在美国人口中,对过敏和喘护理的共享决策的现实世界使用和看法
Jacqueline Eghrari-Sabet1, Dennis Williams2, Don A Bukstein3
1FAAR Institute, Washington DC, USA.
The World Allergy Organization journal
|October 20, 2023
概括
在过敏和喘护理中,共享决策 (SDM) 尚未得到充分利用,过敏学家和患者的看法之间存在很大的差距. 患者希望更多的SDM,表明需要解决障碍,并改善其融入临床实践.
科学领域:
- 过敏和喘护理 过敏和喘护理
- 医疗保健服务研究 医疗服务研究
- 患者为中心的医学
背景情况:
- 分享决策 (SDM) 对于个性化医疗至关重要,涉及患者的医疗保健选择.
- 在美国的过敏和喘环境中,SDM的采用和感知仍然在很大程度上未经检查.
- 这项研究调查了美国过敏科医生和患者对SDM的现实使用和态度.
研究的目的:
- 评估目前SDM在美国过敏和喘护理中的使用情况.
- 评估过敏科医生和患者对SDM和相关工具使用的看法.
- 识别阻碍 SDM 在常规过敏和喘实践中的实施障碍.
主要方法:
- 在美国,对101名过敏科医生和110名患有喘,过敏或湿疹的成年患者进行了横截面在线调查.
- 在2022年2月期间进行了调查,以评估SDM的使用,熟悉度和工具的采用.
- 数据收集涉及美国过敏喘和免疫学学院的过敏学家和在线研究小组的患者.
主要成果:
- 高比例的过敏学家 (98%) 报告熟悉SDM,其中79%经常使用它,尽管只有44%的患者平均使用它.
- 有一个显著的断开存在,因为只有25%的患者报告他们的提供者经常或偶尔使用SDM.
- 过敏学家提到的常见障碍包括时间限制 (42%) 和患者的健康素养 (37%);70%的患者希望更频繁的SDM.
结论:
- 在过敏学家自我报告的SDM使用和患者报告的过敏和喘护理经验之间发现了显著的差异.
- 在这个专业中发现的SDM障碍与在更广泛的医疗保健领域观察到的挑战保持一致.
- 患者明确表示更愿意参与决策,强调需要改善SDM整合.
相关概念视频
01:30Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
01:29Asthma-I: Introduction
2.6K
Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
2.6K
01:20Asthma: Pathogenesis and Management
421
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
421
01:25Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs
312
Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
312
01:30Asthma-IV: Nursing Management
3.1K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.1K
01:24Asthma-III: Symptoms and Complications
2.5K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
2.5K