Community Respiratory(社区呼吸)研究综述
Community Respiratory 社区呼吸 - Methods: HOS developed through collaborative working between community respiratory and medicines optimisation teams: new patient review of HO within 4 weeks of starting treatment, targeting low HO users. [1]方法：通过社区呼吸和药物优化团队之间的协作开发 HOS：新患者在开始治疗后 4 周内对 HO 进行审查，针对低 HO 用户。 [1]
European Community Respiratory 欧共体呼吸
The data was collected through a questionnaire the European Community Respiratory Health Survey under the form of interview. [1] Of note, higher effect sizes were seen among women, never smokers and younger individuals supporting earlier findings for women in the European Community Respiratory Health Survey, where NO2 was associated with the prevalence and new onset of chronic phlegm and chronic productive cough. [2] Most studies used questionnaires derived from validated surveys, most commonly the European Community Respiratory Health Survey (n = 47). [3] METHODS The study included 580 postmenopausal women from six European countries, participating in the European Community Respiratory Health Survey (2010-2014). [4] 3096 residents of a rural town heavily exposed to smoke from the six-week Hazelwood coal mine fire, and 960 residents of a nearby unexposed town, completed Kessler's psychological distress questionnaire (K10) and a modified European Community Respiratory Health Survey. [5] Methods Longitudinal analyses of previous lung function decline and FeNO level at follow-up and cross-sectional analyses of BD response and FeNO levels in 4257 participants (651 asthmatics) from the European Community Respiratory Health Survey. [6] 6 PO5 2005 C/06572 "Implementation of the system for the prevention and early detection of allergies in Poland" (Epidemiology of Allergic Diseases in Poland, ECAP) commissioned by the Minister of Health and was a continuation of international studies European Community Respiratory Health Survey II (ECRHS II) 12 and International Study of Asthma and Allergies in Childhood (ISAAC) 13 adapted for Central and Eastern Europe. [7] The relation of component scores and exposure estimates to respiratory health were examined, using self-ratings at the time of the blood draw, a validated respiratory screening questionnaire (the European Community Respiratory Health Survey [ECRHS]) some 30 months after the fire, and clinical assessments in 2019–2020. [8] OBJECTIVES Using data collected prospectively in the European Community Respiratory Health Survey, we compared the risk factors, clinical history, and lung function trajectories from early adulthood to the late sixties of middle aged subjects having asthma+COPD (n=179), past (n=263) or current (n=808) asthma alone, COPD alone (n=111), or none of these (n=3477). [9] 0% female) and their 274 fathers, who had participated in the European Community Respiratory Health Survey (ECRHS)/Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) generation study and had provided valid measures of pre-bronchodilator lung function. [10] Face to face interview and standardized questionnaire (European Community Respiratory Health Survey (ECRHS)) were used for data gathering. [11] In this analysis, we investigated the association between (frequency and duration of) vigorous physical activity and asthma incidence over 10 years, using the European Community Respiratory Health Survey (ECRHS), considering multiple asthma-related outcomes in an initially asthma-free population. [12] METHODS A total of 741 subjects with current asthma and 4,155 non-asthmatic subjects participating in the second follow-up of the European Community Respiratory Health Survey (ECRHS III) underwent FeNO measurements. [13] Method This study employs the population-based cohort of the European Community Respiratory Health Survey III, including participants from Gothenburg city, Sweden (n=200). [14] METHODS The analysis was carried out by using clinical and questionnaire data available for subjects participating in the ECRHS III (European Community Respiratory Health Survey) with age >55 years. [15] Socio-demographic and respiratory symptom information were collected through a questionnaire developed based on European Community Respiratory Health Survey II (ECRHS II). [16] The largest populational study European Community Respiratory Health Survey shows the impact of overweight and obesity on pulmonary function by decreasing forced expiratory volume in first second FEV1 and forced vital capacity FVC. [17] Methods: Eighty-three workers (76 men), 35 exposed to chemicals (CW), 23 to wood dust (WW), and 25 office workers (OW), serving as controls, filled in a specialized European Community Respiratory Health Survey (ECRHS) questionnaire for asthma and were submitted to clinical evaluation, spirometry, bronchodilation test, PEF computer algorithm OASYS-2, FeNO, skin prick tests (SPTs), rhinomanometry and methacholine inhalation challenge. [18] We examined the effect of occupational exposures on CB incidence in the European Community Respiratory Health Survey. [19] Data on health variables related to asthma and home environmental factors were collected using a modified European Community Respiratory Health Survey II questionnaire. [20] Methods Data from the third visit of the European Community Respiratory Health Survey (ECRHS) was used for cross-sectional analysis. [21] Methods We used data from the 3 clinical examinations of the European Community Respiratory Health Survey. [22] Respiratory symptoms were assessed using the European Community Respiratory Health Survey and the American Thoracic Society and the Division of Lung Diseases Questionnaire. [23] Passive smoking at work and/or at home was investigated in random population samples (European Community Respiratory Health Survey) in 1990-1995, with follow-up interviews in 1998-2003 and 2010-2014. [24] The ECRHS (European Community Respiratory Health Survey) questionnaire was completed for individuals with additional questions regarding other allergic conditions. [25] MethodsWe used information from 3011 adults from 26 centres in 12 countries who participated in the European Community Respiratory Health Surveys I-III and were never or former smokers at all three surveys. [26] We estimated the prevalence of COPD and/or asthma in the Asklepios cohort study (Belgium), using information from the third European Community Respiratory Health Survey (ECRHS3), medical records, and spirometry. [27] STUDY DESIGN The population-based multi-centre European Community Respiratory Health Survey provided complete data for 275 oral HRT users at two time points, who were matched with 383 nonusers and analysed with a two-level linear mixed effects regression model. [28] Methods: This study uses the European Community Respiratory Health Survey (ECRHS) questionnaire and definitions to screen 870 pregnant women attending three hospitals for asthma. [29] Methods Cross-sectional data on spirometry, C-reactive protein levels and self-reported physical activity (yes/no; ≥2 times and ≥1hr per week of vigorous physical activity) were available in the European Community Respiratory Health Survey (N = 2347 adults, 49. [30]数据是通过欧洲共同体呼吸健康调查问卷以访谈的形式收集的。 [1] 值得注意的是，在女性、从不吸烟者和年轻人中观察到更高的效应量，这支持了欧洲共同体呼吸健康调查中女性的早期发现，其中 NO2 与慢性痰和慢性咳痰的患病率和新发病率有关。 [2] 大多数研究使用来自经过验证的调查的问卷，最常见的是欧洲共同体呼吸健康调查 (n = 47)。 [3] 方法 该研究包括来自六个欧洲国家的 580 名绝经后妇女，参与了欧洲共同体呼吸健康调查（2010-2014 年）。 [4] 一个农村城镇的 3096 名居民严重暴露在为期六周的 Hazelwood 煤矿火灾的烟雾中，以及附近一个未暴露于烟雾的城镇的 960 名居民完成了凯斯勒的心理困扰问卷 (K10) 和修改后的欧洲共同体呼吸健康调查。 [5] 方法 对来自欧洲共同体呼吸健康调查的 4257 名参与者（651 名哮喘患者）的先前肺功能下降和 FeNO 水平进行纵向分析，并对 BD 反应和 FeNO 水平进行横断面分析。 [6] 6 PO5 2005 C/06572《波兰过敏症预防和早期检测系统的实施》（Epidemiology of Allergic Diseases in Poland, ECAP）受卫生部长委托，是欧洲共同体呼吸系统健康调查国际研究的延续II (ECRHS II) 12 和国际儿童哮喘和过敏研究 (ISAAC) 13 适用于中欧和东欧。 [7] 使用抽血时的自我评估、火灾后大约 30 个月的经过验证的呼吸筛查问卷（欧洲共同体呼吸健康调查 [ECRHS]），检查了组件评分和暴露估计与呼吸健康的关系，以及2019-2020 年的临床评估。 [8] 目标 使用在欧洲共同体呼吸健康调查中前瞻性收集的数据，我们比较了患有哮喘+COPD（n=179）、过去（n= 263) 或当前 (n=808) 单独哮喘，单独 COPD (n=111)，或这些都没有 (n=3477)。 [9] 0% 女性）和他们的 274 名父亲，他们参加了欧洲共同体呼吸健康调查 (ECRHS)/北欧、西班牙和澳大利亚 (RHINESSA) 的呼吸健康一代研究，并提供了支气管扩张剂前肺功能的有效测量值。 [10] 面对面访谈和标准化问卷（欧洲社区呼吸健康调查（ECRHS））用于数据收集。 [11] 在这项分析中，我们使用欧共体呼吸健康调查 (ECRHS) 调查了 10 年内剧烈体育活动（频率和持续时间）与哮喘发病率之间的关联，并考虑了最初无哮喘人群的多种哮喘相关结果。 [12] 方法 在欧洲共同体呼吸健康调查 (ECRHS III) 的第二次随访中，共有 741 名当前患有哮喘的受试者和 4,155 名非哮喘受试者接受了 FeNO 测量。 [13] 方法 本研究采用基于人群的欧洲共同体呼吸健康调查 III 队列，包括来自瑞典哥德堡市的参与者 (n=200)。 [14] 方法 该分析是通过使用可用于参与 ECRHS III（欧洲社区呼吸健康调查）且年龄 >55 岁的受试者的临床和问卷数据进行的。 [15] 通过基于欧洲共同体呼吸健康调查 II (ECRHS II) 开发的问卷收集社会人口学和呼吸道症状信息。 [16] 最大的人口研究欧洲共同体呼吸健康调查显示超重和肥胖通过减少第一秒 FEV1 用力呼气量和用力肺活量 FVC 对肺功能的影响。 [17] 方法：83 名工人（76 名男性）、35 名接触化学品 (CW)、23 名接触木屑 (WW) 和 25 名办公室工作人员 (OW)，作为对照，填写了专门的欧洲共同体呼吸健康调查 (ECRHS) ) 哮喘问卷并提交给临床评估、肺活量测定、支气管扩张测试、PEF 计算机算法 OASYS-2、FeNO、皮肤点刺测试 (SPT)、鼻测压和乙酰甲胆碱吸入挑战。 [18] 我们在欧洲共同体呼吸健康调查中检查了职业暴露对 CB 发生率的影响。 [19] 使用修改后的欧洲共同体呼吸健康调查 II 问卷收集与哮喘和家庭环境因素相关的健康变量数据。 [20] 方法 使用欧洲共同体呼吸健康调查（ECRHS）第三次访问的数据进行横断面分析。 [21] 方法 我们使用来自欧洲共同体呼吸健康调查的 3 项临床检查的数据。 [22] 使用欧洲共同体呼吸系统健康调查和美国胸科学会和肺病部问卷调查评估呼吸系统症状。 [23] 1990-1995 年在随机人群样本（欧洲社区呼吸健康调查）中调查了工作和/或在家中的被动吸烟情况，并在 1998-2003 年和 2010-2014 年进行了后续访谈。 [24] ECRHS（欧洲社区呼吸健康调查）问卷是针对对其他过敏性疾病有其他问题的个人完成的。 [25] 方法我们使用了来自 12 个国家 26 个中心的 3011 名成年人的信息，这些成年人参加了欧共体呼吸健康调查 I-III，并且在所有三项调查中都从未或曾经吸烟。 [26] 我们使用来自第三次欧洲共同体呼吸健康调查 (ECRHS3) 的信息、医疗记录和肺活量测定法估计了 Asklepios 队列研究（比利时）中 COPD 和/或哮喘的患病率。 [27] 学习规划 基于人群的多中心欧洲共同体呼吸健康调查在两个时间点为 275 名口服 HRT 使用者提供了完整的数据，这些数据与 383 名非使用者相匹配，并使用两级线性混合效应回归模型进行分析。 [28] 方法：本研究使用欧洲共同体呼吸健康调查 (ECRHS) 问卷和定义对就诊于三家医院的 870 名孕妇进行哮喘筛查。 [29] 方法 在欧洲共同体呼吸健康调查（N = 2347成年人，49 岁。 [30]
community respiratory health 社区呼吸健康
The data was collected through a questionnaire the European Community Respiratory Health Survey under the form of interview. [1] Of note, higher effect sizes were seen among women, never smokers and younger individuals supporting earlier findings for women in the European Community Respiratory Health Survey, where NO2 was associated with the prevalence and new onset of chronic phlegm and chronic productive cough. [2] Most studies used questionnaires derived from validated surveys, most commonly the European Community Respiratory Health Survey (n = 47). [3] METHODS The study included 580 postmenopausal women from six European countries, participating in the European Community Respiratory Health Survey (2010-2014). [4] 3096 residents of a rural town heavily exposed to smoke from the six-week Hazelwood coal mine fire, and 960 residents of a nearby unexposed town, completed Kessler's psychological distress questionnaire (K10) and a modified European Community Respiratory Health Survey. [5] Methods Longitudinal analyses of previous lung function decline and FeNO level at follow-up and cross-sectional analyses of BD response and FeNO levels in 4257 participants (651 asthmatics) from the European Community Respiratory Health Survey. [6] 6 PO5 2005 C/06572 "Implementation of the system for the prevention and early detection of allergies in Poland" (Epidemiology of Allergic Diseases in Poland, ECAP) commissioned by the Minister of Health and was a continuation of international studies European Community Respiratory Health Survey II (ECRHS II) 12 and International Study of Asthma and Allergies in Childhood (ISAAC) 13 adapted for Central and Eastern Europe. [7] The relation of component scores and exposure estimates to respiratory health were examined, using self-ratings at the time of the blood draw, a validated respiratory screening questionnaire (the European Community Respiratory Health Survey [ECRHS]) some 30 months after the fire, and clinical assessments in 2019–2020. [8] OBJECTIVES Using data collected prospectively in the European Community Respiratory Health Survey, we compared the risk factors, clinical history, and lung function trajectories from early adulthood to the late sixties of middle aged subjects having asthma+COPD (n=179), past (n=263) or current (n=808) asthma alone, COPD alone (n=111), or none of these (n=3477). [9] 0% female) and their 274 fathers, who had participated in the European Community Respiratory Health Survey (ECRHS)/Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) generation study and had provided valid measures of pre-bronchodilator lung function. [10] Face to face interview and standardized questionnaire (European Community Respiratory Health Survey (ECRHS)) were used for data gathering. [11] In this analysis, we investigated the association between (frequency and duration of) vigorous physical activity and asthma incidence over 10 years, using the European Community Respiratory Health Survey (ECRHS), considering multiple asthma-related outcomes in an initially asthma-free population. [12] METHODS A total of 741 subjects with current asthma and 4,155 non-asthmatic subjects participating in the second follow-up of the European Community Respiratory Health Survey (ECRHS III) underwent FeNO measurements. [13] Method This study employs the population-based cohort of the European Community Respiratory Health Survey III, including participants from Gothenburg city, Sweden (n=200). [14] METHODS The analysis was carried out by using clinical and questionnaire data available for subjects participating in the ECRHS III (European Community Respiratory Health Survey) with age >55 years. [15] Socio-demographic and respiratory symptom information were collected through a questionnaire developed based on European Community Respiratory Health Survey II (ECRHS II). [16] The largest populational study European Community Respiratory Health Survey shows the impact of overweight and obesity on pulmonary function by decreasing forced expiratory volume in first second FEV1 and forced vital capacity FVC. [17] Methods: Eighty-three workers (76 men), 35 exposed to chemicals (CW), 23 to wood dust (WW), and 25 office workers (OW), serving as controls, filled in a specialized European Community Respiratory Health Survey (ECRHS) questionnaire for asthma and were submitted to clinical evaluation, spirometry, bronchodilation test, PEF computer algorithm OASYS-2, FeNO, skin prick tests (SPTs), rhinomanometry and methacholine inhalation challenge. [18] We examined the effect of occupational exposures on CB incidence in the European Community Respiratory Health Survey. [19] Data on health variables related to asthma and home environmental factors were collected using a modified European Community Respiratory Health Survey II questionnaire. [20] Methods Data from the third visit of the European Community Respiratory Health Survey (ECRHS) was used for cross-sectional analysis. [21] Methods We used data from the 3 clinical examinations of the European Community Respiratory Health Survey. [22] Respiratory symptoms were assessed using the European Community Respiratory Health Survey and the American Thoracic Society and the Division of Lung Diseases Questionnaire. [23] Passive smoking at work and/or at home was investigated in random population samples (European Community Respiratory Health Survey) in 1990-1995, with follow-up interviews in 1998-2003 and 2010-2014. [24] The ECRHS (European Community Respiratory Health Survey) questionnaire was completed for individuals with additional questions regarding other allergic conditions. [25] MethodsWe used information from 3011 adults from 26 centres in 12 countries who participated in the European Community Respiratory Health Surveys I-III and were never or former smokers at all three surveys. [26] We estimated the prevalence of COPD and/or asthma in the Asklepios cohort study (Belgium), using information from the third European Community Respiratory Health Survey (ECRHS3), medical records, and spirometry. [27] STUDY DESIGN The population-based multi-centre European Community Respiratory Health Survey provided complete data for 275 oral HRT users at two time points, who were matched with 383 nonusers and analysed with a two-level linear mixed effects regression model. [28] Methods: This study uses the European Community Respiratory Health Survey (ECRHS) questionnaire and definitions to screen 870 pregnant women attending three hospitals for asthma. [29] Methods Cross-sectional data on spirometry, C-reactive protein levels and self-reported physical activity (yes/no; ≥2 times and ≥1hr per week of vigorous physical activity) were available in the European Community Respiratory Health Survey (N = 2347 adults, 49. [30]数据是通过欧洲共同体呼吸健康调查问卷以访谈的形式收集的。 [1] 值得注意的是，在女性、从不吸烟者和年轻人中观察到更高的效应量，这支持了欧洲共同体呼吸健康调查中女性的早期发现，其中 NO2 与慢性痰和慢性咳痰的患病率和新发病率有关。 [2] 大多数研究使用来自经过验证的调查的问卷，最常见的是欧洲共同体呼吸健康调查 (n = 47)。 [3] 方法 该研究包括来自六个欧洲国家的 580 名绝经后妇女，参与了欧洲共同体呼吸健康调查（2010-2014 年）。 [4] 一个农村城镇的 3096 名居民严重暴露在为期六周的 Hazelwood 煤矿火灾的烟雾中，以及附近一个未暴露于烟雾的城镇的 960 名居民完成了凯斯勒的心理困扰问卷 (K10) 和修改后的欧洲共同体呼吸健康调查。 [5] 方法 对来自欧洲共同体呼吸健康调查的 4257 名参与者（651 名哮喘患者）的先前肺功能下降和 FeNO 水平进行纵向分析，并对 BD 反应和 FeNO 水平进行横断面分析。 [6] 6 PO5 2005 C/06572《波兰过敏症预防和早期检测系统的实施》（Epidemiology of Allergic Diseases in Poland, ECAP）受卫生部长委托，是欧洲共同体呼吸系统健康调查国际研究的延续II (ECRHS II) 12 和国际儿童哮喘和过敏研究 (ISAAC) 13 适用于中欧和东欧。 [7] 使用抽血时的自我评估、火灾后大约 30 个月的经过验证的呼吸筛查问卷（欧洲共同体呼吸健康调查 [ECRHS]），检查了组件评分和暴露估计与呼吸健康的关系，以及2019-2020 年的临床评估。 [8] 目标 使用在欧洲共同体呼吸健康调查中前瞻性收集的数据，我们比较了患有哮喘+COPD（n=179）、过去（n= 263) 或当前 (n=808) 单独哮喘，单独 COPD (n=111)，或这些都没有 (n=3477)。 [9] 0% 女性）和他们的 274 名父亲，他们参加了欧洲共同体呼吸健康调查 (ECRHS)/北欧、西班牙和澳大利亚 (RHINESSA) 的呼吸健康一代研究，并提供了支气管扩张剂前肺功能的有效测量值。 [10] 面对面访谈和标准化问卷（欧洲社区呼吸健康调查（ECRHS））用于数据收集。 [11] 在这项分析中，我们使用欧共体呼吸健康调查 (ECRHS) 调查了 10 年内剧烈体育活动（频率和持续时间）与哮喘发病率之间的关联，并考虑了最初无哮喘人群的多种哮喘相关结果。 [12] 方法 在欧洲共同体呼吸健康调查 (ECRHS III) 的第二次随访中，共有 741 名当前患有哮喘的受试者和 4,155 名非哮喘受试者接受了 FeNO 测量。 [13] 方法 本研究采用基于人群的欧洲共同体呼吸健康调查 III 队列，包括来自瑞典哥德堡市的参与者 (n=200)。 [14] 方法 该分析是通过使用可用于参与 ECRHS III（欧洲社区呼吸健康调查）且年龄 >55 岁的受试者的临床和问卷数据进行的。 [15] 通过基于欧洲共同体呼吸健康调查 II (ECRHS II) 开发的问卷收集社会人口学和呼吸道症状信息。 [16] 最大的人口研究欧洲共同体呼吸健康调查显示超重和肥胖通过减少第一秒 FEV1 用力呼气量和用力肺活量 FVC 对肺功能的影响。 [17] 方法：83 名工人（76 名男性）、35 名接触化学品 (CW)、23 名接触木屑 (WW) 和 25 名办公室工作人员 (OW)，作为对照，填写了专门的欧洲共同体呼吸健康调查 (ECRHS) ) 哮喘问卷并提交给临床评估、肺活量测定、支气管扩张测试、PEF 计算机算法 OASYS-2、FeNO、皮肤点刺测试 (SPT)、鼻测压和乙酰甲胆碱吸入挑战。 [18] 我们在欧洲共同体呼吸健康调查中检查了职业暴露对 CB 发生率的影响。 [19] 使用修改后的欧洲共同体呼吸健康调查 II 问卷收集与哮喘和家庭环境因素相关的健康变量数据。 [20] 方法 使用欧洲共同体呼吸健康调查（ECRHS）第三次访问的数据进行横断面分析。 [21] 方法 我们使用来自欧洲共同体呼吸健康调查的 3 项临床检查的数据。 [22] 使用欧洲共同体呼吸系统健康调查和美国胸科学会和肺病部问卷调查评估呼吸系统症状。 [23] 1990-1995 年在随机人群样本（欧洲社区呼吸健康调查）中调查了工作和/或在家中的被动吸烟情况，并在 1998-2003 年和 2010-2014 年进行了后续访谈。 [24] ECRHS（欧洲社区呼吸健康调查）问卷是针对对其他过敏性疾病有其他问题的个人完成的。 [25] 方法我们使用了来自 12 个国家 26 个中心的 3011 名成年人的信息，这些成年人参加了欧共体呼吸健康调查 I-III，并且在所有三项调查中都从未或曾经吸烟。 [26] 我们使用来自第三次欧洲共同体呼吸健康调查 (ECRHS3) 的信息、医疗记录和肺活量测定法估计了 Asklepios 队列研究（比利时）中 COPD 和/或哮喘的患病率。 [27] 学习规划 基于人群的多中心欧洲共同体呼吸健康调查在两个时间点为 275 名口服 HRT 使用者提供了完整的数据，这些数据与 383 名非使用者相匹配，并使用两级线性混合效应回归模型进行分析。 [28] 方法：本研究使用欧洲共同体呼吸健康调查 (ECRHS) 问卷和定义对就诊于三家医院的 870 名孕妇进行哮喘筛查。 [29] 方法 在欧洲共同体呼吸健康调查（N = 2347成年人，49 岁。 [30]
community respiratory service 社区呼吸服务
BACKGROUND A community respiratory service was implemented in the North West of Glasgow (NW) in January 2013, as part of the Reshaping Care for Older People programme (RCOP). [1] Aims: and Objectives An integrated respiratory team (IRT) was established as a service innovation pilot project to improve outcomes for patients with long term non-malignant respiratory conditions Existing community respiratory services did not include routine provision for specialist palliative care input into symptom control and holistic and integrated end of life care, and advance care planning (ACP) was not routinely undertaken Methods: Regular MDT meetings were held where community palliative care clinical nurse specialists, and palliative medicine consultants, worked with community respiratory nurses, physiotherapist, occupational therapist, psychologist/CBT therapist and an IRT GP A lead worker was identified for each patient Patients were referred following hospital discharge, by community teams or from primary care All patients had an opportunity for ACP, and DNACPR documentation was updated to be consistent through hospital, community and primary care electronic systems 'Just in case' subcutaneous medications were made available for those wishing to be cared for at home Symptom management optimisation included breath-lessness management using 'Thinking, Functioning, Breathing' model, and evaluation of psychological factors Originally provided by telephone, home visits and hospice day centre, support by phone continued through COVID shielding period Results: 104 patients were on the IRT palliative caseload between July 2019 and July 2020 All patients received assessment of symptom management 69 patients (66 3%) had completed ACP, 17 (16 3%) had ACP in progress and 18 (17 3%) had no ACP (declined/in progress/none recorded) Of the total 49 deaths, 27 (55%) died in their usual place of residence, 15 (31%) in hospital, and 7 (14%) in hospice Of the 35 patients who died and had completed ACP, 28 (80%) died in their preferred place of care/death (PPC/D), and 4 patients died in hospital and 3 in a hospice where PPC/D was usual place of residence (Table presented) Conclusions: Embedding a palliative MDT within an integrated respiratory team gave access to palliative care expertise and services which were not previously routinely available to this group of patients More patients died at home or in a hospice, which for the majority of those who had completed ACP, was in accordance with their wishes. [2] Patients who were under the care of a community respiratory service and highlighted as struggling with BM were offered a referral. [3] Methods 201 patients from the Knowsley Community Respiratory Service participated in PR between April 2016 and December 2018 and completed PAM questionnaires before and after the programme. [4] Background A community respiratory service was implemented in the North West of Glasgow in January 2013, as part of the Reshaping Care for Older People Programme (RCOPP). [5]背景 2013 年 1 月，作为老年人重塑护理计划 (RCOP) 的一部分，在格拉斯哥西北部 (NW) 实施了社区呼吸服务。 [1] 目的：和目标 建立一个综合呼吸团队 (IRT) 作为服务创新试点项目，以改善长期非恶性呼吸系统疾病患者的预后没有常规进行全面和综合的临终关怀和预先护理计划 (ACP)心理学家/CBT 治疗师和 IRT GP 为每位患者确定了一名牵头工作人员 患者在出院后由社区团队或初级保健机构转诊 所有患者都有机会进行 ACP，并且通过医院、社区更新 DNACPR 文件以保持一致和初级保健电子系统'Just为希望在家接受护理的人提供皮下药物 症状管理优化包括使用“思考、功能、呼吸”模型的呼吸困难管理和心理因素评估 最初通过电话、家访和临终关怀日提供中心，通过 COVID 屏蔽期继续通过电话支持 结果：2019 年 7 月至 2020 年 7 月期间，104 名患者接受了 IRT 姑息治疗所有患者接受了症状管理评估 69 名患者（66 3%）完成了 ACP，17 名患者（16 3%）有 ACP 进行中，18 人（17 3%）没有 ACP（拒绝/进行中/没有记录） 在总共 49 人死亡中，27 人（55%）在他们通常居住的地方死亡，15 人（31%）在医院，和 7 名（14%）在临终关怀中死亡并完成 ACP 的 35 名患者中，28 名（80%）在他们首选的护理/死亡地点 (PPC/D) 中死亡，4 名患者在医院死亡，3 名在临终关怀中死亡其中 PPC/D 是通常的居住地（提供的表格）结，是按照他们的意愿。 [2] 接受社区呼吸服务并强调患有 BM 的患者被提供转诊。 [3] 方法 201 名来自诺斯利社区呼吸服务中心的患者于 2016 年 4 月至 2018 年 12 月期间参与 PR，并在项目前后完成 PAM 问卷调查。 [4] 背景 作为老年人重塑护理计划 (RCOPP) 的一部分，2013 年 1 月在格拉斯哥西北部实施了社区呼吸服务。 [5]
community respiratory team
Our initial intervention was to increasing the number of patients seen by the community respiratory team (CRT). [1] Methods: Patients access a helpline to contact the community respiratory team at the start of a presumed COPD exacerbation. [2]我们最初的干预是增加社区呼吸小组 (CRT) 就诊的患者数量。 [1] 方法：患者在推测的 COPD 恶化开始时，可通过热线联系社区呼吸团队。 [2]