Boner A L, Valletta E A
Department of Pediatrics, University of Verona, Italy.
Monaldi Arch Chest Dis. 1994 Jun;49(3):250-3.
Several educational programmes have been developed for patients with asthma, in order to promote changes in behaviour and to improve health and quality of life. Such programmes are commonly termed "asthma self-management" programmes. First generation self-management programmes started in the early 1980s and were intended to develop the concept of "partnership" between physician, patient and family, and to teach children the skills necessary to manage asthma at home. As a result of participation in these programmes, children experienced a reduction of emergency room and unscheduled physician visits, and an improvement in their physical and social activities. The need to assess the long-term persistence of self-management skills led to the development of second generation programmes. These programmes will pay more attention to the within-subject assessment of acquisition and application of self-management techniques. Crucial issues, such as decision-making strategies and evaluation of quality of life should also have a prominent role.
已经为哮喘患者制定了若干教育计划，以促进行为改变并改善健康和生活质量。此类计划通常被称为“哮喘自我管理”计划。第一代自我管理计划始于20世纪80年代初，旨在发展医生、患者和家庭之间的“伙伴关系”概念，并教授儿童在家中管理哮喘所需的技能。由于参与这些计划，儿童的急诊室就诊次数和非预约医生就诊次数减少，身体和社交活动也有所改善。对自我管理技能长期持续性评估的需求导致了第二代计划的发展。这些计划将更加关注自我管理技术获取和应用的受试者内部评估。关键问题，如决策策略和生活质量评估也应发挥重要作用。
