Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Asma: l’autogestione

SELF-MANAGEMENT OF ASTHMA

PATRIZIA BONIN, RENATA SCALA, LAURA TODESCO, CRISTINA BELTRAMELLO

ACP Jacopo da Ponte, Bassano del Grappa (Vicenza)

Gennaio 1998 - pagg. 41 -43

Abstract
The Authors describe the conceptual basis and the contents of an educational project aimed at improving the quality of self-management of asthma. Good compliance to guidelines can be obtained when the relationship between the practicioner and the family is based on mutual confidence and effective communication and when information to families is based on clear and written guidelines. The family should also feel free to call the family doctor for further advice when necessary. The educationinformation- communication strategy developed by the Authors for their asthmatic patients and their families was based on these general criteria and included a flowchart to be used by families. The flow-chart includes criteria for the assessment of the severity of bronchocostriction, based on Peak Expiratory Flow, indications for treatment with nebulized salbutamol and oral steroids, and indications for calling the doctor or referring the child to hospital.
Bibliografia
1. Kaliner MA: Asthma deaths. A social or medical problem? JAMA 269(15), 1994-5, 1993. 2 Mastella G: Trattamento dell’asma cronico. Trattamento dell’accesso asmatico - Gestione domiciliare. Materiale del seminario tenutosi a Verona. Non pubblicato, 1994.
3. Guidelines on the management of asthma. Statement by the British Thoracic Society, the British Paediatric Association, the Research Unit of the Royal College of Physicians of London, the King’s Fund Centre, the National Asthma Campaign, the Royal College of General Practitioners in Asthma Group, the British Association of accident and Emergency Medicine, and the British Paediatric Respiratory Group. Thorax 48, Suppl S1-S24, 1993.
4. Clark NM, Gotsch A, Rosenstock IR: Patient, professional, and public education on behavioral aspects of asthma: a review of strategies for change and needed research. Journal of Asthma 30(4), 241-255, 1993.
5. Bone RC: The bottom line in asthma management is patient education. Am J Med 94, 561-563, 1993.
6. Hilton S, Anderson HR, Sibbald B, Freeling P: Valutazione controllata di quali effetti abbia l’informazione del paziente sulla morbidità di asma in medicina generale. Lancet (ed it) 3(6), 362-366, 1986.
7. Bonin P, Scala R, Todesco L, Beltramello C: Valutazione di un intervento educativo per i bambini asmatici e le loro famiglie. In corso di pubblicazione su Quaderni ACP.
8. Cattelan C: Il bambino affetto da asma: aspetti relazionali. Incontro con la neuropsichiatra infantile, tenutosi a Bassano nel novembre ’94. Non pubblicato.
9. Gangemi M, Agostini M: Come fare l’aerosolterapia con nebulizzatori jet. Come usare correttamente un puffer. Come si utilizzano gli spaziatori aerosolici. Quaderni ACP 2, 35- 37, 1994.
10. Gangemi M: I nuovi “device” in pediatria. Quaderni ACP 2, 46-47, 1996.