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变应性鼻炎的行动计划及按需治疗

Action-plan and as-needed therapy in allergic rhinitis.

作者信息

Yang Hyeon-Jong

机构信息

Department of Pediatrics, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.

出版信息

Clin Exp Pediatr. 2024 Jun;67(6):267-273. doi: 10.3345/cep.2023.00654. Epub 2024 May 21.

Abstract

Action-plan is a written set of instructions that helps patient manage their symptoms and respond to worsening of their condition. The action-plan usually includes information on how to recognize, treat, and prevent worsening of symptoms. The plan also helps patient understand when to use their medications, how much to use, and how often to use them as-needed. An action-plan should be developed through a discussion between the patient and the physician, reflecting the patient's severity, preferences, and values and should be regularly updated to reflect changes in the person's condition. In asthma, action-plans and as-needed therapy are already well utilized. Unlike asthma, the importance of an action-plan has been overlooked in allergic rhinitis (AR), but its importance has recently been recognized. AR is a chronic condition that affects people differently, and can cause a range of symptoms, including nasal congestion, runny nose, sneezing, itching, and watery eyes. Therefore, an action-plan and as-needed therapy can help patients manage these symptoms more effectively, reducing the impact on their daily activities and quality of life. Furthermore, it can be tailored to meet the personal needs of each patient, based on the severity of their symptoms, their triggers, and their overall health. Because action-plan can help patients adhere to their treatment regimen by providing clear instructions on when and how to take medication, it can help patients stay on track with their treatment, reducing the likelihood of missed doses and treatment failures. Overall, an action-plan and as-needed therapy are important components of a comprehensive treatment plan for patients with AR. They can help to improve symptom control, prevent complications, and promote adherence to treatment, leading to better outcomes and a higher quality of life.

摘要

行动计划是一套书面指导说明,可帮助患者管理自身症状并应对病情恶化。行动计划通常包括有关如何识别、治疗和预防症状恶化的信息。该计划还能帮助患者了解何时使用药物、使用多少以及根据需要多久使用一次。行动计划应通过患者与医生之间的讨论制定,反映患者的病情严重程度、偏好和价值观,并且应定期更新以反映患者病情的变化。在哮喘治疗中,行动计划和按需治疗已得到充分利用。与哮喘不同,行动计划在过敏性鼻炎(AR)中的重要性一直被忽视,但最近其重要性已得到认可。AR是一种慢性病,对不同的人有不同影响,可引发一系列症状,包括鼻塞、流鼻涕、打喷嚏、瘙痒和流泪。因此,行动计划和按需治疗可帮助患者更有效地管理这些症状,减少对其日常活动和生活质量的影响。此外,可根据患者症状的严重程度、触发因素和整体健康状况进行调整,以满足每个患者的个人需求。由于行动计划可通过提供何时以及如何服药的明确说明来帮助患者坚持治疗方案,所以它能帮助患者坚持治疗,减少漏服药物和治疗失败的可能性。总体而言,行动计划和按需治疗是AR患者综合治疗计划的重要组成部分。它们有助于改善症状控制、预防并发症并促进坚持治疗,从而带来更好的治疗效果和更高的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0555/11150984/751082a03277/cep-2023-00654f1.jpg

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