Douglass Jo, Aroni Rosalie, Goeman Dianne, Stewart Kay, Sawyer Susan, Thien Frank, Abramson Michael
Department of Allergy, Asthma and Clinical Immunology, Alfred Hospital and Monash University, Prahran, Victoria 3181, Australia.
BMJ. 2002 Apr 27;324(7344):1003-5. doi: 10.1136/bmj.324.7344.1003.
To investigate the perspectives of patients with asthma on the use of an action plan and the implementation of this plan during an asthma attack that culminated in a visit to an emergency department.
Qualitative study.
Tertiary teaching hospital, suburban hospital, and rural hospital.
62 patients aged 18 to 69 years who presented to an emergency department with asthma over a two month period.
29 participants described having action plans given to them by their doctors. Most patients with action plans reinterpreted their plan from the perspective of their own experiences with asthma. 33 patients did not have an action plan, the most common reason being that they had not been given one by their doctor. Some occupational groups were significantly less likely to have been given an action plan by their doctor than others. Most patients with an action plan found them useful for management of their asthma.
Action plans were viewed positively by patients. Participants modified their prescribed plan according to their experience of asthma. To facilitate the implementation of a prescribed action plan, doctors need to acknowledge and include the patient's personal experience of their disease.
调查哮喘患者对于使用行动计划以及在哮喘发作并最终前往急诊科就诊期间实施该计划的看法。
定性研究。
三级教学医院、郊区医院和乡村医院。
在两个月期间因哮喘前往急诊科就诊的62名年龄在18至69岁之间的患者。
29名参与者表示医生给他们制定了行动计划。大多数有行动计划的患者根据自己的哮喘经历重新解读了他们的计划。33名患者没有行动计划，最常见的原因是医生没有给他们制定。一些职业群体从医生那里获得行动计划的可能性明显低于其他群体。大多数有行动计划的患者发现这些计划对管理他们的哮喘很有用。
患者对行动计划持积极看法。参与者根据自己的哮喘经历修改了规定的计划。为便于实施规定的行动计划，医生需要承认并纳入患者对自身疾病的个人经历。
