Lewiston N J, Rubinstein S
Clin Rev Allergy. 1987 Aug;5(3):273-84. doi: 10.1007/BF02991200.
The most vulnerable population in the recent increase in morbidity and mortality in asthma is the preteen and teenaged group. This particular group, remarkably resistant to outside input, would seem the most likely audience for programs dealing with asthma self-care. We have postulated 4 problem areas for this group that may be important in patients who have severe or refractory disease. These problems involve physiology, noncompliance with the medical regimen, stress, and depression and suicide. Each problem requires a specific intervention strategy and should be amenable to treatment in a comprehensive management plan.
在近期哮喘发病率和死亡率上升过程中，最脆弱的人群是青春期前和青少年群体。这个特殊群体对外界信息明显抵触，看似是哮喘自我护理项目最有可能的受众。我们推测该群体存在4个问题领域，对于患有严重或难治性疾病的患者可能很重要。这些问题涉及生理、不遵守医疗方案、压力以及抑郁和自杀。每个问题都需要特定的干预策略，并且应该在综合管理计划中易于治疗。
