Allied Health and Human Performance and Innovation, IMPlementation And Clinical Translation in Health (IIMPACT), University of South Australia, North Terrace, Adelaide, South Australia, Australia.
Curr Opin Support Palliat Care. 2023 Dec 1;17(4):255-262. doi: 10.1097/SPC.0000000000000678. Epub 2023 Oct 9.
Effective education enables people to modify the distress and impact of breathlessness by integrating evidence-informed breathlessness-related behaviours (knowledge, skill, attitude) into everyday life. This review considers recent studies of educational approaches focussed on chronic breathlessness as a modifiable, noxious and debilitating multidimensional experience.
Systematic assessments of text-based patient education materials and mobile phone applications specific to breathlessness indicate that while these resources are readily available, issues continue to persist with quality, readability, usefulness and availability of non-English language versions. Various forms of educational interventions for breathlessness have proven feasible and valued by people living with breathlessness and their significant others (uptake/completion, personal benefit, ripple effect on health professionals). Health professional knowledge about the impact of chronic breathlessness and effective management can be altered through structured, educational interventions.
Empiric studies of patient education for breathlessness are scarce despite persistent calls for better breathlessness education for people living with or providing care for someone living with this noxious symptom. In clinical practice, it is highly likely that there are effective and ineffective educational practices, both of which, if publicly disseminated, would inform future educational strategies to advance breathlessness self-management.
有效的教育能使人们将基于证据的呼吸困难相关行为(知识、技能、态度)融入日常生活,从而减轻呼吸困难带来的痛苦和影响。本综述考虑了最近对慢性呼吸困难这一可改变的、有害的、使人虚弱的多维体验的教育方法的研究。
对专门针对呼吸困难的基于文本的患者教育材料和手机应用程序进行的系统评估表明,尽管这些资源易于获得,但在质量、可读性、实用性以及非英语语言版本的可用性方面仍存在问题。各种形式的呼吸困难教育干预措施已被证明对呼吸困难患者及其重要他人(接受/完成、个人受益、对卫生专业人员的涟漪效应)是可行且有价值的。通过结构化的教育干预,卫生专业人员对慢性呼吸困难的影响和有效管理的知识可以得到改变。
尽管人们一直呼吁为呼吸困难患者提供更好的教育,但针对呼吸困难患者的教育研究仍然很少。在临床实践中,很可能存在有效的和无效的教育实践,如果公开传播,将为未来推进呼吸困难自我管理的教育策略提供信息。