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JAMA Intern Med：“家访”或改善低收入成人哮喘控制

2015-01-16 高晓方、姚俊华编译 中国医学论坛报

“家访”改善低收入成人哮喘控制
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哮喘未控制的18~65岁的低收入患者，每年平均接受社区卫生工作者5次家访就可改善哮喘控制和生活质量。相关研究论文发表于2015年1月刊出的《美国医学会杂志.内科学》[JAMA Intern Med2015，175(1):109]。 美国西雅图国王郡公共卫生机构的研究者开展了一项随机平行群组研究，纳入当地366例低收入哮喘未控制的成人患者，随机接受社区卫生工作者家访或常规治疗。社区卫生工作

哮喘未控制的18~65岁的低收入患者，每年平均接受社区卫生工作者5次家访就可改善哮喘控制和生活质量。相关研究论文发表于2015年1月刊出的《美国医学会杂志.内科学》[JAMA Intern Med2015，175(1):109]。

美国西雅图国王郡公共卫生机构的研究者开展了一项随机平行群组研究，纳入当地366例低收入哮喘未控制的成人患者，随机接受社区卫生工作者家访或常规治疗。社区卫生工作者在家访时除评估患者的哮喘控制情况、自我管理情况和家庭环境外，还会提供居家自我管理支持。在评估了患者无症状天数、哮喘相关性生活质量和哮喘相关性计划外就医后，研究者发现校正了年龄、性别、种族和教育水平之后，两组患者的平均紧急就医次数均出现相似程度的明显降低，而接受社区工作者家访组患者的平均无症状天数和生活质量都有所改善(P<0.001)。

原始出处：

Krieger J1, Song L2, Philby M3.Community Health Worker Home Visits for Adults With Uncontrolled Asthma: The HomeBASE Trial Randomized Clinical Trial.JAMA Intern Med. 2015 Jan 1;175(1):109-17. doi: 10.1001/jamainternmed.2014.6353.

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    2015-04-30 Homburg

    #低收入#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1953980, encodeId=e771195398047, content=<a href='/topic/show?id=1c6a262184c' target=_blank style='color:#2F92EE;'>#低收入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26218, encryptionId=1c6a262184c, topicName=低收入)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e87d405, createdName=Homburg, createdTime=Thu Apr 30 22:41:00 CST 2015, time=2015-04-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1935118, encodeId=14b7193511826, content=<a href='/topic/show?id=85b75384ebe' target=_blank style='color:#2F92EE;'>#成人哮喘#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53847, encryptionId=85b75384ebe, topicName=成人哮喘)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2c31495, createdName=liuyg0228, createdTime=Tue Aug 18 22:41:00 CST 2015, time=2015-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1606376, encodeId=dd9a16063e654, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Sun Jan 18 05:41:00 CST 2015, time=2015-01-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=14456, encodeId=0e1b14456e5, content=有意义，哮喘患者控制与心理也有关, beContent=null, objectType=article, channel=null, level=null, likeNumber=170, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=lovetcm, createdTime=Fri Jan 16 22:18:00 CST 2015, time=2015-01-16, status=1, ipAttribution=)]
    2015-08-18 liuyg0228

    #成人哮喘#

    0

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    2015-01-18 ms3994565386320060

    #Med#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1953980, encodeId=e771195398047, content=<a href='/topic/show?id=1c6a262184c' target=_blank style='color:#2F92EE;'>#低收入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26218, encryptionId=1c6a262184c, topicName=低收入)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e87d405, createdName=Homburg, createdTime=Thu Apr 30 22:41:00 CST 2015, time=2015-04-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1935118, encodeId=14b7193511826, content=<a href='/topic/show?id=85b75384ebe' target=_blank style='color:#2F92EE;'>#成人哮喘#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53847, encryptionId=85b75384ebe, topicName=成人哮喘)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2c31495, createdName=liuyg0228, createdTime=Tue Aug 18 22:41:00 CST 2015, time=2015-08-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1606376, encodeId=dd9a16063e654, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Sun Jan 18 05:41:00 CST 2015, time=2015-01-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=14456, encodeId=0e1b14456e5, content=有意义，哮喘患者控制与心理也有关, beContent=null, objectType=article, channel=null, level=null, likeNumber=170, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=lovetcm, createdTime=Fri Jan 16 22:18:00 CST 2015, time=2015-01-16, status=1, ipAttribution=)]
    2015-01-16 lovetcm

    有意义，哮喘患者控制与心理也有关

    0

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