Stoloff S W, Janson S
University of Nevada School of Medicine, Reno, USA.
Am Fam Physician. 1997 Jul;56(1):117-26, 131-4, 142.
An educational dialog founded on open communication between clinician and patient is necessary for a successful partnership in asthma care. Educating patients in self-management of asthma has become a major challenge in primary care practice. The process should begin at the time of diagnosis and should be integrated into every step of medical care during office visits and any other clinician-patient interaction. Identifying patients' expectations and concerns about their disease at each office visit helps the clinician focus care. The educational effort should include a discussion of basic asthma facts, and the types and uses of medications, and a demonstration of the skills involved in the proper use of metered-dose inhalers, spacers and peak flow meters. A written asthma self-management plan developed jointly by the clinician and the patient includes recommended daily medications and the specific steps the patient should take to control asthma and achieve the goals of asthma care.
在哮喘护理中，建立临床医生与患者之间开放沟通的教育对话对于成功的合作关系至关重要。对患者进行哮喘自我管理教育已成为初级保健实践中的一项重大挑战。该过程应在诊断时开始，并应融入门诊就诊及任何其他医患互动的医疗护理的每一步。在每次门诊就诊时识别患者对其疾病的期望和担忧有助于临床医生专注于护理。教育工作应包括讨论哮喘的基本事实、药物的类型和用途，以及演示正确使用定量吸入器、储雾罐和峰流速仪所涉及的技能。由临床医生和患者共同制定的书面哮喘自我管理计划包括推荐的每日用药以及患者为控制哮喘和实现哮喘护理目标应采取的具体步骤。
