老年患者吸入疗法存在的问题：患者与医务人员在问题认知上的差异
2016/07/28
摘要
背景:没有系统分析来确认老年患者吸入治疗指导中涉及的问题。我们对患者和医疗专业人士进行了一项全国性的问卷调查。
方法：在日本的23个机构，对吸入药物的成人患者（年龄18-92年，820人）和提供他们吸入疗法指导的医疗专业人员（药师或护士）进行了一项问卷调查，调查吸入疗法的技术和了解水平。分析了随着年龄的增长，吸入技术识别性能的变化和吸入认知的变化。
结果：根据患者的主观评价，随着年龄的增长，吸入技术或知识的缺失没有恶化。另一方面，医疗专业人士的客观评估显示，吸入技术和知识随着年龄的增长有明显的损失。不多的老年患者注意到了他们自己的问题，揭示了老年患者和医疗专业人士之间一个很大的感知差距。因此，有人担心，患者会在不知不觉中应用了不当的吸入程序。另一方面，与非老年患者相比，老年患者对继续治疗的抵制性较差，这表明他们更可能接受吸入疗法的指导。
结论：老年患者倾向于假设他们“充分地理解了”，因此，为了识别和消除老年患者和医疗专业人士的看法之间的差距，有必要为他们提供更积极的（频繁）吸入治疗的指导。
（杨冬 审校）
AllergolInt. 2016 May4.pii:S1323-8930(16)30039-9.doi:10.1016/j.alit.2016.04.002. [Epub ahead of print]
Problems of elderly patients on inhalation therapy: Difference in problem recognition between patients and medical professionals.
Hira D1, Komase Y2, Koshiyama S3, Oguma T4, Hiramatsu T5, Shiraki A6, Nishikawa M7, Nakanishi M8, Tsuji T9, Matsumoto H10, Ichimura K11, Iwanaga T12, Morikawa M13, Yasuba H14, Sugaya F15, Arakawa Y16, Kobayashi Y17, Kato T18, Futamura Y19, Tsuji F20, Terada T21.
Author information
Abstract
BACKGROUND:There is no systematic analysis to identify problems involved with instruction on inhalation therapy for elderly patients. We conducted a nationwide questionnaire survey for patients and medical professionals.
METHODS:A questionnaire survey was conducted of adult patients on inhaled drugs (ages 18-92 years, 820 individuals) and medical professionals (pharmacists or nurses) who provided instruction on inhalation therapy to these patients in 23 institutions in Japan to investigate the technique and the level of understanding (knowledge) of the inhalation therapy. Changes in the recognition of performance of inhalation technique and inhalation knowledge with increasing age were analyzed.
RESULTS:According to patients' subjective assessment, there was no deterioration in the performance of the inhalation technique or loss of the knowledge with increasing age. On the other hand, medical professionals' objective assessment revealed a significant loss of both inhalation technique and knowledge with increasing age. Not many elderly patients noticed their own problems themselves, revealing a great perception gap between elderly patients and medical professionals. Thus, there was concern that patients would unconsciously practice the inhalation procedure improperly. On the other hand, in comparison with non-elderly patients, elderly patients were less resistant to continuation of therapy, suggesting that they would be more likely to accept instruction on inhalation therapy.
CONCLUSIONS:Elderly patients are apt to assume that they "understand well", therefore, in order to recognize and close the perception gap between elderly patients and medical professionals, it is necessary to provide them with more aggressive (frequent) instructions on inhalation therapy.
Copyright © 2016 Japanese Society of Allergology. Production and hosting by Elsevier B.V. All rights reserved.
KEYWORDS:Asthma therapy; Elderly patient; Inhalation instruction; Inhalation medicine; Nationwide questionnaire survey
AllergolInt. 2016 May4.pii:S1323-8930(16)30039-9.doi:10.1016/j.alit.2016.04.002. [Epub ahead of print]
上一篇：
哮喘移动健康研究——使用ResearchKit的大型临床观察性研究
下一篇：
基层医疗中心中与哮喘相关的因素和生存质量。关于哮喘生存质量问卷缩减版的申请
