primary and secondary prevention of chronic obstructive pulmonary disease

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1、PublicHealthWalesPrimaryandsecondarypreventionofchronicobstructivepulmonarydiseaseHealthcareServiceImprovementTeamPrimaryandsecondarypreventionofchronicobstructivepulmonarydiseaseAuthor:NormaProsser,DrMaryWebb,PublicHealthSpecialistsDate:3September2010Version:1Publ

2、ication/Distribution:·Public(Internet)ReviewDate:AreviewofthisdocumentisnotplannedbyPublicHealthWalesNHSTrustPurposeandSummaryofDocument:Thisisanevidence-basedsummaryofeffectiveinterventionsforprimaryandsecondarypreventionofchronicobstructivepulmonaryfailure.Ithasb

3、eenproducedtoassistlocalhealthboardstoimplementDesignedforpeoplewithchronicconditions,Servicedevelopmentandcommissioningdirective,Chronicrespiratoryconditions,andshouldbereadinconjunctionwiththatpublication.Smokingcessation,reducingpersonalexposuretodust,fumes,gase

4、sandpulmonaryrehabilitationhavebeenidentifiedaseffectiveinterventions.WorkPlanreference:HS04Date:3Sep2010Version:1Page:10of10PublicHealthWalesPrimaryandsecondarypreventionofchronicobstructivepulmonarydiseaseDate:3Sep2010Version:1Page:10of10PublicHealthWalesPrimarya

5、ndsecondarypreventionofchronicobstructivepulmonarydiseaseCONTENTS1BACKGROUND52CHRONICOBSTRUCTIVEPULMONARYDISEASE62.1Introduction62.2Searchmethodology72.3Prevalence72.4Hospitaladmissions93PRIMARYPREVENTIONINTERVENTIONS114SECONDARYPREVENTIONINTERVENTIONS125FURTHERINF

6、ORMATION126REFERENCES12©2010PublicHealthWalesNHSTrust.Materialcontainedinthisdocumentmaybereproducedwithoutpriorpermissionprovideditisdonesoaccuratelyandisnotusedinamisleadingcontext.AcknowledgementtoPublicHealthWalesNHSTrusttobestated.Date:3Sep2010Version:1Page:10

7、of10PublicHealthWalesPrimaryandsecondarypreventionofchronicobstructivepulmonarydiseaseBackgroundThisdocumenthasbeenproducedtoassistlocalhealthboardstoimplementtheWelshAssemblyGovernment’s,Designedforpeoplewithchronicconditions,Servicedevelopmentandcommissioningdire

8、ctive,Chronicrespiratoryconditions1,andshouldbereadinconjunctionwiththatpublication.Akeyactionidentifiedinchapter2:Prevention–reducingtherisks(p.