Harvard Vanguard Medical Associates, Chelmsford, MA 01824, USA.
J Pediatr Health Care. 2012 Jan-Feb;26(1):37-44. doi: 10.1016/j.pedhc.2010.06.007. Epub 2010 Jul 22.
As important members of the health care team, patients and caregivers must be empowered to recognize their asthma status and to act accordingly. Education about asthma, complications, and successful management of asthma provide the best way to empower children and their caregivers. A Shared Medical Appointment (SMA) is a unique health care delivery approach that integrates disease management and patient education. The SMA described here is a 90-minute group appointment for four to nine patients who share a diagnosis of asthma, bronchospasm, or wheeze and their caregivers. The appointment includes a brief individual examination, health education delivered to the group, and the opportunity for interaction between group members. Because a supporting theoretic framework is not identified in the original design proposals for the SMA model or in the literature on its use, for the purposes of this project, Social Cognitive Theory is identified as the theoretical framework that best explains and reinforces the benefits of the SMA. The theoretic framework is important to direct the development and continued success of this treatment model. This project report describes the first nurse practitioner-led SMA as a tool for improving quality of care and service for children with asthma and their caregivers.
作为医疗团队的重要成员，患者及其照顾者必须具备识别自身哮喘状况并采取相应措施的能力。有关哮喘、并发症和成功管理哮喘的教育是赋予儿童及其照顾者能力的最佳途径。共享医疗预约（SMA）是一种独特的医疗保健提供方式，它将疾病管理和患者教育结合在一起。这里描述的 SMA 是一种针对 4 至 9 名患有哮喘、支气管痉挛或喘息的患者及其照顾者的 90 分钟小组预约。该预约包括简短的个体检查、向小组提供健康教育以及小组成员之间互动的机会。由于 SMA 模型的原始设计方案或其使用文献中没有确定支持理论框架，因此，为了本项目的目的，社会认知理论被确定为最能解释和加强 SMA 益处的理论框架。理论框架对于指导该治疗模式的发展和持续成功至关重要。本项目报告描述了第一个由执业护士领导的 SMA，它是改善哮喘儿童及其照顾者护理质量和服务的工具。
