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Titolo:
SELF-MANAGEMENT OF ASTHMA BY ADULT PATIENTS
Autore:
CLARK NM; NOTHWEHR F;
Indirizzi:
UNIV MICHIGAN,SCH PUBL HLTH,109 OBSERV ST ANN ARBOR MI 48109
Titolo Testata:
Patient education and counseling
, volume: 32, anno: 1997, supplemento:, 1
pagine: 5 - 20
SICI:
0738-3991(1997)32:<5:SOABAP>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; GENERAL-PRACTICE; EDUCATION-PROGRAM; PEAK FLOW; RANDOMIZED TRIAL; CLINICAL-TRIALS; MORBIDITY; COMMUNITY; SYMPTOMS; QUESTIONNAIRE;
Keywords:
ASTHMA MANAGEMENT; SELF-MANAGEMENT EDUCATION; ADULT PATIENTS; PATIENT KNOWLEDGE; PATIENT PERCEPTIONS; PATIENT PSYCHOLOGICAL STATUS; PATIENT BEHAVIOR; ENVIRONMENTAL CONTROL;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
59
Recensione:
Indirizzi per estratti:
Citazione:
N.M. Clark e F. Nothwehr, "SELF-MANAGEMENT OF ASTHMA BY ADULT PATIENTS", Patient education and counseling, 32, 1997, pp. 5-20

Abstract

Review of eighteen adult self-management education program evaluations comprising clinical trials showed significant achievement in five categories of outcome: (1) asthma knowledge; (2) patient perceptions andpsychological status; (3) behavior related to medicine use, delivery devices and environmental triggers; (4) functioning and control of symptoms; and (5) health care use. Not every program achieved in all of these categories, probably because interventions of adequate power to elicit change in one category of outcome were not powerful enough to realize change in another category. An alternative explanation may be that in some studies assessment measures were inadequate. Asthma management by patients is influenced by their social environment and this aspect of control is least well understood. A small qualitative study suggested themes among adult patients that describe intra-and interpersonal factors enabling or hindering self-management including: the ability to acquire information; self-regulation; relations with family, friends and coworkers; and, relationships with clinicians. Research is needed that provides greater understanding of social environments in asthma management, produces standardized measurement tools, and tests morerobust and theory-based interventions. (C) 1997 Elsevier Science Ireland Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 11:16:21