Hyland Michael E, Blake Sue, Greaves Colin J, Pinnuck Margaret, Seamark Clare, Seamark Dave, Ward David, Halpin David M G
School of Psychology, University of Plymouth, Plymouth, Devon, UK.
Prim Care Respir J. 2009 Jun;18(2):114-7. doi: 10.3132/pcrj.2008.00066.
Recent clinical trials suggest that intermittent use of inhaled corticosteroids (ICS) is safe for mild persistent asthma. Intermittent ICS use is inconsistent with current guidelines but is a common form of non-compliance. The aim of this study was to investigate how asthma nurses advise patients to use ICS.
Practice managers of 241 GP surgeries in the southwest of England were sent questionnaires to distribute to practice nurses.
Questionnaires were returned by 105 nurses (104 had asthma-specific training). There was a wide variation in attitudes to guideline-based care and advice given to patients. 97% indicated that they sometimes advised patients to decrease their ICS use, 85% sometimes advised patients to stop their ICS when their asthma was well controlled, and 70% reported sometimes advising intermittent use.
Asthma nurse recommendations are often inconsistent with guidelines. There is considerable variation between different asthma nurses in the advice given to patients.
近期临床试验表明，间歇性使用吸入性糖皮质激素（ICS）对轻度持续性哮喘患者是安全的。间歇性使用ICS与当前指南不符，但却是一种常见的不依从形式。本研究的目的是调查哮喘护士如何建议患者使用ICS。
向英格兰西南部241家全科医生诊所的业务经理发放问卷，由他们分发给执业护士。
105名护士返回了问卷（104名接受过哮喘专项培训）。在基于指南的护理以及给予患者的建议方面，态度存在很大差异。97%的护士表示，他们有时会建议患者减少ICS的使用量，85%的护士有时会建议患者在哮喘得到良好控制时停用ICS，70%的护士报告有时会建议间歇性使用。
哮喘护士的建议往往与指南不一致。不同哮喘护士给予患者的建议存在很大差异。
