Guidelines versus practice: UK asthma nurses often recommend intermittent, symptom-driven use of inhaled corticosteroids.
Guidelines versus practice: UK asthma nurses often recommend intermittent, symptom-driven use of inhaled corticosteroids.
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指南与实践：英国哮喘护士经常建议间歇性地、症状驱动地使用吸入皮质类固醇。
DOI：
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发表时间：
2008
影响因子：
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通讯作者：
D. Halpin
中科院分区：
文献类型：
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作者：
M. Hyland;S. Blake;C. Greaves;M. Pinnuck;C. Seamark;D. Seamark;David G Ward;D. Halpin
背景
最近的临床试验表明，间歇使用吸入性皮质类固醇（ICS）是安全的轻度持续性哮喘。间歇性使用ICS与现行指南不一致，但却是一种常见的不依从形式。本研究的目的是调查哮喘护士如何建议患者使用ICS。
方法
在英格兰西南部的241 GP手术的实践管理者发出问卷，分发给实习护士。
结果
105名护士（104名接受过哮喘专门培训）返回了问卷。对基于指南的护理和给予患者的建议的态度存在很大差异。97%的人表示他们有时会建议患者减少ICS的使用，85%的人有时会建议患者在哮喘得到良好控制时停止ICS，70%的人有时会建议间歇性使用ICS。
结论
哮喘护士的建议往往与指南不一致。不同的哮喘护士在给病人的建议上有很大的差异。
BACKGROUND
Recent clinical trials suggest that intermittent use of inhaled corticosteroids (ICS) is safe for mild persistent asthma. Intermittent ICS use is inconsistent with current guidelines but is a common form of non-compliance. The aim of this study was to investigate how asthma nurses advise patients to use ICS.
METHODS
Practice managers of 241 GP surgeries in the southwest of England were sent questionnaires to distribute to practice nurses.
RESULTS
Questionnaires were returned by 105 nurses (104 had asthma-specific training). There was a wide variation in attitudes to guideline-based care and advice given to patients. 97% indicated that they sometimes advised patients to decrease their ICS use, 85% sometimes advised patients to stop their ICS when their asthma was well controlled, and 70% reported sometimes advising intermittent use.
CONCLUSION
Asthma nurse recommendations are often inconsistent with guidelines. There is considerable variation between different asthma nurses in the advice given to patients.