Saba Alyas , Rabia Hussain , Bayan Faisal Ababneh , Siew Chin Ong , Zaheer-Ud-Din Babar
{"title":"患者哮喘自我管理的知识、认知、促进因素和障碍:文献的系统回顾。","authors":"Saba Alyas , Rabia Hussain , Bayan Faisal Ababneh , Siew Chin Ong , Zaheer-Ud-Din Babar","doi":"10.1016/j.rcsop.2024.100558","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Asthma self-management is an effective approach that empowers patients with asthma to control their condition and reduce its impact on their daily lives.</div></div><div><h3>Objective</h3><div>This systematic review aims to synthesize evidence regarding the knowledge, perceptions, facilitators, and barriers related to asthma self-management among patients.</div></div><div><h3>Methods</h3><div>A systematic literature search was conducted across five databases (PubMed, Science Direct, Scopus, Web of Science, and Google Scholar) using specific key terms. Studies that reported knowledge, perceptions, facilitators and barriers towards asthma self-management were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed to report this review. All the data from included studies were analyzed through narrative synthesis approach.</div></div><div><h3>Results</h3><div>A total of 17 studies were included in this review. The findings indicated that most patients had inadequate knowledge of asthma self-management, particularly regarding asthma fundamentals, and inhaler techniques. Patients' cultural beliefs, and perceived social stigma influenced their self-management practices. Facilitators of asthma self-management included strong partnerships with healthcare providers, social support, access to medication, and having a written asthma action plan. Conversely, poor communication with healthcare professionals, travel, smoking, and workplace challenges were identified as barriers.</div></div><div><h3>Conclusion</h3><div>There is a pressing need for education and training programs to enhance understanding of the disease, and inhaler technique in patients with asthma. Healthcare professionals should create tailored asthma action plans according to patients' beliefs and needs. Moreover, healthcare policies should be developed to promote facilitators and address barriers, to ensure effective asthma management.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"17 ","pages":"Article 100558"},"PeriodicalIF":1.8000,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754813/pdf/","citationCount":"0","resultStr":"{\"title\":\"Knowledge, perceptions, facilitators, and barriers towards asthma self-management among patients: A systematic review of the literature\",\"authors\":\"Saba Alyas , Rabia Hussain , Bayan Faisal Ababneh , Siew Chin Ong , Zaheer-Ud-Din Babar\",\"doi\":\"10.1016/j.rcsop.2024.100558\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Asthma self-management is an effective approach that empowers patients with asthma to control their condition and reduce its impact on their daily lives.</div></div><div><h3>Objective</h3><div>This systematic review aims to synthesize evidence regarding the knowledge, perceptions, facilitators, and barriers related to asthma self-management among patients.</div></div><div><h3>Methods</h3><div>A systematic literature search was conducted across five databases (PubMed, Science Direct, Scopus, Web of Science, and Google Scholar) using specific key terms. Studies that reported knowledge, perceptions, facilitators and barriers towards asthma self-management were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed to report this review. All the data from included studies were analyzed through narrative synthesis approach.</div></div><div><h3>Results</h3><div>A total of 17 studies were included in this review. The findings indicated that most patients had inadequate knowledge of asthma self-management, particularly regarding asthma fundamentals, and inhaler techniques. Patients' cultural beliefs, and perceived social stigma influenced their self-management practices. Facilitators of asthma self-management included strong partnerships with healthcare providers, social support, access to medication, and having a written asthma action plan. Conversely, poor communication with healthcare professionals, travel, smoking, and workplace challenges were identified as barriers.</div></div><div><h3>Conclusion</h3><div>There is a pressing need for education and training programs to enhance understanding of the disease, and inhaler technique in patients with asthma. Healthcare professionals should create tailored asthma action plans according to patients' beliefs and needs. Moreover, healthcare policies should be developed to promote facilitators and address barriers, to ensure effective asthma management.</div></div>\",\"PeriodicalId\":73003,\"journal\":{\"name\":\"Exploratory research in clinical and social pharmacy\",\"volume\":\"17 \",\"pages\":\"Article 100558\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-12-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754813/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Exploratory research in clinical and social pharmacy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2667276624001550\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PHARMACOLOGY & PHARMACY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Exploratory research in clinical and social pharmacy","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2667276624001550","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PHARMACOLOGY & PHARMACY","Score":null,"Total":0}
引用次数: 0
摘要
背景:哮喘自我管理是一种有效的方法,使哮喘患者能够控制病情,减少其对日常生活的影响。目的:本系统综述旨在综合有关哮喘患者自我管理的知识、认知、促进因素和障碍的证据。方法:采用特定的关键词对PubMed、Science Direct、Scopus、Web of Science和谷歌Scholar等5个数据库进行系统的文献检索。包括报告哮喘自我管理的知识、观念、促进因素和障碍的研究。按照系统评价和荟萃分析首选报告项目(PRISMA)指南报告本综述。所有纳入研究的数据均采用叙事综合方法进行分析。结果:本综述共纳入17项研究。研究结果表明,大多数患者对哮喘自我管理的知识不足,特别是关于哮喘基础知识和吸入器技术。患者的文化信仰和感知到的社会耻辱影响了他们的自我管理实践。促进哮喘自我管理的因素包括与卫生保健提供者建立强有力的伙伴关系、社会支持、获得药物以及制定书面哮喘行动计划。相反,与医疗保健专业人员沟通不畅、旅行、吸烟和工作场所挑战被认为是障碍。结论:迫切需要开展教育和培训计划,以提高哮喘患者对疾病和吸入器技术的了解。医疗保健专业人员应根据患者的信念和需求制定量身定制的哮喘行动计划。此外,应制定卫生保健政策,促进促进和解决障碍,以确保有效的哮喘管理。
Knowledge, perceptions, facilitators, and barriers towards asthma self-management among patients: A systematic review of the literature
Background
Asthma self-management is an effective approach that empowers patients with asthma to control their condition and reduce its impact on their daily lives.
Objective
This systematic review aims to synthesize evidence regarding the knowledge, perceptions, facilitators, and barriers related to asthma self-management among patients.
Methods
A systematic literature search was conducted across five databases (PubMed, Science Direct, Scopus, Web of Science, and Google Scholar) using specific key terms. Studies that reported knowledge, perceptions, facilitators and barriers towards asthma self-management were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed to report this review. All the data from included studies were analyzed through narrative synthesis approach.
Results
A total of 17 studies were included in this review. The findings indicated that most patients had inadequate knowledge of asthma self-management, particularly regarding asthma fundamentals, and inhaler techniques. Patients' cultural beliefs, and perceived social stigma influenced their self-management practices. Facilitators of asthma self-management included strong partnerships with healthcare providers, social support, access to medication, and having a written asthma action plan. Conversely, poor communication with healthcare professionals, travel, smoking, and workplace challenges were identified as barriers.
Conclusion
There is a pressing need for education and training programs to enhance understanding of the disease, and inhaler technique in patients with asthma. Healthcare professionals should create tailored asthma action plans according to patients' beliefs and needs. Moreover, healthcare policies should be developed to promote facilitators and address barriers, to ensure effective asthma management.