
- drug therapy : Asthma.
- epidemiology : Asthma.
- psychology : Asthma, Emigrants and Immigrants, Patients, Status Asthmaticus.
- Adolescent, Adult, Aged, Aged, 80 and over, Diagnostic Self Evaluation, Educational Status, Employment, Female, Humans, Male, Medication Adherence, Mental Competency, Middle Aged, Patient Education as Topic, Prospective Studies, Self Care, Social Class, Surveys and Questionnaires, Young Adult.
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.
DOI: 10.1016/j.rmr.2014.02.008
PubMed: 25847200
Links to Exploration step
pubmed:25847200Le document en format XML
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Piquet</name><affiliation><nlm:affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25847200</idno><idno type="pmid">25847200</idno><idno type="doi">10.1016/j.rmr.2014.02.008</idno><idno type="wicri:Area/Main/Corpus">001101</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001101</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Is the asthmatic patient competent to manage his disease? A study of 280 patients in Seine-Saint-Denis, France].</title><author><name sortKey="Maurer, C" sort="Maurer, C" uniqKey="Maurer C" first="C" last="Maurer">C. Maurer</name><affiliation><nlm:affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France. Electronic address: cmaurer@ch-montfermeil.fr.</nlm:affiliation></affiliation></author><author><name sortKey="Nozick, M" sort="Nozick, M" uniqKey="Nozick M" first="M" last="Nozick">M. Nozick</name><affiliation><nlm:affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</nlm:affiliation></affiliation></author><author><name sortKey="Lahmek, P" sort="Lahmek, P" uniqKey="Lahmek P" first="P" last="Lahmek">P. Lahmek</name><affiliation><nlm:affiliation>Centre de traitement des addictions, hôpital Émile-Roux, groupe hospitalier Henri-Mondor, 1, avenue de Verdun, 94450 Limeil-Brévannes, France.</nlm:affiliation></affiliation></author><author><name sortKey="Bonhour, G" sort="Bonhour, G" uniqKey="Bonhour G" first="G" last="Bonhour">G. Bonhour</name><affiliation><nlm:affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</nlm:affiliation></affiliation></author><author><name sortKey="Kabbani, J" sort="Kabbani, J" uniqKey="Kabbani J" first="J" last="Kabbani">J. Kabbani</name><affiliation><nlm:affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</nlm:affiliation></affiliation></author><author><name sortKey="Kangue, P" sort="Kangue, P" uniqKey="Kangue P" first="P" last="Kangue">P. Kangue</name><affiliation><nlm:affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</nlm:affiliation></affiliation></author><author><name sortKey="Smahi, F" sort="Smahi, F" uniqKey="Smahi F" first="F" last="Smahi">F. Smahi</name><affiliation><nlm:affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</nlm:affiliation></affiliation></author><author><name sortKey="Tecucianu, L" sort="Tecucianu, L" uniqKey="Tecucianu L" first="L" last="Tecucianu">L. Tecucianu</name><affiliation><nlm:affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</nlm:affiliation></affiliation></author><author><name sortKey="Piquet, J" sort="Piquet, J" uniqKey="Piquet J" first="J" last="Piquet">J. Piquet</name><affiliation><nlm:affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Revue des maladies respiratoires</title><idno type="eISSN">1776-2588</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Africa (ethnology)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Anti-Asthmatic Agents (therapeutic use)</term><term>Asia (ethnology)</term><term>Asthma (drug therapy)</term><term>Asthma (epidemiology)</term><term>Asthma (psychology)</term><term>Diagnostic Self Evaluation (MeSH)</term><term>Educational Status (MeSH)</term><term>Emigrants and Immigrants (psychology)</term><term>Employment (MeSH)</term><term>Female (MeSH)</term><term>France (epidemiology)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Medication Adherence (MeSH)</term><term>Mental Competency (MeSH)</term><term>Middle Aged (MeSH)</term><term>Patient Education as Topic (MeSH)</term><term>Patients (psychology)</term><term>Prospective Studies (MeSH)</term><term>Self Care (MeSH)</term><term>Social Class (MeSH)</term><term>Status Asthmaticus (diagnosis)</term><term>Status Asthmaticus (psychology)</term><term>Surveys and Questionnaires (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Asthmatic Agents</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" type="geographic" qualifier="ethnology" xml:lang="en"><term>Africa</term><term>Asia</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Status Asthmaticus</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Asthma</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Asthma</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Asthma</term><term>Emigrants and Immigrants</term><term>Patients</term><term>Status Asthmaticus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Diagnostic Self Evaluation</term><term>Educational Status</term><term>Employment</term><term>Female</term><term>Humans</term><term>Male</term><term>Medication Adherence</term><term>Mental Competency</term><term>Middle Aged</term><term>Patient Education as Topic</term><term>Prospective Studies</term><term>Self Care</term><term>Social Class</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>This study suggests new priority targets for therapeutic education in asthma.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25847200</PMID><DateCompleted><Year>2016</Year><Month>01</Month><Day>13</Day></DateCompleted><DateRevised><Year>2015</Year><Month>04</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1776-2588</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><Issue>3</Issue><PubDate><Year>2015</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Revue des maladies respiratoires</Title><ISOAbbreviation>Rev Mal Respir</ISOAbbreviation></Journal><ArticleTitle>[Is the asthmatic patient competent to manage his disease? A study of 280 patients in Seine-Saint-Denis, France].</ArticleTitle><Pagination><MedlinePgn>229-39</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.rmr.2014.02.008</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0761-8425(14)00073-4</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">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.</AbstractText><AbstractText Label="METHODS" NlmCategory="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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="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.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study suggests new priority targets for therapeutic education in asthma.</AbstractText><CopyrightInformation>Copyright © 2014 SPLF. Published by Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maurer</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France. Electronic address: cmaurer@ch-montfermeil.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nozick</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lahmek</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Centre de traitement des addictions, hôpital Émile-Roux, groupe hospitalier Henri-Mondor, 1, avenue de Verdun, 94450 Limeil-Brévannes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bonhour</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kabbani</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kangue</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smahi</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tecucianu</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Piquet</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><VernacularTitle>L'asthmatique est-il compétent pour gérer sa maladie ? Étude de 280 patients en Seine-Saint-Denis, France.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2014</Year><Month>03</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Rev Mal Respir</MedlineTA><NlmUniqueID>8408032</NlmUniqueID><ISSNLinking>0761-8425</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D018927">Anti-Asthmatic Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000349" MajorTopicYN="N" Type="Geographic">Africa</DescriptorName><QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018927" MajorTopicYN="N">Anti-Asthmatic Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001208" MajorTopicYN="N" Type="Geographic">Asia</DescriptorName><QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001249" MajorTopicYN="N">Asthma</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059026" MajorTopicYN="N">Diagnostic Self Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004522" MajorTopicYN="N">Educational Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D054242" MajorTopicYN="N">Emigrants and Immigrants</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004651" MajorTopicYN="N">Employment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055118" MajorTopicYN="N">Medication Adherence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016743" MajorTopicYN="N">Mental Competency</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010353" MajorTopicYN="Y">Patient Education as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010361" MajorTopicYN="N">Patients</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012648" MajorTopicYN="Y">Self Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012923" MajorTopicYN="N">Social Class</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013224" MajorTopicYN="N">Status Asthmaticus</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Asthma</Keyword><Keyword MajorTopicYN="N">Asthme</Keyword><Keyword MajorTopicYN="N">Diagnostic éducatif</Keyword><Keyword MajorTopicYN="N">Educational diagnosis</Keyword><Keyword MajorTopicYN="N">Educational level</Keyword><Keyword MajorTopicYN="N">Niveau d’étude</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>07</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>01</Month><Day>31</Day></PubMedPubDate><PubMedPubDate 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