{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T12:55:14Z","timestamp":1697633714567},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"3","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Absztrakt: <\/jats:title>\n        <jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> A kr\u00f3nikus obstrukt\u00edv t\u00fcd\u0151betegs\u00e9g jelent\u0151s\n                    eg\u00e9szs\u00e9g\u00fcgyi teher mind a beteg, mind a t\u00e1rsadalom r\u00e9sz\u00e9re. Betegoktat\u00e1ssal ez a\n                    teher cs\u00f6kkenthet\u0151, \u00edgy magyar k\u00f6rnyezetben kerest\u00fck az optim\u00e1lis tartalmat\n                    ehhez. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> 1) A t\u00fcd\u0151gy\u00f3gy\u00e1szok v\u00e9lem\u00e9ny\u00e9re \u00e9p\u00fcl\u0151\n                    betegoktat\u00e1si tartalom tervez\u00e9se; 2) a t\u00fcd\u0151gy\u00f3gy\u00e1szok magatart\u00e1s\u00e1nak \u00e9s\n                    percepci\u00f3inak megismer\u00e9se; 3) a beteg adherenci\u00e1ja (egy\u00fcttm\u0171k\u00f6d\u00e9se) jav\u00edt\u00e1si\n                    lehet\u0151s\u00e9geinek felm\u00e9r\u00e9se. <jats:italic>M\u00f3dszer:<\/jats:italic> Orsz\u00e1gszerte 20 gondoz\u00f3ban,\n                    k\u00f3rh\u00e1zban \u00e9s rehabilit\u00e1ci\u00f3s k\u00f6zpontban dolgoz\u00f3 t\u00fcd\u0151gy\u00f3gy\u00e1sszal k\u00e9sz\u00edtett\u00fcnk\n                    interj\u00fat. A strukt\u00far\u00e1t \u00fagy alak\u00edtottuk ki, hogy egy betegoktat\u00f3 program\n                    kulcselemeit defini\u00e1ljuk, valamint hogy teret engedj\u00fcnk a percepci\u00f3k, ter\u00e1pi\u00e1s\n                    attit\u0171d\u00f6k felfed\u00e9s\u00e9nek. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Az \u00e1tlagos kr\u00f3nikus\n                    obstrukt\u00edv t\u00fcd\u0151beteg doh\u00e1nyos, f\u00e9rfi, alulszocializ\u00e1lt, k\u00f6h\u00f6g, fullad, \u00e9s 40\n                    \u00e9vn\u00e9l id\u0151sebb. Betegs\u00e9g\u00e9t nem veszi komolyan, csak s\u00falyosabb esetben fordul\n                    orvoshoz, adherenci\u00e1ja is csak ekkor n\u0151 meg. Ez a hat\u00e1s gyakran \u00e1tmeneti, csak a\n                    rosszull\u00e9tre korl\u00e1toz\u00f3dik. Az adherencia szerint h\u00e1rom csoport k\u00fcl\u00f6n\u00edthet\u0151 el:\n                    margin\u00e1lis j\u00f3 adherencia (kb. 10%) mellett az \u00e1tlag 30\u201340% k\u00f6z\u00f6tt van, \u00e9s a\n                    betegek jelent\u0151s r\u00e9sze (60%) minim\u00e1lis adherenci\u00e1val b\u00edr. Az inhal\u00e1tor\n                    haszn\u00e1lata ide\u00e1lis esetben maximum 3 l\u00e9p\u00e9sb\u0151l \u00e1ll, k\u00f6nnyen reproduk\u00e1lhat\u00f3 \u00e9s\n                    elmagyar\u00e1zhat\u00f3. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Az oktat\u00f3program keret\u00e9t\n                    meghat\u00e1roz\u00f3 szempontok a megfelel\u0151 betegk\u00e9p (szem\u00e9lyre szab\u00e1s), a\n                    t\u00fcd\u0151gy\u00f3gy\u00e1szati, helysz\u00edni oktat\u00e1s, az orvos\u2013beteg kapcsolat, a betegek\n                    hozz\u00e1\u00e1ll\u00e1sa \u00e9s az \u00e9letm\u00f3dbeli v\u00e1ltoztat\u00e1sok (leszok\u00e1s a doh\u00e1nyz\u00e1sr\u00f3l), valamint\n                    a megfelel\u0151 inhal\u00e1tor kiv\u00e1laszt\u00e1sa. Orv Hetil. 2020; 161(3): 95\u2013102.<\/jats:p>","DOI":"10.1556\/650.2020.31617","type":"journal-article","created":{"date-parts":[[2020,1,12]],"date-time":"2020-01-12T07:31:02Z","timestamp":1578814262000},"page":"95-102","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Egy oktat\u00f3program fejleszt\u00e9s\u00e9nek lehet\u0151s\u00e9gei t\u00fcd\u0151gy\u00f3gy\u00e1sz szakorvosok kr\u00f3nikus obstrukt\u00edv t\u00fcd\u0151betegs\u00e9ggel kapcsolatos meg\u00edt\u00e9l\u00e9se alapj\u00e1n"],"prefix":"10.1556","volume":"161","author":[{"given":"M\u00e1t\u00e9","family":"Ol\u00e1h","sequence":"first","affiliation":[{"name":"1 Egyetemi Gy\u00f3gyszert\u00e1r \u00e9s Gy\u00f3gyszer\u00fcgyi Szervez\u00e9si Int\u00e9zet, Semmelweis EgyetemBudapest, H\u0151gyes Endre u. 9., 1092"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szilvia","family":"Kresznerits","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai Pszichol\u00f3gia Tansz\u00e9k, Semmelweis EgyetemBudapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba","family":"Kun","sequence":"additional","affiliation":[{"name":"3 Semmelweis Tagk\u00f3rh\u00e1z, T\u00fcd\u0151gy\u00f3gy\u00e1szati Oszt\u00e1ly, Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1zMiskolc"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D\u00f3ra","family":"Perczel-Forintos","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai Pszichol\u00f3gia Tansz\u00e9k, Semmelweis EgyetemBudapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eszter","family":"Cs\u00e1nky","sequence":"additional","affiliation":[{"name":"3 Semmelweis Tagk\u00f3rh\u00e1z, T\u00fcd\u0151gy\u00f3gy\u00e1szati Oszt\u00e1ly, Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1zMiskolc"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1gnes","family":"M\u00e9sz\u00e1ros","sequence":"additional","affiliation":[{"name":"1 Egyetemi Gy\u00f3gyszert\u00e1r \u00e9s Gy\u00f3gyszer\u00fcgyi Szervez\u00e9si Int\u00e9zet, Semmelweis EgyetemBudapest, H\u0151gyes Endre u. 9., 1092"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/3\/article-p95.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/3\/article-p95.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:13:10Z","timestamp":1633914790000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/3\/article-p95.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":0,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31617","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}