Background The management of the reversible airways obstruction forms the cornerstone of quality asthma management. The aim of this study was to assess the level of control for asthma in adult patients, using a cross sectional study design. The assessment of control for asthma was based on the ACQ. Methods We conducted a cross-sectional study to measure the level of control for asthma among patients with asthma who volunteered and were reporting to Chitungwiza Central Hospital. We interviewed and conducted spirometry (lung function testing) on 400 adult patients with asthma. We used the ACQ questions to interview patients. A trained health care provider performed spirometry using the Koko Legend spirometer after meeting all the ambient conditions as outlined in the American Thoracic Society guidelines. Results Our study assessed levels of asthma control among 400 adult patients with physician-diagnosed asthma. The results showed that 248 (62%) participants had uncontrolled asthma. The median age of the adult patients who had uncontrolled asthma was 35 years (IQR: 27-44). Using the clinical practice cut-point of 0.75 for controlled asthma, only 152 (38%) were controlled, while 72 (18.8%), 50 (12.5%) and 123 (30.7%) were mildly uncontrolled, moderately uncontrolled and very uncontrolled respectively. Among participants who were widowed had uncontrolled asthma (p = 0.003) while most of the married 103 (67.8%) had controlled asthma (p = 0.018). The findings of the study showed that all the items on the ACQ were significantly different in asthma mean scores (p ≤ 0.0001). Conclusion We concluded that most asthma patients that participated in the study were uncontrolled. We therefore, recommend an evaluation of factors associated with poor asthma control in order to improve asthma care and achieve good asthma control outcomes.

中文翻译：

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津巴布韦 Chitungwiza 中心医院成年哮喘患者哮喘控制水平的评估。

背景 可逆性气道阻塞的管理是哮喘管理质量的基石。本研究的目的是使用横断面研究设计评估成年患者哮喘的控制水平。哮喘控制的评估基于 ACQ。方法 我们进行了一项横断面研究，以测量自愿向 Chitungwiza 中心医院报告的哮喘患者的哮喘控制水平。我们采访了 400 名成年哮喘患者并进行了肺活量测定（肺功能测试）。我们使用 ACQ 问题来采访患者。在满足美国胸科学会指南中概述的所有环境条件后，经过培训的医疗保健提供者使用 Koko Legend 肺活量计进行了肺活量测定。结果 我们的研究评估了 400 名医生诊断为哮喘的成年患者的哮喘控制水平。结果显示，248 名 (62%) 参与者患有无法控制的哮喘。患有未控制哮喘的成年患者的中位年龄为 35 岁（IQR：27-44）。使用控制哮喘的临床实践截点 0.75，只有 152 人（38%）得到控制，而分别有 72 人（18.8%）、50 人（12.5%）和 123 人（30.7%）轻度不受控制、中度不受控制和非常不受控制. 在丧偶的参与者中，哮喘未得到控制（p = 0.003），而大多数已婚的 103 人（67.8%）哮喘得到控制（p = 0.018）。研究结果表明，ACQ 中的所有项目在哮喘平均得分方面存在显着差异（p ≤ 0.0001）。结论 我们得出的结论是，参与研究的大多数哮喘患者均未得到控制。因此，我们建议评估与哮喘控制不佳相关的因素，以改善哮喘护理并实现良好的哮喘控制结果。