那些未经其同意就更换哮喘治疗设备的患者会怎样？
What happens to patients who have their asthma device switched without their consent?
作者信息
Doyle Scott, Lloyd Andrew, Williams Angela, Chrystyn Henry, Moffat Mandy, Thomas Mike, Price David
机构信息
Oxford Outcomes, Seacourt Tower, Westway, Botley, Oxford, UK.
出版信息
Prim Care Respir J. 2010 Jun;19(2):131-9. doi: 10.4104/pcrj.2010.00009.
AIMS
To identify asthma patients who have experienced a non-consented switch (NCS) of their inhaler device and to explore the circumstances and impact of these switches.
METHODS
Nineteen asthma patients who had experienced an NCS of their inhaler device were recruited to participate in qualitative, semistructured one-to-one interviews.
RESULTS
All 19 participants reported a switch in their asthma inhaler without consultation or approval. There was deterioration in asthma control reported by some participants, many remained unchanged, and two reported better outcomes. Regardless of any change in asthma control, all patients expressed discontent with the NCS. Many felt it had damaged their relationship with their doctor, their confidence in their asthma medication, and their perception of control over their disease.
CONCLUSIONS
These qualitative interviews highlight the need to maintain clear and open communication with patients. Switching of patients' inhalers without their consent may diminish the self-control associated with good asthma management, leave the doctor-patient relationship damaged, increase resource utilisation, and waste medication.
目的
识别经历过吸入器装置非同意更换（NCS）的哮喘患者，并探讨这些更换的情况及影响。
方法
招募了19名经历过吸入器装置NCS的哮喘患者，参与定性的、半结构化的一对一访谈。
结果
所有19名参与者均报告在未经咨询或批准的情况下更换了哮喘吸入器。一些参与者报告哮喘控制情况恶化，许多人保持不变，还有两人报告情况有所改善。无论哮喘控制情况有无变化，所有患者都对NCS表示不满。许多人觉得这损害了他们与医生的关系、对哮喘药物的信心以及对疾病控制的认知。
结论
这些定性访谈强调了与患者保持清晰、开放沟通的必要性。未经患者同意更换其吸入器可能会削弱与良好哮喘管理相关的自我控制能力，损害医患关系，增加资源利用并造成药物浪费。
Zotero 插件