Downs Charles A, Appel Susan J
Pulmonary and Critical Care Medicine, School of Nursing, University of Alabama at Birmingham, Alabama 35294-1210, USA.
J Am Acad Nurse Pract. 2007 Mar;19(3):126-32. doi: 10.1111/j.1745-7599.2006.00207.x.
The purpose of this article is to provide a comprehensive review of the current modalities employed in diagnosing and treating chronic obstructive pulmonary disease (COPD). Special emphasis is placed on current guidelines, as defined by the Global Initiative for Chronic Obstructive Lung Disease.
A comprehensive literature review for COPD serves as the basis for this article.
According to the National COPD Coalition (2004), there are nearly 24 million Americans who suffer from COPD. The incidence of COPD is rising globally and is associated with increased morbidity and mortality. COPD is characterized by progressive decline in function, resulting in concomitant diseases, which increase healthcare dollar expenditures, thus making COPD a concern for healthcare providers in the United States and abroad.
Once a diagnosis of COPD is made, healthcare providers should explore multiple treatment options in an effort to find the most beneficial regimen. It is only when the treatments are individualized, including physiological therapies and cognitive approaches to lessen risks as well as to reduce exacerbations, that the patient with COPD is able to potentially experience a reasonable quality of life.
本文旨在全面综述目前用于诊断和治疗慢性阻塞性肺疾病(COPD)的方法。特别强调由慢性阻塞性肺疾病全球倡议组织所定义的现行指南。
对COPD的全面文献综述是本文的基础。
根据美国慢性阻塞性肺疾病联盟(2004年)的数据,近2400万美国人患有COPD。COPD在全球的发病率正在上升,并与发病率和死亡率的增加相关。COPD的特点是功能逐渐下降,导致伴随疾病,这增加了医疗费用支出,因此COPD成为美国及国外医疗服务提供者关注的问题。
一旦确诊为COPD,医疗服务提供者应探索多种治疗方案,以找到最有益的治疗方案。只有当治疗个体化,包括生理治疗和认知方法以降低风险并减少病情加重时,COPD患者才有可能体验到合理的生活质量。