Survey on Treatment-Seeking Patterns in Patients With Allergic Rhinitis.

Journal of Rhinology Pub Date : 2024-11-01 Epub Date: 2024-11-30 DOI:10.18787/jr.2024.00023
Gwanghui Ryu, Do Hyun Kim, Chang Yeong Jeong, Sang Min Lee, Il Hwan Lee, Soo Whan Kim, Hyeon-Jong Yang, Mi-Ae Kim, Dong-Kyu Kim
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Abstract

Background and objectives: The medications preferred by patients for allergic rhinitis and their usage remain unclear. This study investigated treatment-seeking behaviors in patients with allergic rhinitis, including medical treatments, environmental controls, and surgical treatments.

Methods: In this study, a cross-sectional survey was conducted by internal medicine, pediatric, or otorhinolaryngology physicians at university hospitals from January 2022 to April 2022. A questionnaire was administered to patients with confirmed allergic rhinitis to collect information regarding medical treatments (prescription and over-the-counter medication use patterns, comorbid asthma, and allergen-specific immunotherapy), environmental controls (usage of air purifiers and pet avoidance), and experiences with surgical treatments.

Results: We included 51 patients with allergic rhinitis with a mean age of 31.6±16.0 years. Among them, 47 (92.2%) and 6 (11.8%) patients had pollen allergies and asthma, respectively. Furthermore, 41 (80.4%) patients took prescribed medicines, while 39 (76.5%) patients only used the medication when experiencing symptoms. Thirty patients (58.8%) reported concurrent use of intranasal sprays and oral medications. Thirty-three patients (64.7%) reported awareness of immunotherapy, and there were no preferential differences between subcutaneous (52%) and sublingual immunotherapy (48%). Of the 36 patients (70.6%) who reported using an air purifier, 38.9% considered it helpful in preventing allergic rhinitis symptoms. Fourteen patients (27.5%) currently or previously had a companion animal, with half experiencing worsening of symptoms. Twelve patients had received surgical treatment and reported high satisfaction levels (41.6%, very satisfied; 41.6%, satisfied).

Conclusion: Patients with allergic rhinitis showed similar preferences for oral and spray medications. They also showed satisfaction with surgical treatments and an interest in the environmental management of allergic rhinitis.

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变应性鼻炎患者求诊方式调查。
背景和目的:变应性鼻炎患者的首选药物及其使用尚不清楚。本研究调查了变应性鼻炎患者的就医行为,包括药物治疗、环境控制和手术治疗。方法:在本研究中,对2022年1月至2022年4月在大学医院的内科、儿科或耳鼻喉科医生进行了横断面调查。对确诊的变应性鼻炎患者进行问卷调查,以收集有关医学治疗(处方药和非处方药使用模式、共病哮喘和过敏原特异性免疫治疗)、环境控制(使用空气净化器和避免宠物)以及手术治疗经验的信息。结果:我们纳入51例变应性鼻炎患者,平均年龄31.6±16.0岁。其中花粉过敏患者47例(92.2%),哮喘患者6例(11.8%)。41例(80.4%)患者遵医嘱服药,39例(76.5%)患者仅在出现症状时服药。30例患者(58.8%)报告同时使用鼻内喷雾剂和口服药物。33名患者(64.7%)报告免疫治疗意识,皮下免疫治疗(52%)和舌下免疫治疗(48%)之间没有优先性差异。在报告使用空气净化器的36名患者(70.6%)中,38.9%的人认为它有助于预防过敏性鼻炎症状。14名患者(27.5%)目前或以前有伴侣动物,其中一半出现症状恶化。12例患者接受手术治疗,满意度较高(41.6%,非常满意;41.6%,满意)。结论:变应性鼻炎患者对口服和喷雾药物的偏好相似。他们也表现出对手术治疗的满意和对变应性鼻炎环境管理的兴趣。
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