Jain Neeraj, Satish K, Abhyankar Nitin, Velayudhan Nila, Gurunathan Jayakumar
Department of Pulmonary Medicine, Sir Ganga Ram Hospital, New Delhi, India.
Department of Pulmonary Medicine, Fortis Hospital, Cunningham Road, Bengaluru, Karnataka, India.
Lung India. 2019 Mar-Apr;36(2):131-138. doi: 10.4103/lungindia.lungindia_434_17.
Asthma is a chronic disease of the airways affecting a large number of people across the globe. Uncontrolled asthma poses an emotional as well as the physical burden on patients and results in a great economic burden. "Exacerbation-prone phenotype" asthmatics are a cluster of patients who may suffer from more frequent and severe exacerbations than other asthmatics. Factors such as inadequate symptom control, improper adherence to medications, and incorrect use of inhalers are responsible for frequent asthma exacerbations. Caring for the patient with "exacerbation-prone asthma" needs participation from both the doctor as well as the patient. Self-management, improving knowledge about the disease, control of comorbidities, and a stepwise approach with the use of a single inhaler maintenance and reliever therapy in patients with severe asthma could help in delivering better care for the "exacerbation-prone phenotype" of asthmatics.
哮喘是一种气道慢性疾病,影响着全球大量人群。未得到控制的哮喘给患者带来了身心负担,并造成巨大的经济负担。“易加重型哮喘”患者群体比其他哮喘患者更容易出现频繁且严重的病情加重。症状控制不足、用药依从性差以及吸入器使用不当等因素是导致哮喘频繁加重的原因。护理“易加重型哮喘”患者需要医生和患者共同参与。自我管理、提高对疾病的认知、控制合并症,以及对重度哮喘患者采用单一吸入器维持和缓解治疗的逐步治疗方法,有助于为“易加重型哮喘”患者提供更好的护理。