哮喘——仍是全科医疗面临的一项挑战。
Asthma--still a challenge for general practice.
作者信息
Jones K
出版信息
J R Coll Gen Pract. 1989 Jun;39(323):254-6.
Abstract
Asthma is probably the commonest chronic disease in the United Kingdom, and its attendant morbidity extends outside the possible scope of the hospital sector. Innovations to improve the care of asthma must therefore come from general practice. The need for such care initiatives is demonstrated by the rising mortality and morbidity from this condition, and by the evidence of less than optimum treatment at both the primary and secondary care levels. This paper reviews this evidence, and considers possible solutions to the problems raised. Pragmatic guidelines are offered for the promotion of good asthma care, while the need for proper evaluative research is stressed.
摘要
哮喘可能是英国最常见的慢性病，其伴随的发病率超出了医院部门可能的范围。因此，改善哮喘护理的创新必须来自全科医疗。这种疾病死亡率和发病率的上升，以及初级和二级护理层面治疗未达最佳效果的证据，都表明了此类护理举措的必要性。本文回顾了这些证据，并考虑了所提出问题的可能解决方案。文中提供了实用指南以促进良好的哮喘护理，同时强调了进行适当评估研究的必要性。
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本文引用的文献
1
Trends in the hospital care of acute childhood asthma 1970-8: a regional study.1970 - 1978年儿童急性哮喘住院治疗趋势：一项区域研究。
Br Med J. 1980 Nov 1;281(6249):1191-4. doi: 10.1136/bmj.281.6249.1191.
2
An assessment of the adequacy of self-care by adult asthmatics.成年哮喘患者自我护理充分性的评估。
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3
Evaluating health education in asthma -- developing the methodology: preliminary communication.评估哮喘健康教育——制定方法：初步交流
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Decision-making in acute asthma.急性哮喘的决策制定
J R Coll Gen Pract. 1983 Feb;33(247):105-8.
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Medical care of asthma and wheezing illness in children: a community survey.儿童哮喘和喘息性疾病的医疗护理：一项社区调查。
J Epidemiol Community Health. 1983 Sep;37(3):180-6. doi: 10.1136/jech.37.3.180.
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General practice audit of asthma in childhood.儿童哮喘的全科医疗审计
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Trends in sales of drugs for asthma in New Zealand, Australia, and the United Kingdom, 1975-81.1975 - 1981年新西兰、澳大利亚和英国哮喘药物销售趋势。
Br Med J (Clin Res Ed). 1984 Aug 11;289(6441):348-51. doi: 10.1136/bmj.289.6441.348.
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Br J Dis Chest. 1985 Jul;79(3):229-34.
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Questionnaire assessment of patients' attitudes and beliefs about asthma.
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