Ouksel H
Département de pneumologie, 04, rue Larrey, 49933 Angers cedex 9, France.
Rev Pneumol Clin. 2017 Dec;73(6):309-315. doi: 10.1016/j.pneumo.2017.09.004. Epub 2017 Nov 6.
National and international guidelines confirm that therapeutic education should be an integral part of respiratory rehabilitation programs. Here we outline the pathophysiological foundation of respiratory rehabilitation in order to better apprehend the underlying rationale while taking into consideration each patient's symptoms, the real justification of any therapeutic intervention. Therapeutic education points out the fact that it is the patient who is being treated, not the illness. It is also the occasion to recall that long-term efficacy implies patient-centered interventions. Therapeutic education thus plays a central role in respiratory rehabilitation. It is implicated in all phases of rehabilitation and particularly for disease-specific indications. It optimizes the chances of long-term success, a clinical, if not evidence-based, observation.
国家和国际指南证实,治疗性教育应成为呼吸康复计划的一个组成部分。在此,我们概述呼吸康复的病理生理基础,以便在考虑每位患者的症状以及任何治疗干预的实际依据时,更好地理解其潜在原理。治疗性教育指出,接受治疗的是患者,而非疾病。这也是一个提醒,即长期疗效意味着以患者为中心的干预措施。因此,治疗性教育在呼吸康复中发挥着核心作用。它贯穿于康复的各个阶段,尤其是针对特定疾病的适应症。它优化了长期成功的机会,这是一种临床观察结果,即便并非基于证据。