Internal Medicine and Medical Investigation Journal

ISSN: 2474-7750

Evaluating Status of Asthma Control and Quality of Life Based on Demographic Variables in Patients with Asthma


Author(s): Abolhassan Halvani, Seyed Mohammad Reza Azimi Meibodi, Maryam Sheibani, Seyed Mohammad Amin Hashemipour, Sareh Rafat-magham, Abdolhosein Alimohammadi, Mohsen Mirshamsi

Introduction: Asthma is one of the most common chronic diseases in the world. Poor asthma control leads to asthma exacerbation and increases the cost of treatment. This study aimed to investigate the status of asthma control, quality of life in asthmatic pa-tients, medication adherence, and their association with demographic variables such as age, gender, and body mass index (BMI), smoking, and level of education. Ma-terials and Methods: The current descriptive cross-sectional study was conducted on 200 randomly selected asthmatic volunteers referred to the Lung clinic in Yazd, Iran, from 2018 to 2019, who were examined by the Asthma Control Test (ACT). The asthma control association was checked with age, gender, BMI, educational level, and smoking. Data were analyzed by Fisher’s exact test, independent t-test, paired t-test, chi-square, and ANOVA. Results: According to ACT data, asthma was uncon-trolled in 28 (14%), partially controlled in 144 (72%), and completely controlled in 28 (14%) asthmatic volunteers. There was no significant association between asthma control and any of the variables. Based on the GINA 2016 guidelines, asthma was uncontrolled in 62 (31%), partially controlled in 105 (52.5%), and completely con-trolled in 33 (16.5%). There was a significant association between asthma control with age (P=0.037) and smoking in the last six months (P=0.029). The quality of life was reported as good in 2 (1%), moderate in 197 (98.5%), and poor in 1 (0.5%). The association between quality of life and smoking was significant (P=0.002). The adherence to asthma medication was good in 30 (15%), moderate in 166 (83%), and poor in 4 (2%). The association of medication adherence with demographic variables was not significant. Conclusion: The asthma was completely controlled in less than 50% of patients and partially controlled or uncontrolled in more than 50% of patients. Patients with asthma should be trained in the area of complete control.

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