Guided self management of asthma---how to do it

BMJ 1999;319:759-760 ( 18 September )

Clinical review

Guided self management of asthma $---$ how to do it

Aarne Lahdensuo, head.

Department of Pulmonary Diseases, Tampere University Hospital, 36280 Pikonlinna, Finland

aarne.lahdensuo@tays.fi

The first 150 words of the full text of this article appear below.

	Introduction

Almost 75% of admissions for asthma are avoidable, and potentially preventable factors are common in deaths from asthma. ¹ ² At least 40% of people with asthma do not react appropriatelywhen their symptoms worsen, and over 50% of patients admittedwith acute asthma have had alarming symptoms for at least a weekbefore admission. ³ ⁴ As many as 60% of asthmatic patientsare poor at judging their dyspnoea.⁵ Self management of asthmainvolves the patient making therapeutic, behavioural, and environmentaladjustments in accordance with advice from healthcare professionals.⁶Guided self management of asthma is a treatment strategy in whichpatients are taught to act appropriately when the first signsof asthma exacerbationsappear.

In a recent Cochrane review, self management of asthma in adults was compared with usual care in 22 studies.⁷ Self managementeducation reduced hospital admissions (odds ratio 0.57, 95% confidenceinterval 0.38 to 0.88), emergency room visits (0.71, 0.57 to 0.90),unscheduled visits to . . . [Full text of this article]

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