Soumagne T, Chenivesse C, Didier A, Giovannini-Chami L, Magnan A, Taillé C
Service de pneumologie et de soins intensifs, hôpital Européen Georges Pompidou, AP-HP, Paris, France.
Service de pneumologie et d'immuno-allergologie, hôpital Albert Calmette, CHRU de Lille, Lille, France; University Lille, CNRS, Inserm, CHU Lille, Institut Pasteur de Lille, U1019 - UMR 9017- CIIL - Center for Infection and Immunity of Lille, Lille, France.
Rev Mal Respir. 2024 Feb;41(2):102-109. doi: 10.1016/j.rmr.2024.01.001. Epub 2024 Jan 15.
Despite evidence of the benefits of the written asthma action plans (WAP) in asthma control, they remain poorly applied. The aim of our study was to assess the practices of French-speaking pulmonologists and paediatricians in their use of WAP for asthma control and to analyse the contents of several WAPs routinely consulted in treatment of asthma patients.
Members of three French medical societies (SPLF, G2A, SP2A) were requested to share their WAPs for asthma patients and to participate in an online survey about the possible influence of these documents on their practices.
Most (95%) of the 41 WAPs taken into consideration were symptom-based and 34% included peak expiratory flow measurement. All of these action plans were in full compliance with current guidelines. Among the 110 survey respondents, while 65% systematically provided a WAP to their asthma patients, only 30% often or always supplemented the written document with therapeutic education sessions. In almost every case, it was the doctor who presented the WAP to the patient, generally devoting to less than 10minutes to explanation of what they were handing out.
In France, WAPs are generally presented to the patient by the physician, which probably limits the time devoted to explanation of their contents. Furthermore, WAPs are rarely reinforced with therapeutic education. The current study suggests ways of improving the utilization of WAPs in asthma care and treatment.
尽管有证据表明书面哮喘行动计划（WAP）对哮喘控制有益，但它们的应用仍然很差。我们研究的目的是评估说法语的肺科医生和儿科医生在使用WAP控制哮喘方面的做法，并分析在治疗哮喘患者时经常查阅的几份WAP的内容。
要求三个法国医学协会（SPLF、G2A、SP2A）的成员分享他们为哮喘患者制定的WAP，并参与一项关于这些文件对其做法可能产生影响的在线调查。
所考虑的41份WAP中，大多数（95%）是基于症状的，34%包括呼气峰值流量测量。所有这些行动计划都完全符合现行指南。在110名调查受访者中，虽然65%的人系统地向哮喘患者提供了WAP，但只有30%的人经常或总是通过治疗教育课程来补充书面文件。几乎在每种情况下，都是医生向患者提供WAP，通常用于解释所提供内容的时间不到10分钟。
在法国，WAP通常由医生提供给患者，这可能会限制用于解释其内容的时间。此外，WAP很少通过治疗教育得到加强。当前的研究提出了改善WAP在哮喘护理和治疗中利用的方法。
