Walshaw M J, Lim R, Evans C C, Hind C R
Department of Medicine, Royal Liverpool Hospital, University of Liverpool.
BMJ. 1988 Oct 22;297(6655):1030-2. doi: 10.1136/bmj.297.6655.1030.
When oxygen concentrators became available on form FP10 in 1985 the Department of Health and Social Security issued clear guidelines for their prescription for long term treatment. Reassessment of those patients prescribed a concentrator in one district showed that 29 out of 61 patients did not fulfil these criteria. Furthermore, in only 28 cases was the daily use of the machine appropriate, though this did not reflect poor patient cooperation but was a result of inadequate prescribing instructions. In addition, 12 out of 54 patients continued to smoke. Overall, in only 18 of the 61 cases was both the prescription appropriate and the concentrator properly used. These results suggest a need for better cooperation between general practitioner and hospital in the initial assessment of patients for long term oxygen treatment and better education of both doctor and patient in the use of oxygen concentrators.
1985年，当氧气浓缩器可通过FP10表格获取时，卫生和社会保障部发布了关于其长期治疗处方的明确指南。对一个地区开具氧气浓缩器处方的患者进行的重新评估显示，61名患者中有29名不符合这些标准。此外，只有28例患者的机器日常使用是恰当的，这并非反映患者配合不佳，而是处方说明不充分所致。另外，54名患者中有12名继续吸烟。总体而言，61例中只有18例的处方恰当且氧气浓缩器使用正确。这些结果表明，在对患者进行长期氧疗的初始评估中，全科医生与医院之间需要更好地合作，并且医生和患者在氧气浓缩器的使用方面都需要更好的教育。
