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Shared decision making in allergic rhinitis: An approach to the patient.
Annals of Allergy, Asthma & Immunology ( IF 5.9 ) Pub Date : 2020-06-29 , DOI: 10.1016/j.anai.2020.06.032
Gary C Steven 1
Affiliation  

Objective

To review what is known about the importance of shared decision making (SDM) in allergic rhinitis.

Data Sources

MEDLINE and PubMed database searches for SDM, patient preferences, patient motivation with mobile apps, over-the-counter medications, adherence, complementary and alternative therapies, nasal steroids, and immunotherapy.

Study Selections

No articles directly dealt with the effects of SDM on outcomes in allergic rhinitis. Thus, of the 77 articles produced by these searches, 41 were selected based on the information relevant to evaluating the need for SDM in these patients.

Results

Poorly controlled allergic rhinitis continues to be associated with substantial morbidity. Complicating the effective control of the disease is the tendency of patients to self-manage using information from a variety of sources other than health care providers. Although direct evidence in allergic rhinitis is lacking, controlled trials have found the benefits of SDM in improving adherence and outcomes in at least 50 other disease states. Thus, this review explores the aspects of the disease that are complicated by poor adherence, establishing the case for the need for widespread use of SDM techniques.

Conclusion

Patients are confronted with a complex array of treatment options for allergic rhinitis, and a consistent SDM approach can better equip them to make the requisite care decisions needed to achieve optimal control. Furthermore, improving patient education through SDM provides a framework that enables long-term adherence for maximal outcomes.



中文翻译:

过敏性鼻炎的共同决策:对患者的一种方法。

目的

回顾关于过敏性鼻炎中共享决策(SDM)重要性的已知知识。

数据源

MEDLINE和PubMed数据库搜索SDM,患者喜好,移动应用程序的患者动机,非处方药,依从性,辅助疗法和替代疗法,类固醇鼻和免疫疗法。

研究选择

没有文章直接涉及SDM对变应性鼻炎预后的影响。因此,在这些搜索产生的77篇文章中,基于与评估这些患者对SDM需求有关的信息选择了41篇。

结果

控制不良的过敏性鼻炎继续与大量发病有关。使疾病的有效控制复杂化的是患者倾向于使用医疗保健提供者以外的各种来源的信息进行自我管理。尽管缺乏过敏性鼻炎的直接证据,但对照试验发现SDM至少可改善50种其他疾病状态的依从性和结局。因此,本综述探讨了因依从性差而使疾病复杂化的方面,为广泛使用SDM技术奠定了基础。

结论

患者面对过敏性鼻炎的多种治疗选择,并且一致的SDM方法可以更好地使他们具备做出最佳控制所需的必要护理决定的能力。此外,通过SDM改进患者教育提供了一个框架,该框架可实现长期坚持以取得最大结果。

更新日期:2020-08-26
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