0000000000236798
AUTHOR
V. Macián
[Perception of dyspnea and treatment adherence in asthmatic patients].
OBJECTIVE: The majority of studies show that treatment adherence in chronic diseases such as asthma does not exceed 50%. Although the reasons may vary, it is clear that lack of treatment adherence is a determining factor in poor disease control. An association has also been observed between lack of perception of dyspnea and difficult-to-control asthma and with the occurrence of fatal or near-fatal asthma attacks. In this study we therefore attempted to demonstrate that one of the reasons that asthmatic patients do not adhere to treatment is a failure to perceive dyspnea associated with bronchial obstruction. PATIENTS AND METHODS: We analyzed 2 groups of patients with moderate persistent ast…
[Evolution over time in over perceivers of dyspnea in asthma].
OBJECTIVE: In previous studies we identified a subgroup of patients whose perception of breathlessness was exaggerated during acute bronchoconstriction and who were termed “over perceivers” or “hyperperceivers.” In this study we aimed to determine whether such over perception is sporadic or stable over time. We also examined whether there is an association between over perception of dyspnea and hyperventilation syndrome. PATIENTS AND METHODS: The subjects were 22 stable asthmatics (11 men, 11 women) who had been over perceivers of dyspnea in a study 9 years earlier. After a medical history was taken, a patient performed forced spirometry and a severity classification was made according to t…
Evolución temporal de la percepción exagerada de disnea en los pacientes con asma
Objetivo: En investigaciones previas para estudiar la percepcion de disnea de los asmaticos durante la broncoconstriccion aguda, encontramos un subgrupo de pacientes que presentaban una percepcion exagerada (hiperperceptores). En el presente trabajo hemos querido comprobar si esta alteracion perceptiva es un fenomeno esporadico o mantenido en el tiempo. Asimismo nos planteamos conocer si existe una asociacion entre la hiperpercepcion de la disnea y el sindrome de hiperventilacion. Pacientes y metodos: Se incluyo en el estudio a 22 asmaticos estables que en un estudio realizado 9 anos antes se habian mostrado hiperperceptores de disnea (11 varones y 11 mujeres). Tras una espirometria forzada…
Percepción de la disnea y cumplimiento terapéutico en pacientes con asma
Objetivo El cumplimiento terapeutico en una enfermedad cronica como el asma no supera el 50% en la mayoria de las series. Aunque las razones sean de muy diversa indole, es evidente que el incumplimiento es un factor determinante en el mal control de la enfermedad. Por otra parte, la falta de percepcion de la disnea se ha asociado con el asma de control dificil y con la aparicion de crisis de asma fatal o casi fatal. Asi pues, el objetivo del presente estudio ha sido intentar demostrar que una de las razones por las cuales los asmaticos no toman su medicacion es que no tienen percepcion de disnea cuando sus bronquios se obstruyen. Pacientes y metodos Hemos estudiado a 2 grupos de pacientes c…