Worth H
Fortschr Med. 1989 Oct 20;107(30):631-5.
Despite the advances in the understanding of the pathogenic mechanisms, clinical assessment and medical treatment of asthma, an increase of mortality and morbidity has been observed. It is clear from several studies, however, that this discrepancy may be at least partly due to serious short-comings, amongst asthmatic patients, in their ability to judge the severity of their asthma, and their knowledge of medication and correct dosaging, in the event of deterioration. Therefore, to effectively manage asthma structured education programs for adult asthmatics appear to be useful including information about the disease and the medication as well as training of self-management of airflow limitation by the patients. The evaluation of the course of the disease before and after this education revealed a reduction in severe attacks, hospitalization and days lost from work in trained asthmatics.
尽管在哮喘的发病机制、临床评估和医学治疗方面已有进展，但仍观察到死亡率和发病率有所上升。然而，多项研究表明，这种差异至少部分可能是由于哮喘患者在判断自身哮喘严重程度以及在病情恶化时对药物及其正确剂量的了解方面存在严重缺陷。因此，为成年哮喘患者开展结构化教育项目似乎很有用，包括提供有关疾病和药物的信息，以及培训患者对气流受限进行自我管理。对接受该教育前后的疾病进程进行评估发现，接受培训的哮喘患者严重发作、住院和误工天数有所减少。
