Revicki Dennis, Weiss Kevin B
Center for Health Outcomes Research, MEDTAP Institute, Bethesda, MD, USA.
J Asthma. 2006 Sep;43(7):481-7. doi: 10.1080/02770900600619618.
Health care providers are increasingly shifting asthma management from treating acute attacks to achieving symptom control to return patients to full functioning and improve their quality of life. Assessment instruments have been developed that quantify asthma patients' symptom control and quality of life. Several instruments are described in this review in terms of domains, psychometric qualities, ease of use, and ability to accurately reflect patients' overall condition. Problems with applicability and feasibility have limited the use of currently available instruments mainly to research settings or sporadic use in selected practices, generally leaving clinicians without the potential benefits of such tools to aid their routine clinical management of patients.
医疗服务提供者正日益将哮喘管理从治疗急性发作转向实现症状控制,以使患者恢复完全功能并提高其生活质量。已开发出评估工具来量化哮喘患者的症状控制和生活质量。本综述根据领域、心理测量学特性、易用性以及准确反映患者整体状况的能力,描述了几种工具。适用性和可行性问题限制了当前可用工具的使用,主要局限于研究环境或在特定实践中的零星使用,这通常使临床医生无法从这些工具中获得潜在益处来辅助他们对患者的常规临床管理。