Department of Dermatology and Allergy, Division of Immunodermatology and Allergy Research, Hannover Medical School, Hannover, Germany.
Department of Dermatology, University Hospital Zurich, Zurich, Switzerland.
Handb Exp Pharmacol. 2022;268:487-500. doi: 10.1007/164_2021_488.
Allergic diseases are characterized by a complex complex chronic pathophysiology. Therapeutic patient education (TPE) programs are an important part of health care for allergic patients. These programs aim to increase the patient's adherence to evidence-based treatment and improve their ability to cope with the disease. TPE led by a multiprofessional team covers the complex pathogenesis of the disease, trigger factors, nursing and dietary issues, and the broad variety of treatment options available including psychological and behavioral aspects.Regarding atopic dermatitis (AD), randomized, controlled studies have demonstrated the beneficial effects of delivering structured group training to children, their caregivers, and adult patients with AD. Such intervention achieved substantial improvements in quality of life and objective clinical disease parameters. Besides AD, training programs have also been developed and evaluated for patients with anaphylaxis and asthma. This article provides an overview of the multitude of TPE concepts and their impact on subjective and objective outcomes. It focuses on AD but also sheds light on other allergic diseases such as anaphylaxis and asthma.
过敏性疾病的病理生理学复杂且呈慢性。治疗性患者教育(TPE)方案是过敏性疾病患者医疗保健的重要组成部分。这些方案旨在提高患者对循证治疗的依从性,并提高其应对疾病的能力。由多专业团队领导的 TPE 涵盖了疾病的复杂发病机制、触发因素、护理和饮食问题,以及广泛的治疗选择,包括心理和行为方面。
关于特应性皮炎(AD),随机对照研究已经证明了为儿童、其照顾者和 AD 成年患者提供结构化小组培训的有益效果。这种干预措施在生活质量和客观临床疾病参数方面都取得了显著改善。除 AD 外,还为过敏反应和哮喘患者开发和评估了培训计划。本文概述了多种 TPE 概念及其对主观和客观结果的影响。它侧重于 AD,但也涉及其他过敏性疾病,如过敏反应和哮喘。