Leuppi Jörg D
Departement Innere Medizin, Universitätsspital Basel.
Ther Umsch. 2010 Jun;67(6):323-7. doi: 10.1024/0040-5930/a000057.
Inadequate adherence to therapy is not an uncommon problem in the management of chronic asthma. Insufficient information, unmet expectations and medication side effects are all important factors that contribute to poor adherence to therapy. In addition to optimal patient education, the use of asthma action plans (and thereby the transfer of responsibility of disease management to the patients themselves), it is important to devise an individually-tailored asthma-treatment programme which is independent of disease severity and level of control. Depending on the patient's expectation and abilities, as simple a treatment plan as possible should be devised and applied. Regular medical follow up should then focus on patient expectation, understanding of their condition and inhalation technique so that appropriate action can be taken and therapy adjustments made. Ultimately this translates into successful and cost effective asthma management.
在慢性哮喘的管理中，治疗依从性不足是一个常见问题。信息不足、期望未达成以及药物副作用都是导致治疗依从性差的重要因素。除了对患者进行最佳教育、使用哮喘行动计划（从而将疾病管理责任转移到患者自身）之外，制定一个独立于疾病严重程度和控制水平的个性化哮喘治疗方案也很重要。应根据患者的期望和能力，制定并应用尽可能简单的治疗方案。然后，定期的医学随访应关注患者的期望、对自身病情的理解以及吸入技术，以便能够采取适当行动并调整治疗方案。最终，这将转化为成功且具有成本效益的哮喘管理。
