清理空气:对可持续吸入器处方的领导挑战进行系统审查
Sten Kajitani1, Anthony Goodings2,3, Yasmina Richa1
1University College Cork, Cork, Ireland.
BMJ leader
|August 6, 2025
概括
医疗保健领导者必须倡导可持续的吸入器处方. 教育和明确的指导方针可以使临床医生能够采用环保的做法,通过从高冲击计量剂量吸入器过渡到干粉吸入器来改善地球健康.
科学领域:
- 环境健康 环境健康
- 呼吸系统医学 呼吸系统医学
- 医疗保健管理的管理
背景情况:
- 压力计量剂量吸入器 (MDIs) 具有显著的全球变暖潜力,影响着地球健康.
- 干粉吸入器 (DPI) 是一种可持续的替代品,但处方习惯有利于MDIs.
- 了解患者和医生对吸入器使用和环境影响的看法至关重要.
研究的目的:
- 系统地审查患者和医生对吸入器对环境影响的观点.
- 确定在采用可持续的吸入器实践方面领导的障碍和机会.
- 为转向环保吸入器选择的战略提供信息.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在主要数据库 (Medline,EMBASE,Web of Science) 中进行全面的文献搜索.
- 包括4项涉及433名参与者的研究,数据提取和偏差风险评估.
主要成果:
- 患者和医疗保健提供者都承认环境问题,但面临诸如有限的认识和根深蒂固的做法等障碍.
- 采用可持续吸入器的主要障碍包括责任分散,培训不足和对讨论环境问题的信心低.
- 有针对性的教育和专业间的合作,提高了采用可持续吸入器实践的意愿.
结论:
- 医疗保健领导力对于促进吸入器的可持续处方至关重要.
- 赋予临床医生教育,指导方针和生态伦理领导力的能力对于变革至关重要.
- 将环境考虑纳入日常护理可以促进地球健康.
相关概念视频
01:23Inhaled Medications
394
Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
394
01:30Asthma-IV: Nursing Management
3.3K
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...
3.3K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.2K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.2K
01:26COPD: Management Using Bronchodilators and Corticosteroids
312
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
312
01:08Obedience
33.1K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
33.1K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.7K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.7K