Evaluation of two different educational interventions for adult patients consulting with an acute asthma exacerbation.

作者: JOHANNE CÔTÉ , DENNIS M. BOWIE , PATRICIA ROBICHAUD , JEAN-GUY PARENT , LIVIA BATTISTI

DOI: 10.1164/AJRCCM.163.6.2006069

关键词:

摘要: Asthma education decreases the number of emergency visits in specific subgroups patients with asthma. However, it remains unknown whether this improvement is related only to use an action plan alone or other components educational intervention. A total 126 consulting urgently for acute asthma exacerbation were recruited; 98 completed study. The first 45 assigned Group C (control; usual treatment). Thereafter, randomized either LE (limited education; teaching inhaler technique plus self- given by on call physician) SE (same as group a structured program emphasizing self-capacity manage exacerbations). At baseline, there was no difference between groups morbidity, medication needs, pulmonary function. After 12 mo, showed significant knowledge, willingness adjust medications, quality life scores, and peak expiratory flows. In last 6 unscheduled medical significantly lower comparison (p = 0.03). (%) also decreased compared Groups 0.02). We conclude that intervention self-management improves patient outcomes more than limited conventional treatment.

参考文章(27)
Lawrence W. Green, Marshall W. Kreuter, Health Promotion Planning: An Educational and Environmental Approach ,(1991)
A. Lahdensuo, T. Haahtela, J. Herrala, T. Kava, K. Kiviranta, P. Kuusisto, E. Peramaki, T. Poussa, S. Saarelainen, T. Svahn, Randomised comparison of guided self management and traditional treatment of asthma over one year BMJ. ,vol. 312, pp. 748- 752 ,(1996) , 10.1136/BMJ.312.7033.748
Robert L. Cowie, Shirley G. Revitt, Margot F. Underwood, Stephen K. Field, The Effect of a Peak Flow-Based Action Plan in the Prevention of Exacerbations of Asthma Chest. ,vol. 112, pp. 1534- 1538 ,(1997) , 10.1378/CHEST.112.6.1534
Michael S. Taitel, Harry Kotses, I.Leonard Bernstein, David I. Bernstein, Thomas L. Creer, A self-management program for adult asthma. Part II: Cost-benefit analysis☆☆☆★★★ The Journal of Allergy and Clinical Immunology. ,vol. 95, pp. 672- 676 ,(1995) , 10.1016/S0091-6749(95)70171-0
MARK O. TURNER, DARLENE TAYLOR, RON BENNETT, J. MARK FITZGERALD, A randomized trial comparing peak expiratory flow and symptom self-management plans for patients with asthma attending a primary care clinic. American Journal of Respiratory and Critical Care Medicine. ,vol. 157, pp. 540- 546 ,(1998) , 10.1164/AJRCCM.157.2.9703060
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
H. Worth, Patient education in asthmatic adults. Lung. ,vol. 168, pp. 463- 468 ,(1990) , 10.1007/BF02718165
Harry Kotses, Cindy Stout, Joan K. Wigal, Bruce Carlson, Thomas L. Creer, Paul Lewis, Individualized Asthma Self-Management: A Beginning Journal of Asthma. ,vol. 28, pp. 287- 289 ,(1991) , 10.3109/02770909109073386