J Drugs Dermatol. 2020 Oct 1;19(10):950-955. doi: 10.36849/JDD.2020.5090.
Background/Significance of problem: Atopic Dermatitis (AD) is a common, chronic, inflammatory dermatosis and skin disease that follows a relapsing pattern and requires a dynamic stepwise approach to management. Providers feel comfortable treating chronic disease states with a guided tool or care plan in many chronic diseases. Care plans used in many chronic diseases such as asthma, diabetes, and COPD have demonstrated effectiveness in disease and healthcare provider management. There is an unmet need for a universal AD care plan for providers. Clinical question/project purpose: A universal AD care plan was developed to improve AD disease management and patient outcomes. Post-implementation of providers & perceptions was assessed for how the AD universal care plan affected their ability to provide patient education. Search of literature/best evidence: Review of literature includes: CINAHL, ProQuest Health, PubMed, Fusion, and UpToDate databases from 2008-2018.Search terms included: Atopic Dermatitis, Eczema, care plans, care plan use in chronic disease. Clinical appraisal of literature/best evidence: Analysis of the evidence supported the need for AD education, which then supported the need for a universal AD care plan for providers. Integration into practice: "Your Eczema Care Plan" was used by thirty-five healthcare providers to improve patient outcomes in a similar manner as other evidence-based care plans.Evaluation of evidenced-based practice: Post-implementation of providers & perceptions were evaluated on how the AD care plan tool affected their ability to provide patient education. Results suggest patient education, disease management, and QOL are all improved when utilizing "Your Eczema Action Plan." J Drugs Dermatol. 2020;19(10): 950-955. doi:10.36849/JDD.2020.5090.
背景/问题意义：特应性皮炎（AD）是一种常见的慢性炎症性皮肤病，呈反复发作模式，需要采用动态逐步方法进行管理。在许多慢性疾病中，医生使用指导工具或护理计划来治疗慢性病时会感到更舒适。在许多慢性疾病（如哮喘、糖尿病和 COPD）中使用的护理计划已证明对疾病和医疗保健提供者管理有效。在提供者中，需要一种通用的 AD 护理计划，但目前还没有这种计划。临床问题/项目目的：开发了通用 AD 护理计划，以改善 AD 疾病管理和患者预后。评估实施后提供者的看法，了解 AD 通用护理计划如何影响他们为患者提供教育的能力。文献/最佳证据搜索：文献综述包括：2008-2018 年 CINAHL、ProQuest Health、PubMed、Fusion 和 UpToDate 数据库。搜索词包括：特应性皮炎、湿疹、护理计划、慢性病护理计划使用。文献/最佳证据临床评估：对证据的分析支持 AD 教育的需求，这继而支持为提供者制定通用 AD 护理计划。实践整合：35 名医疗保健提供者使用“您的湿疹护理计划”以类似方式改善患者预后，就像其他基于证据的护理计划一样。基于证据的实践评估：评估实施后提供者的看法，了解 AD 护理计划工具如何影响他们为患者提供教育的能力。结果表明，当使用“您的湿疹行动计划”时，患者教育、疾病管理和生活质量都得到了改善。J 皮肤病药物学杂志。2020;19(10)：950-955.doi:10.36849/JDD.2020.5090.
