Murrow E J, Oglesby F M
Orthop Nurs. 1996 Sep-Oct;15(5):47-51.
Chronic illness is the number one health care problem in the United States. However, the health care system has been slow to adapt from a focus on acute conditions. There are similarities and differences between acute and chronic illness. Acute illnesses are usually isolated to one bodily area and respond to treatment. In contrast, long-term conditions frequently involve multiple systems and have an uncertain future. Acute and chronic illnesses are similar in that coping with any health problem, depending on the severity of the condition and the resources available, is a challenge to those afflicted. Chronic illness usually requires more care and resources to maintain normalization in lifestyle. The predominate need of a person with a chronic illness is nursing care. Consequently, nurses have a vital role to fulfill in helping people who have long-term conditions and their family caregivers cope with the illness.
慢性病是美国头号医疗保健问题。然而,医疗保健系统从专注于急性病的模式转变一直较为缓慢。急性病和慢性病之间既有相似之处,也有不同之处。急性病通常局限于身体的一个部位,对治疗有反应。相比之下,慢性病往往涉及多个系统,且未来情况不确定。急性病和慢性病的相似之处在于,无论面对何种健康问题,根据病情严重程度和可用资源,对患者来说都是一项挑战。慢性病通常需要更多护理和资源来维持生活方式的正常化。慢性病患者的主要需求是护理。因此,护士在帮助患有慢性病的人和他们的家庭护理人员应对疾病方面发挥着至关重要的作用。