A Randomized Controlled Trial of Self-Management Education for Asthma Patients in the Emergency Department
A Randomized Controlled Trial of Self-Management Education for Asthma Patients in the Emergency Department
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DOI：
10.1016/j.annemergmed.2010.11.033
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发表时间：
2011-06-01
影响因子：
6.2
通讯作者：
Allegrante, John P.
中科院分区：
文献类型：
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作者：
Mancuso, Carol A.;Peterson, Margaret G. E.;Allegrante, John P.
研究目的：因哮喘而到急诊科（艾德）就诊的患者可从自我管理教育中获益。我们的目标是在296名哮喘艾德患者中测试教育干预。方法：这是一项随机对照试验，采用隐蔽分配。对照组接受哮喘知识测试、峰值流量计培训和哮喘手册的指导。干预患者接受这些加上自我管理手册，行为合同，吸入器培训和电话增援。主要结果是8周时哮喘生活质量问卷（AQLQ）评分的变化（1.5分的变化是显著的临床重要差异）。次要结果是重复艾德访问和AQLQ评分的变化在4，12，16周和1 year.Results：患者的平均年龄为44岁，93%的8周的后续行动。两组入组AQLQ评分相当，8周时增加超过显著的临床重要差异。对于对照组，评分变化为1.95（95%置信区间[CI] 1.74至2.16; P
Study objective: Patients using the emergency department (ED) for asthma may benefit from self-management education. Our goal is to test an educational intervention in 296 asthma ED patients.Methods: This was a randomized controlled trial with concealed allocation. Controls received instruction from an asthma knowledge test, peak flowmeter training, and asthma brochures. Intervention patients received these plus a self-management workbook, a behavioral contract, inhaler training, and telephone reinforcements. The main outcome was change in Asthma Quality of Life Questionnaire (AQLQ) score at 8 weeks (a change of 1.5 is a marked clinically important difference). Secondary outcomes were repeated ED visits and change in AQLQ scores at 4, 12, and 16 weeks and 1 year.Results: Mean age of patients was 44 years, and 93% had the 8-week follow-up. Enrollment AQLQ scores were comparable and increased at 8 weeks by more than a marked clinically important difference in both groups. For controls, the change in score was 1.95 (95% confidence interval [CI] 1.74 to 2.16; P