Krzych-Fałta Edyta, Lisiecka-Biełanowicz Mira, Furmańczyk Konrad, Piekarska Barbara, Wojas Oksana, Samoliński Bolesław
Department of the Environmental Hazards Prevention and Allergology, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.
Faculty of Applied Informatics and Mathematics, Warsaw University of Life Sciences, Warsaw, Poland.
Postepy Dermatol Alergol. 2019 Jun;36(3):339-345. doi: 10.5114/ada.2019.84288. Epub 2019 Jun 19.
Allergic conditions present a serious problem for the Polish population. The most common form of allergy is allergic rhinitis. Due to its chronic nature and a complex pathophysiological mechanism the allergic rhinitis could be associated with others comorbidities. That is why it is a poses a considerable bio-psychosocial problem both for the affected individual patient and for the healthcare system.
To identify organizational factors and analyse their effect on patients with chronic allergic conditions.
The study group comprised 9,370 respondents (including 1,967 patients with allergic rhinitis (AR), 372 patients with self-reported bronchial asthma (BA1), and 351 patients with physician-diagnosed bronchial asthma (BA2)) aged from 20 to 44 years, some of whom were additionally examined (skin pick tests) in an outpatient setting. The findings obtained in the outpatient subgroup ( = 4,783) were analysed in more detail. The study was based on translated and validated ECRHS and ISAAC questionnaires.
Over a half of the evaluated patients with AR visited a specialist due to their symptoms. Some respondents neither visited their doctor regularly nor had regular check-ups, which undoubtedly affected their quality of life.
The authors propose an organizational model incorporating the position of a healthcare educator (HE) as a coordinator in the process of managing chronic allergic conditions in adult patients within the Polish healthcare system. Adult patient education by the HE would include introducing the principles of secondary and tertiary prevention in order to improve the quality of life in patients with chronic allergic conditions.
过敏疾病给波兰民众带来了严重问题。最常见的过敏形式是过敏性鼻炎。由于其慢性特征和复杂的病理生理机制，过敏性鼻炎可能与其他合并症相关。这就是为什么它对受影响的个体患者和医疗保健系统都构成了相当大的生物心理社会问题。
确定组织因素并分析其对慢性过敏疾病患者的影响。
研究组包括9370名年龄在20至44岁之间的受访者（包括1967名过敏性鼻炎（AR）患者、372名自我报告患有支气管哮喘（BA1）的患者和351名经医生诊断患有支气管哮喘（BA2）的患者），其中一些人在门诊环境中还接受了额外检查（皮肤点刺试验）。对门诊亚组（n = 4783）获得的结果进行了更详细的分析。该研究基于翻译并验证过的欧洲社区呼吸健康调查（ECRHS）和国际哮喘及变应性疾病研究（ISAAC）问卷。
超过一半的评估AR患者因症状就诊于专科医生。一些受访者既不定期看医生也不定期进行检查，这无疑影响了他们的生活质量。
作者提出了一种组织模式，将医疗保健教育者（HE）的角色作为波兰医疗保健系统中成年慢性过敏疾病患者管理过程的协调者。HE对成年患者的教育将包括引入二级和三级预防原则，以改善慢性过敏疾病患者的生活质量。
