Department of Medicine, Clinical Epidemiology Division T2, Karolinska University Hospital, Karolinska Institutet, Solna, SE-171 76, Stockholm, Sweden.
Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
BMC Fam Pract. 2021 Dec 11;22(1):244. doi: 10.1186/s12875-021-01583-w.
A gap exists between guidelines and real-world clinical practice for the management and treatment of chronic obstructive pulmonary disease (COPD). Although this has narrowed in the last decade, there is room for improvement in detection rates, treatment choices and disease monitoring. In practical terms, primary care practitioners need to become aware of the huge impact of COPD on patients, have non-judgemental views of smoking and of COPD as a chronic disease, use a holistic consultation approach and actively motivate patients to adhere to treatment.This article is based on discussions at a virtual meeting of leading Nordic experts in COPD (the authors) who were developing an educational programme for COPD primary care in the Nordic region. The article aims to describe the diagnosis and lifelong management cycle of COPD, with a strong focus on providing a hands-on, practical approach for medical professionals to optimise patient outcomes in COPD primary care.
在慢性阻塞性肺疾病（COPD）的管理和治疗方面，指南与现实临床实践之间存在差距。尽管在过去十年中，这种差距已经缩小，但在检测率、治疗选择和疾病监测方面仍有改进的空间。实际上，初级保健医生需要意识到 COPD 对患者的巨大影响，对吸烟和 COPD 作为一种慢性疾病持非评判性的观点，采用整体咨询方法，并积极激励患者坚持治疗。本文基于北欧 COPD 领域的专家（作者）在一次虚拟会议上的讨论，他们正在为北欧地区的 COPD 初级保健制定一个教育计划。本文旨在描述 COPD 的诊断和终身管理周期，重点是为医疗专业人员提供一种实用的方法，以优化 COPD 初级保健中的患者结局。
