The Breathing, Thinking, Functioning clinical model: a proposal to facilitate evidence-based breathlessness management in chronic respiratory disease

被引：132

作者：

Spathis, Anna ^{[1
,2
]}

Booth, Sara ^{[2
]}

Moffat, Catherine ^{[1
]}

Hurst, Rhys ^{[1
]}

Ryan, Richella ^{[2
]}

Chin, Chloe ^{[1
]}

Burkin, Julie ^{[1
]}

机构：

[1] Cambridge Univ Hosp NHS Fdn Trust, Dept Palliat Care, Cambridge, England

[2] Univ Cambridge, Cambridge, England

来源：

NPJ PRIMARY CARE RESPIRATORY MEDICINE | 2017年 / 27卷

关键词：

RANDOMIZED CONTROLLED-TRIAL; SELF-MANAGEMENT; DOUBLE-BLIND; DYSPNEA; SERVICE; PATHOPHYSIOLOGY; PERCEPTION; ACTIVATION; SYMPTOMS; FATIGUE;

D O I：

10.1038/s41533-017-0024-z

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Refractory breathlessness is a highly prevalent and distressing symptom in advanced chronic respiratory disease. Its intensity is not reliably predicted by the severity of lung pathology, with unhelpful emotions and behaviours inadvertently exacerbating and perpetuating the problem. Improved symptom management is possible if clinicians choose appropriate non-pharmacological approaches, but these require engagement and commitment from both patients and clinicians. The Breathing Thinking Functioning clinical model is a proposal, developed from current evidence, that has the potential to facilitate effective symptom control, by providing a rationale and focus for treatment.

引用

页数：6

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