Kuzma Anne Marie, Meli Yvonne, Meldrum Catherine, Jellen Patricia, Butler-Lebair Marianne, Koczen-Doyle Debra, Rising Peter, Stavrolakes Kim, Brogan Frances
Temple University, Philadelphia, PA 19140, USA.
Proc Am Thorac Soc. 2008 May 1;5(4):567-71. doi: 10.1513/pats.200708-125ET.
The National Emphysema Treatment Trial used a multidisciplinary team approach to implement the maximum medical care protocol, including adjustment of medications and outpatient pulmonary rehabilitation for all patients and nutritional and psychological counseling as needed. This article discusses the benefits of such an approach in the care of the patient with chronic obstructive pulmonary disease. Team member roles complement each other and contribute to the goal of providing the highest-quality medical care. The primary focus of the team is to reinforce the medical plan and to provide patient education and support. This article reviews the elements of the initial patient assessment and the functional and nutritional assessment. Patient education focuses on medication use, recognition and management of chronic obstructive pulmonary disease exacerbation symptoms, smoking cessation, advance directives, and travel.
国家肺气肿治疗试验采用多学科团队方法来实施最大医疗护理方案，包括为所有患者调整药物和进行门诊肺康复治疗，并根据需要提供营养和心理咨询。本文讨论了这种方法在慢性阻塞性肺疾病患者护理中的益处。团队成员的角色相互补充，有助于实现提供最高质量医疗护理的目标。团队的主要重点是强化医疗计划并提供患者教育和支持。本文回顾了初始患者评估以及功能和营养评估的要素。患者教育侧重于药物使用、慢性阻塞性肺疾病加重症状的识别和管理、戒烟、预先指示和旅行。
