哮喘联盟

   摘要
   至少有一半的美国成年哮喘患者至少伴有1种其他慢性疾病。哮喘和其他慢性疾病与哮喘的不良预后有关。几项研究发现哮喘和其他特定的慢性疾病之间存在关系；这些研究的结果表明，伴有抑郁症或焦虑症和/或恐慌症与诊断为哮喘的危险性增加有关，并与较差的哮喘预后有关。此外，这些研究结果表明，患有哮喘与诊断为抑郁症或焦虑症和/或恐慌症的风险增加有关。已经建立了模型理论来理解多种慢性疾病，模型对患者的工作量和能力进行平衡；对特定疾病的一致和/或不一致和/或占主导进行分类；模型还能够对患者需求和医疗服务之间的差距进行鉴定。对临床提供者的潜在意义包括筛查尚未被确认的慢性疾病（如精神障碍），推动和跟踪那些伴有多种慢性疾病患者的用药依从性以及为减轻患者负担而简化治疗方案。
 

（苏欣 审校）
JAllergyClinImmunolPract.2014Sep-Oct;2(5):518-24.doi:10.1016/j.jaip.2014.06.020. Epub 2014 Aug 3.

 

Multiple chronic conditions and asthma: implications for practice and research.
 

Rank MA1, Shah ND2.
 

ABSTRACT
At least half of US adults with asthma have at least 1 other chronic condition. Having asthma and other chronic conditions are associated with poorer asthma outcomes. Several studies considered the relationship between asthma and other specific chronic conditions; results of these studies indicated that having depression or anxiety and/or panic disorder is associated with an increased risk of developing a new asthma diagnosis and with poorer asthma outcomes. In addition, results of these studies indicated that having asthma is associated with an increased risk of developing a new depression or anxiety and/or panic disorder diagnosis. Theoretical models for understanding multiple chronic conditions have emerged, with models that include a balance between patient workload and capacity; classification of specific conditions as concordant and/or discordant and/or dominant; and identification of the gap between what a patient needs and what health care services are able to offer. Potential implications for clinical providers include screening for chronic conditions not yet recognized, such as mental health disorders, promoting and tracking medication adherence in those who have multiple chronic conditions, and simplifying treatment regimens to reduce patient workload.
 

JAllergyClinImmunolPract.2014Sep-Oct;2(5):518-24.doi:10.1016/j.jaip.2014.06.020. Epub 2014 Aug 3.