Benefits of an asthma education program provided at primary care sites on asthma outcomes
Benefits of an asthma education program provided at primary care sites on asthma outcomes
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DOI：
10.1016/j.rmed.2015.05.004
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发表时间：
2015-08-01
影响因子：
4.3
通讯作者：
Cote, Patricia
中科院分区：
文献类型：
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作者：
Boulet, Louis-Philippe;Boulay, Marie-Eve;Cote, Patricia
背景资料：虽然这是一个关键的建议，所有最近的哮喘指南，自我管理的教育仍然不足，提供在初级保健settings.Aims的研究：为了证明的好处，在初级保健（家庭医学诊所-FMC）的网站提供的教育计划，由训练有素的哮喘教育工作者对患者的治疗效果和healthcare use.Methods：这是一个为期一年的前后干预研究。从6个FMC中招募诊断为轻度至中度哮喘的患者。在与教育者初次接触后，进行了教育需求评估和肺量测定，随后在4-6周、4-6个月和1年进行了3次随访。呼气流量，哮喘控制标准，哮喘知识，坚持服药和医疗保健和药物使用进行了评估，在每次visit.Results：数据从124例哮喘患者（41 M/83 F），年龄55 - 18岁，进行了分析。在开始干预后，哮喘知识逐渐增加，药物依从性也有所改善。因呼吸系统疾病而进行的计划外访视次数从137次增加到33次（P < 0.0001），抗生素治疗次数从112次增加到33次（P = 0.0002），口服皮质类固醇治疗次数从26次增加到8次（NS）。吸入器技术和书面行动计划的提供方面观察到显着的改善。结论：这项研究表明，在初级保健的网站应用的教育干预，可以导致显着改善患者哮喘的结果，减少计划外的访问和不适当的使用药物，如抗生素。(C)2015爱思唯尔有限公司版权所有。
Background: Although it is a key-recommendation of all recent asthma guidelines, self management education is still insufficiently offered in primary care settings.Aims of the study: To demonstrate the benefits of an educational program offered at the site of primary care (Family Medicine Clinics-FMC) by trained asthma educators on patient outcomes and healthcare use.Methods: This was a one-year pre-post intervention study. Patients with a diagnosis of mild to moderate asthma were enrolled from six FMC. After an initial encounter by the educator, an assessment of educational needs and a spirometry were done, followed by 3 follow-up visits at 4-6 weeks, 4-6 months and one year. Expiratory flows, asthma control criteria, knowledge about asthma, adherence to medication and healthcare and medication use were assessed at each visit.Results: Data from 124 asthma patients (41M/83F), aged 55 18 years, were analyzed. After initiating the intervention, there was a progressive increase in asthma knowledge and an improvement in medication adherence. The number of unscheduled visits for respiratory problems went from 137 to 33 (P < 0.0001), the number of antibiotic treatments from 112 to 33 (P = 0.0002) and the number of oral corticosteroids treatments from 26 to 8 (NS). Marked improvements were observed in regard to inhaler technique and provision of a written action plan.Conclusion: This study shows that an educational intervention applied at the site of primary care can result in significant improvements in patient asthma outcomes and reduce unscheduled visits and inappropriate use of medications such as antibiotics. (C) 2015 Elsevier Ltd. All rights reserved.