A RANDOMIZED TRIAL TO IMPROVE SELF-MANAGEMENT PRACTICES OF ADULTS WITH ASTHMA
A RANDOMIZED TRIAL TO IMPROVE SELF-MANAGEMENT PRACTICES OF ADULTS WITH ASTHMA
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DOI：
10.1001/archinte.150.8.1664
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发表时间：
1990-08-01
影响因子：
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通讯作者：
MANZELLA, BA
中科院分区：
文献类型：
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作者：
BAILEY, WC;RICHARDS, JM;MANZELLA, BA
成人哮喘的患病率和影响是巨大的，不良的自我管理做法，特别是未能坚持治疗方案，似乎是一个重大问题。通过需求评估和对现有患者教育资源的审查，确定了改善自我管理的干预计划的理想特征。制定了一项综合计划，将工作簿与一对一咨询和提高依从性的策略相结合。一项为期一年的纵向研究将接受这种自我管理计划的患者与接受标准哮喘小册子的“常规护理”患者进行了比较。患者被随机分配到不同的条件。基线评分和哮喘严重程度在统计学上得到控制。在随访中，自我管理的患者比常规护理的患者有更好的依从性，以及改善的功能状态。两组的医院和急诊科就诊次数都有所减少，但两组之间没有差异。
The prevalence and impact of adult asthma are substantial, and poor self-management practices, especially failures to adhere to treatment regimens, appear to be a significant problem. Desirable characteristics of an intervention program to improve self-management were identified through needs assessment and review of existing patient education resources. A comprehensive program was developed that integrated a workbook with one-to-one counseling and adherence-enhancing strategies. A longitudinal 1-year study compared patients receiving this self-management program with "usual care" patients receiving standard asthma pamphlets. Patients were randomly assigned to conditions. Baseline score and asthma severity were statistically controlled. Self-management patients had substantially better adherence than usual care patients, as well as improved functional status, at follow-up. Hospital and emergency department visits decreased in both groups but did not differ between groups.