Efficient integrated education for older patients with chronic obstructive pulmonary disease using the Lung Information Needs Questionnaire
Efficient integrated education for older patients with chronic obstructive pulmonary disease using the Lung Information Needs Questionnaire
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DOI：
10.1111/j.1447-0594.2011.00696.x
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发表时间：
2011-10-01
影响因子：
3.3
通讯作者：
Kida, Kozui
中科院分区：
文献类型：
--
作者：
Wakabayashi, Ritsuko;Motegi, Takashi;Kida, Kozui
目的：教育是老年慢性阻塞性肺疾病患者长期管理的关键问题。我们测试的假设，集中在病人的信息需求自我管理的综合护理可以提高病人的信息需求和健康outcomes.Methods：慢性阻塞性肺疾病患者（n = 102）被随机分为综合护理（组I）和常规护理（U组）组。第一组接受为期6个月的教育课程（整合教育期），然后根据肺部信息需求问卷评分重复接受个性化教育。结果：85例患者（平均年龄：71.7岁）获得随访，随访时间为12个月。12个月时，I组肺部信息需求问卷总分显著优于U组（P < 0.03）。术后6个月时，I组患者的日常生活活动能力评分明显改善（P < 0.03）。12个月时，I组的呼吸困难评分和BODE指数（体重指数、呼吸困难、气流阻塞和运动能力）明显改善（分别为P < 0.01和P < 0.02）。结论：对老年慢性阻塞性肺疾病患者进行综合教育，可有效改善患者的信息需求、日常生活能力、呼吸困难评分、BODE指数，减少住院次数。Geriatr Gerontol Int 2011; 11：422-430.
Aim: Education is a key issue for the long-term management of chronic obstructive pulmonary disease in older patients. We tested the hypothesis that integrated care focusing on patient information needs for self-management can improve patient information needs and health outcomes.Methods: Patients with chronic obstructive pulmonary disease (n = 102) were randomized into integrated care (group I) and usual care (group U) groups. Group I underwent a program of educational sessions for 6 months (integrated education period), and then repeatedly received an individually tailored education according to the Lung Information Needs Questionnaire score. Both groups were followed up monthly for 6 months.Results: A total of 85 patients (mean age: 71.7 years) were followed up for 12 months. The total Lung Information Needs Questionnaire score was significantly better in group I than in group U at 12 months (P < 0.03). Activities of daily living scores were significantly improved in group I at 6 months (P < 0.03). The dyspnea score and the BODE index (body mass index, dyspnea, airflow obstruction and exercise capacity) were significantly improved in group I at 12 months (P < 0.01 and P < 0.02, respectively). During the integrated education period, the frequency of hospitalization was significantly lower in group I than in group U (P = 0.033).Conclusion: Integrated education for older patients with chronic obstructive pulmonary disease effectively improved patients' information needs, activities of daily living, dyspnea score, BODE index and reduced hospitalizations during the observed period. Geriatr Gerontol Int 2011; 11: 422-430.