Patient and physician asthma deterioration terminology: Results from the 2009 Asthma Insight and Management survey
Patient and physician asthma deterioration terminology: Results from the 2009 Asthma Insight and Management survey
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DOI：
10.2500/aap.2011.32.3520
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发表时间：
2012-01-01
影响因子：
2.8
通讯作者：
Doherty, Dennis E.
中科院分区：
文献类型：
--
作者：
Blaiss, Michael S.;Nathan, Robert A.;Doherty, Dennis E.
哮喘控制的长期成就部分取决于在所有口头和书面患者医生沟通中使用相互理解的哮喘术语。使用哮喘洞察和管理 (AIM) 调查的数据，本分析的目的是提供美国当前哮喘患者和医生使用的哮喘恶化术语的当代描述。作为 2009 年 AIM 调查的一部分，目前的哮喘患者（>= 12 岁；加权 n = 2499）和医生（n = 309）在电话采访中被询问了他们对“哮喘发作”、“哮喘发作”和“哮喘恶化”等术语的认识、理解和/或使用情况。几乎所有患者都听说过“哮喘发作”一词（97%），但听说过“哮喘加重”一词的人相对较少（24%）； 71% 的人听说过“哮喘发作”。相比之下，医生报告在与患者讨论哮喘时使用“哮喘发作”一词最少（65%），最多使用“哮喘恶化”一词（77%）； 70% 的人报告使用“哮喘发作”。在熟悉“哮喘发作”和“哮喘加重”的患者中（n = 502），只有 38% 的人认为这两个术语的含义相同；几乎所有医生（94%）都表示这些术语的含义相同。总的来说，AIM 调查的数据表明，患者和医生使用不同的哮喘恶化术语，更重要的是，他们不一定理解彼此的术语。标准化哮喘恶化术语可能有助于优化哮喘患者与医生的沟通，以提高患者对书面哮喘行动计划的理解，从而改善患者的治疗效果。 （过敏性哮喘 Proc 33:47-53, 2012；doi: 10.2500/aap.2011.32.3520）
Long-term achievement of asthma control is dependent in part on the use of mutually understandable asthma terminology in all verbal and written patient physician communications. Using data from the Asthma Insight and Management (AIM) survey, the objective of this analysis is to provide a contemporary depiction of asthma deterioration terminology as used by current asthma patients and physicians in the United States. As part of the 2009 AIM survey, current asthma patients (>= 12 years of age; weighted n = 2499) and physicians (n = 309) were queried about their recognition, understanding, and/or use of the terms "asthma attack," "asthma flare-up," and "asthma exacerbation" in telephone interviews. Nearly all patients had heard the term "asthma attack" (97%), but relatively few had heard the term "asthma exacerbation" (24%); 71% had heard "asthma flare-up." In contrast, physicians reported using the term "asthma attack" least (65%) and the term "asthma exacerbation" most (77%) when discussing asthma with their patients; 70% reported using "asthma flare-up." Among patients familiar with "asthma flare-up" and "asthma exacerbation" (n = 502), only 38% said that the terms mean the same thing; nearly all physicians (94%) said that the terms mean the same thing. Collectively, data from the AIM survey suggest that patients and physicians use different asthma deterioration terminology and, more importantly, that they do not necessarily understand each other's terms. Standardizing asthma deterioration terminology may help optimize asthma patient physician communication to improve patient understanding of written asthma action plans and therefore, enhance patient outcomes. (Allergy Asthma Proc 33:47-53, 2012; doi: 10.2500/aap.2011.32.3520)