Adherence challenges and strategies in specific groups with asthma: adolescents, pregnancy, older adults.

IF 8.2 1区 医学 Q1 ALLERGY
William C Anderson, Alan P Baptist, Michelle N Eakin, Alex Federman, Vanessa E Murphy
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引用次数: 0

Abstract

Poor adherence to controller therapies is a universal challenge to asthma control. Several high-risk groups, including adolescents, pregnant women, and older adults, have their own unique challenges to adherence. The rates of asthma controller therapy use are low in each of these populations, but secondary to different causes. Adolescents have increased independence and a transition to new self-management responsibilities; pregnant women may be concerned about adverse effects of medications to the fetus; and older adults may have age-related physical and cognitive challenges to effectively taking medication. Only by understanding the nuances of care in these populations can healthcare professionals develop strategies to address barriers to adherence. Tailored education focused on empowering patients and dispelling misconceptions can serve as tools to improve adherence and ultimately asthma control.

特定哮喘患者群体在坚持治疗方面面临的挑战和策略:青少年、孕妇和老年人。
对控制性疗法的依从性差是哮喘控制面临的普遍挑战。包括青少年、孕妇和老年人在内的一些高危人群在坚持治疗方面面临着独特的挑战。这些人群使用哮喘控制疗法的比例都很低,但原因各不相同。青少年的独立性增强,并开始向新的自我管理责任过渡;孕妇可能会担心药物对胎儿的不良影响;而老年人可能在有效服药方面面临与年龄相关的身体和认知挑战。只有了解了这些人群在护理方面的细微差别,医护人员才能制定出相应的策略来解决坚持用药的障碍。以增强患者能力和消除误解为重点的有针对性的教育可作为改善依从性并最终控制哮喘的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
11.10
自引率
9.60%
发文量
683
审稿时长
50 days
期刊介绍: JACI: In Practice is an official publication of the American Academy of Allergy, Asthma & Immunology (AAAAI). It is a companion title to The Journal of Allergy and Clinical Immunology, and it aims to provide timely clinical papers, case reports, and management recommendations to clinical allergists and other physicians dealing with allergic and immunologic diseases in their practice. The mission of JACI: In Practice is to offer valid and impactful information that supports evidence-based clinical decisions in the diagnosis and management of asthma, allergies, immunologic conditions, and related diseases. This journal publishes articles on various conditions treated by allergist-immunologists, including food allergy, respiratory disorders (such as asthma, rhinitis, nasal polyps, sinusitis, cough, ABPA, and hypersensitivity pneumonitis), drug allergy, insect sting allergy, anaphylaxis, dermatologic disorders (such as atopic dermatitis, contact dermatitis, urticaria, angioedema, and HAE), immunodeficiency, autoinflammatory syndromes, eosinophilic disorders, and mast cell disorders. The focus of the journal is on providing cutting-edge clinical information that practitioners can use in their everyday practice or to acquire new knowledge and skills for the benefit of their patients. However, mechanistic or translational studies without immediate or near future clinical relevance, as well as animal studies, are not within the scope of the journal.
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