کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2999826 | 1180305 | 2011 | 9 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
The Role of the Primary Care Physician in Helping Adolescent and Adult Patients Improve Asthma Control
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کلمات کلیدی
IgEACTFEV1ACQICSATAQSABANAEPPLong-acting β2-agonist - آگونیست β2 طولانی مدتShort-acting β2-agonist - آگونیست β2 کوتاه مدت IgE, immunoglobulin E - ایمونوگلوبولین ENational Asthma Education and Prevention Program - برنامه آگاهی ملی و پیشگیری از آسمAsthma control test - تست کنترل آسمLABA - سودforced expiratory volume in 1 second - مجاز خروج مجدد در 1 ثانیهAsthma Therapy Assessment Questionnaire - پرسشنامه ارزیابی درمانی آسمAsthma Control Questionnaire - پرسشنامه کنترل آسمInhaled corticosteroid - کورتیکواستروئیدهای استنشاقی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
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چکیده انگلیسی
Many adolescents and adults with asthma continue to have poorly controlled disease, often attributable to poor adherence to asthma therapy. Failure to adhere to recommended treatment may result from a desire to avoid regular reliance on medications, inappropriate high tolerance of asthma symptoms, failure to perceive the chronic nature of asthma, and poor inhaler technique. Primary care physicians need to find opportunities and methods to address these and other issues related to poor asthma control. Few adolescents or adults with asthma currently have asthma “checkup” visits, usually seeking medical care only with an exacerbation. Therefore, nonrespiratory-related office visits represent an important opportunity to assess baseline asthma control and the factors that most commonly lead to poor control. Tools such as the Asthma Control Test, the Asthma Therapy Assessment Questionnaire, the Asthma Control Questionnaire, and the Asthma APGAR provide standardized, patient-friendly ways to capture necessary asthma information. For uncontrolled asthma, physicians can refer to the stepwise approach in the 2007 National Asthma Education and Prevention Program guidelines to adjust medication use, but they must consider step-up decisions in the context of quality of the patient's inhaler technique, adherence, and ability to recognize and avoid or eliminate triggers. For this review, a literature search of PubMed from 2000 through August 31, 2010, was performed using the following terms (or a combination of these terms): asthma, asthma control, primary care, NAEPP guidelines, assessment, uncontrolled asthma, burden, impact, assessment tools, triggers, pharmacotherapy, safety. Studies were limited to human studies published in English. Articles were also identified by a manual search of bibliographies from retrieved articles and from article archives of the author.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Mayo Clinic Proceedings - Volume 86, Issue 9, September 2011, Pages 894-902
Journal: Mayo Clinic Proceedings - Volume 86, Issue 9, September 2011, Pages 894-902
نویسندگان
Barbara P. MD, MSc,