Thomas Jefferson Medical College, Wilmington, Del.
J Allergy Clin Immunol Pract. 2013 Mar;1(2):123-8. doi: 10.1016/j.jaip.2013.01.009. Epub 2013 Feb 26.
Nonadherence to asthma treatment has been related to increased hospital and emergency care, morbidity, and unnecessary costs. Improving patient adherence is a key component to achieving optimal outcomes.
Review barriers, interventions, and communication skills shown to be effective in promoting asthma adherence.
Asthma adherence literature was reviewed.
Sequential management principles to achieve adherence include the following: (1) measuring adherence, (2) identifying barriers that result in nonadherence, (3) using specific strategies to overcome barriers; and (4) using communication skills to enhance the delivery of selected strategies.
Careful attention to adherence management principles may increase adherence, enhance outcomes, and reduce unnecessary morbidity and cost. The case described applies these principles and gives the reader a framework to review.
哮喘治疗的不依从与住院和急诊治疗增加、发病率和不必要的成本有关。提高患者的依从性是实现最佳治疗效果的关键组成部分。
综述被证明可有效促进哮喘患者依从性的障碍、干预措施和沟通技巧。
对哮喘患者的依从性文献进行了回顾。
实现依从性的序贯管理原则包括：（1）测量依从性，（2）识别导致不依从的障碍，（3）使用特定策略克服障碍；以及（4）使用沟通技巧增强选定策略的实施。
仔细关注依从性管理原则可能会增加依从性，改善治疗效果，减少不必要的发病率和成本。所描述的案例应用了这些原则，并为读者提供了一个审查框架。
