Effectiveness of an education programme by a general practice assistant for asthma and COPD patients: results from a randomised controlled trial
Effectiveness of an education programme by a general practice assistant for asthma and COPD patients: results from a randomised controlled trial
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DOI：
10.1016/j.pec.2003.08.007
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发表时间：
2004-10-01
影响因子：
3.5
通讯作者：
van Eijk, JTM
中科院分区：
文献类型：
--
作者：
Hesselink, AE;Penninx, BWJH;van Eijk, JTM
在这项研究中，进行了一项随机对照试验，以调查哮喘或慢性阻塞性肺疾病（COPD）患者的教育计划的有效性。所有使用药物并出现肺部症状的哮喘和COPD患者被随机分配到干预组（n = 139）或常规护理组（n = 137）。干预包括由全科助理进行泰勒式教育，重点是患者的技术技能和应对疾病。测量发生在基线，并在1年和2年的后续行动。1年和2年后，干预组的吸入技术明显优于常规护理组。在疾病症状、健康相关生活质量、依从性、戒烟、自我效能和应对方面没有观察到显著差异。结果仅支持实施有关技术技能（吸入技术）的干预措施。然而，鉴于改善患者应对方式的重要性和更有效护理的必要性，我们建议进一步探索更有条理和更密集的教育方案的可能性。(C)2003爱思唯尔爱尔兰有限公司保留所有权利。
In this study a randomised controlled trial was carried out to investigate the effectiveness of an education programme for patients with asthma or chronic obstructive pulmonary disease (COPD). All asthma and COPD patients using medication and experiencing pulmonary symptoms were randomly assigned to the intervention (n = 139) or usual-care group (n = 137). The intervention consisted of taylor-made education conducted by a general practice assistant and focussing on a patients' technical skills and coping with the disease. Measurements took place at baseline, and after 1 and 2 years of follow-up. After 1 and 2 years the inhalation technique was significantly better in the intervention group compared to the usual-care group. No significant differences were observed regarding disease symptoms, health related quality of life, compliance, smoking cessation, self-efficacy, and coping. The results only support the implementation of the intervention regarding the technical skills (inhalation technique). However, given the importance of improvement of patients' coping and the need for more efficient care, we recommend further exploration of the possibilities of a more structured and intensive education programme. (C) 2003 Elsevier Ireland Ltd. All rights reserved.