Janson S
School of Nursing, University of California, San Francisco, USA.
Lippincotts Prim Care Pract. 1998 Nov-Dec;2(6):578-88.
The National Asthma Education and Prevention Program is housed in the National Heart, Lung and Blood Institute (NHLBI) of the National Institutes of Health. To help health professionals care for people with asthma, the NHLBI convened panels of experts twice to prepare guidelines for the diagnosis and management of asthma. The first Expert Panel Report was released in 1991. The new 1997 guidelines are an evolutionary update of the initial 1991 report and are based on an improved understanding of the mechanisms of the disease and newer approaches to treatment. The recommendations are based on a review of more than 6000 scientific articles reviewed by the Expert Panel over the last 2 years. Four essential components of asthma management are described with new classifications of asthma severity and new guidelines for step therapy. The role of patient education in asthma management is emphasized in the report as well as the role of the primary care clinician and the expert consultant.
国家哮喘教育与预防计划隶属于美国国立卫生研究院的国家心肺血液研究所（NHLBI）。为帮助卫生专业人员护理哮喘患者，NHLBI两次召集专家小组制定哮喘诊断和管理指南。第一份专家小组报告于1991年发布。1997年的新指南是对1991年初始报告的逐步更新，基于对该疾病机制的更好理解和更新的治疗方法。这些建议基于专家小组在过去两年中对6000多篇科学文章的审查。文中描述了哮喘管理的四个基本组成部分，以及哮喘严重程度的新分类和阶梯治疗的新指南。报告强调了患者教育在哮喘管理中的作用，以及初级保健临床医生和专家顾问的作用。
