Assessment of asthma control in patients monitored at two pulmonology outpatient clinics linked to the Family Health Strategy in Tubarão, Santa Catarina state, Brazil
DOI:
https://doi.org/10.5712/rbmfc9(30)737Keywords:
Asthma, Prevention and Control, QuestionnairesAbstract
Introduction: Asthma is a chronic debilitating disease which can generate constraints directly associated with poor disease control. Asthma control can be evaluated using standardized instruments. Objective: To determine asthma control through the Asthma Control Questionnaire (ACQ) and Asthma Control Test (ACT), and to classify it according to the Guidelines for the Management of Asthma, 2012. Methods: This is a cross-sectional observational study with patients of two pulmonology outpatient clinics linked to the Family Health Strategy in the municipality of Tubarão, Santa Catarina state. The population consisted of all adult asthmatic patients who resorted to medical appointments from January to November 2010. The data were compiled in Excel and analyzed by INSTAT 3 software. We performed descriptive analysis and applied the chi-square test to assess the association between ACT and ACQ answers. Results: We evaluated 49 patients, most of them presenting intermittent or mild persistent asthma (51%). In the assessment of asthma control, ACT showed that 69.3% of patients were considered uncontrolled, while ACQ showed that 75.5% of patients were considered off-target. Significant association was found between ACT and ACQ (p<0.05). Regarding the 2012 Guidelines for the Management of Asthma, 57.14% of patients were considered uncontrolled; 30.6% were partially controlled; and 12.2% were controlled. Conclusion: Most asthmatics were uncontrolled. It is necessary to identify the factors related to uncontrolled patients and search strategies to improve health scores for reduction of morbimortality caused by asthma.
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