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“教我如何照顾自己”:支气管扩张症患者在肺康复环境中对教育的需求。

'Teach me how to look after myself': What people with bronchiectasis want from education in a pulmonary rehabilitation setting.

机构信息

Department of Physiotherapy, Monash University, Frankston, Victoria, Australia.

Monash Lung and Sleep, Monash Health, Clayton, Victoria, Australia.

出版信息

Clin Respir J. 2023 Jan;17(1):59-69. doi: 10.1111/crj.13563. Epub 2022 Nov 20.

DOI:10.1111/crj.13563
PMID:36404576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9829624/
Abstract

INTRODUCTION

Pulmonary rehabilitation is recommended for people with bronchiectasis. Various education topics are included in these programmes, but the content is largely guided by the needs of people with other respiratory conditions.

OBJECTIVES

With the education topics applicable to people with bronchiectasis unclear, we aimed to explore the perspective of adults with this condition on relevant educational topics in a pulmonary rehabilitation context.

METHODS

Participants from the Australian Bronchiectasis Registry were invited to undertake a semi-structured interview. Interview transcripts were coded independently, with themes established by consensus (two researchers).

RESULTS

Twenty-one people participated. The major themes were greater clarity on the underlying cause of bronchiectasis and prognosis. Most sought knowledge about self-management strategies and treatments to address extra-pulmonary symptoms. Participants requested more information on physiotherapy options and the role of exercise and physical activity outside of pulmonary rehabilitation. Preferences were mixed for the education delivery model.

CONCLUSIONS

We have identified unmet educational topics of interest for people with bronchiectasis. Our study provides a framework for education topics desired by adults with bronchiectasis within a pulmonary rehabilitation setting. The topics identified will guide development of an education curriculum for pulmonary rehabilitation that is more fit-for-purpose for people with bronchiectasis.

摘要

介绍

肺康复被推荐用于支气管扩张症患者。这些方案包含各种教育主题,但内容在很大程度上是根据其他呼吸系统疾病患者的需求来指导的。

目的

由于适用于支气管扩张症患者的教育主题尚不清楚,我们旨在探讨该疾病成人患者对肺康复背景下相关教育主题的看法。

方法

邀请澳大利亚支气管扩张症登记处的参与者进行半结构化访谈。访谈记录由两名研究人员独立编码,并通过共识建立主题。

结果

21 人参与。主要主题是更清楚地了解支气管扩张症的根本原因和预后。大多数人寻求有关自我管理策略和治疗非肺部症状的知识。参与者要求提供更多关于物理治疗选择以及肺康复之外的运动和体育活动的作用的信息。对教育提供模式的偏好不一。

结论

我们已经确定了支气管扩张症患者感兴趣的未满足的教育主题。我们的研究为肺康复环境中成人支气管扩张症患者所需的教育主题提供了框架。确定的主题将指导更适合支气管扩张症患者的肺康复教育课程的开发。

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2
Exacerbations and Changes in Physical Activity and Sedentary Behaviour in Patients with Bronchiectasis after 1 Year.支气管扩张症患者1年后病情加重情况以及身体活动和久坐行为的变化
J Clin Med. 2021 Mar 12;10(6):1190. doi: 10.3390/jcm10061190.
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'It's not one size fits all': a qualitative study of patients' and healthcare professionals' views of self-management for bronchiectasis.“一刀切”不适用:对支气管扩张症患者和医疗保健专业人员自我管理观点的定性研究。
BMJ Open Respir Res. 2021 Mar;8(1). doi: 10.1136/bmjresp-2020-000862.
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Efficacy of pulmonary rehabilitation for bronchiectasis and related factors: which patients should receive the most treatment?支气管扩张症肺康复的疗效及其相关因素:哪些患者应接受最多的治疗?
Adv Respir Med. 2021;89(1):15-22. doi: 10.5603/ARM.a2021.0029.
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Educational topics and their rationale for inclusion within pulmonary rehabilitation - a systematic review.教育主题及其纳入肺康复的基本原理——系统评价。
Patient Educ Couns. 2020 Oct;103(10):1997-2008. doi: 10.1016/j.pec.2020.04.009. Epub 2020 Apr 18.
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Prevalence of comorbidities and impact on pulmonary rehabilitation outcomes.共病的患病率及其对肺康复结局的影响。
ERJ Open Res. 2019 Dec 8;5(4). doi: 10.1183/23120541.00264-2019. eCollection 2019 Oct.
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