一本以患者为中心的喘管理方法指南:欧洲德尔菲共识计划的结果
Fulvio Braido1, Ilaria Baiardini2, Simona Barbaglia3
1RCCS Ospedale Policlinico San Martino, Genoa, Italy; Università di Genova, DiMI, Genoa, Italy. fulvio.braido@unige.it.
NPJ primary care respiratory medicine
|December 19, 2025
概括
这项研究通过整合患者的观点,为选择喘吸入器治疗提供了指导. 它制定了18个共识声明,以支持喘护理的共同决策.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 以患者为中心的护理
背景情况:
- 全球喘倡议 (GINA) 2024年报告强调了喘治疗选择的共享决策.
- 关于有效地将患者的目标,信念和担忧纳入喘管理的指导是有限的.
- 这一共识计划旨在制定最佳吸入器治疗选择的建议,优先考虑患者的需求.
研究的目的:
- 为选择喘吸入器治疗制定基于证据的建议.
- 将患者的观点和需求纳入喘管理的共同决策过程.
- 为以患者为中心的喘护理开发实用工具和指导.
主要方法:
- 从2014年到2024年,在PubMed和Cochrane数据库中进行了全面的文献审查.
- 一个共识小组由来自五个欧洲国家的50名患者和39名医疗保健专业人员组成.
- 采用双轮德尔菲方法,在关键陈述上达成共识.
主要成果:
- 在四个关键领域制定了20个共识声明:治疗选择,患者信仰,共享决策和护理工具.
- 在20个声明中,有18个在第一个Delphi轮中达成超过85%的协议.
- 两个声明需要修订和第二轮德尔菲会议,但没有达成完全的共识.
结论:
- 该倡议成功产生了18个共识声明,为以患者为中心的喘治疗决策提供了指导.
- 本指南支持将患者的观点和需求纳入临床实践.
- 协商一致过程涉及患者和医疗保健专业人员的大量投入,反映出平衡的方法.
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