A one-year prospective audit of an asthma education programme in an out-patient setting.
作者： McNicholas Wt , Mulloy E , Quigley C , Donaghy D
DOI:
关键词: Asthma 、 Usual care 、 Medicine 、 Symptom score 、 Asthmatic patient 、 Inhaler 、 Prospective audit 、 Mean age 、 Physical therapy 、 Asthma nurse specialist
摘要: A prospective randomised trial was performed to evaluate the effectiveness of an asthma education programme administered by nurse specialist in out-patient setting. Sixty asthmatic patients (mean age 28.5 years) were enrolled, 30 a usual care control group and group. The underwent individual lasting at least one hour. following variables measured baseline, month after year follow-up: knowledge MCQ (36 point questionnaire), inhaler technique (7 scale), peak expiratory flow rate (PEFR) symptomatology visual analogue score (0 10 score). group's both improved significantly month, from 5.4 (0.3) [SEM]) 6.5 (0.3), p < 0.001, 7.5 (2.4) 22 (1.8), 0.0001 respectively. Both these improvements greater than group, maintained follow-up. symptom over (0.6) 7.6 (0.5), 0.05, unchanged There no change PEFR either This study shows clear objective benefits conducted specialist.
参考文章(11)
M A Mullee, G Charlton, J Broomfield, I Charlton, Audit of the effect of a nurse run asthma clinic on workload and patient morbidity in a general practice. British Journal of General Practice. ,vol. 41, pp. 227- 231 ,(1991)
Mary Beth Bolton, Barbara C. Tilley, John Kuder, Thomas Reeves, Lonni R. Schultz, The cost and effectiveness of an education program for adults who have asthma. Journal of General Internal Medicine. ,vol. 6, pp. 401- 407 ,(1991) , 10.1007/BF02598160
P. Harrington, N. Williams, R. Conroy, W. Shannon, Employing a practice nurse--role and training implications in an Irish context. Irish Journal of Medical Science. ,vol. 163, pp. 384- 387 ,(1994) , 10.1007/BF02942834
H. Worth, Patient education in asthmatic adults. Lung. ,vol. 168, pp. 463- 468 ,(1990) , 10.1007/BF02718165
P Burney, Asthma deaths in England and Wales 1931-85: evidence for a true increase in asthma mortality. Journal of Epidemiology and Community Health. ,vol. 42, pp. 316- 320 ,(1988) , 10.1136/JECH.42.4.316
Paul H. Mayo, Results of a Program to Reduce Admissions for Adult Asthma Annals of Internal Medicine. ,vol. 112, pp. 864- 871 ,(1990) , 10.7326/0003-4819-112-11-864
Monica Julie Tettersell, None, Asthma patients’ knowledge in relation to compliance with drug therapy Journal of Advanced Nursing. ,vol. 18, pp. 103- 113 ,(1993) , 10.1046/J.1365-2648.1993.18010103.X
Sandra R. Wilson, Peter Scamagas, Donald F. German, Gary W. Hughes, Sulochina Lulla, Stamatiki Coss, Luis Chardon, Ronald G. Thomas, Norma Starr-Schneidkraut, Frances B. Stancavage, Gary M. Arsham, A controlled trial of two forms of self-management education for adults with asthma The American Journal of Medicine. ,vol. 94, pp. 564- 576 ,(1993) , 10.1016/0002-9343(93)90206-5
Sean Hilton, H.Ross Anderson, Bonnie Sibbald, Paul Freeling, CONTROLLED EVALUATION OF THE EFFECTS OF PATIENT EDUCATION ON ASTHMA MORBIDITY IN GENERAL PRACTICE The Lancet. ,vol. 327, pp. 26- 29 ,(1986) , 10.1016/S0140-6736(86)91904-5
Robert B. Mellins, David Evans, Barry Zimmerman, Noreen M. Clark, Patient Compliance: Are We Wasting our Time and Don't Know it? The American review of respiratory disease. ,vol. 146, pp. 1376- 1377 ,(1992) , 10.1164/AJRCCM/146.6.1376