摘要
本研究以哮喘患者自我管理缺陷为重点，对护理现状和缺陷产生的原因进行解剖。阐述护理体系内、外部联动机制的优化策略，涉及跨科室协同机制的纳入途径，家庭照护网络和专业护理角色的功能衔接方法，以及以制度性为导向的护理流程的再设计和标准化路径。其目的是通过系统性的护理应对措施促进哮喘患者自我管理能力的提高和疾病控制效果的改善，并对临床护理实践起到理论依据和实践指导的作用。
关键词： 哮喘患者；自我管理缺陷；护理应对措施；跨科室协同
Abstract
This study focuses on the self-management deficiencies of asthma patients and dissects the current nursing situation and the causes of these deficiencies. This paper expounds the optimization strategies of the internal and external linkage mechanisms of the nursing system, involving the inclusion approaches of the cross-departmental collaboration mechanism, the functional connection methods between the family care network and professional nursing roles, as well as the redesign and standardization paths of the nursing process oriented by institutions. The aim is to promote the improvement of self-management ability and disease control effect of asthma patients through systematic nursing coping measures, and to play a theoretical basis and practical guidance role for clinical nursing practice.
Key words： Asthma patients; Self-management deficiency; Nursing response measures; Cross-departmental collaboration
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