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哮喘自我管理教育

Asthma self-management education.

作者信息

McDonald V M, Gibson P G

机构信息

Department of Respiratory and Sleep Medicine, John Hunter Hospital, Newcastle, NSW, Australia.

出版信息

Chron Respir Dis. 2006;3(1):29-37. doi: 10.1191/1479972306cd090ra.

Abstract

Asthma self-management education is a fundamental component of asthma management guidelines. Self-management education should include the provision of information, self-monitoring, regular medical review and the provision of a written asthma management plan. Implementing this form of management can be challenging, this paper reviews the evidence supporting self-management education, provides recommendations and tools for delivering asthma education and discusses the challenges and solutions to implementing these recommendations. We have discussed ways to improve communication, develop patient partnerships and tailor management to facilitate behavioural change, adherence and self-management. Health Professionals providing education and guiding self-management require training to acquire and maintain the skills necessary to deliver this form of education. Provision of this training is important and can be achieved through varied methods of achieving competence.

摘要

哮喘自我管理教育是哮喘管理指南的基本组成部分。自我管理教育应包括提供信息、自我监测、定期医学复查以及提供书面哮喘管理计划。实施这种管理形式可能具有挑战性,本文回顾了支持自我管理教育的证据,提供了开展哮喘教育的建议和工具,并讨论了实施这些建议所面临的挑战及解决方案。我们探讨了改善沟通、建立患者伙伴关系以及调整管理方式以促进行为改变、依从性和自我管理的方法。提供教育和指导自我管理的卫生专业人员需要接受培训,以获得并保持开展这种教育形式所需的技能。提供这种培训很重要,可以通过多种获得能力的方法来实现。

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