Asthma in adolescence.
Asthma in adolescence.
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DOI：
10.1016/s1526-0542(02)00309-3
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发表时间：
2003-03-01
影响因子：
5.8
通讯作者：
Couriel, Jon
中科院分区：
文献类型：
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作者：
Couriel, Jon
青少年哮喘患者的护理在很大程度上被忽视，但青少年的特殊需求与儿童或成人哮喘患者不同。英国有超过80万青少年患有哮喘，诊断不足和治疗不良是常见的。青少年哮喘的患病率和发病率与年幼学童的发病率一样高或更高。症状控制不佳往往反映了对治疗的依从性差。青少年对哮喘及其治疗的信念和恐惧往往在临床咨询中得不到承认或解决。改善卫生专业人员的沟通，这导致谈判简单的管理计划，针对个别患者的关注和目标，更有可能提高依从性和哮喘控制比由医生单方面制定的复杂计划。从儿科诊所到成人诊所的护理过渡仍然是儿科医生面临的一个挑战，并且在实现这一目标的最佳方法上缺乏共识。
The care of adolescents with asthma has been largely neglected, yet adolescents have particular needs that differ from those of children or adults with asthma. There are over 800,000 teenagers in the UK who suffer from asthma and underdiagnosis and poor treatment are common. The prevalence and level of morbidity from asthma in adolescents are as high as or higher than the rates in younger schoolchildren. Poor symptom control frequently reflects poor compliance with treatment. The beliefs and fears of teenagers about their asthma and its treatment are often not recognised or addressed in clinical consultations. Improved communication on the part of health professionals, which results in negotiating simple management plans that are tailored to the individual patient's concerns and goals, is more likely to improve compliance and asthma control than are complex plans made unilaterally by the doctor. The transition of care from the paediatric to the adult clinic remains a challenge for paediatricians and there is a lack of consensus over the best method of achieving this.