Worth H, Dhein Y
Medizinische Klinik I, Klinikum Fuerth, Jakob-Henle-Strasse 1, Fuerth 90766, Germany.
Patient Educ Couns. 2004 Mar;52(3):267-70. doi: 10.1016/S0738-3991(03)00101-0.
With respect to the beneficial health effects of patient education in the treatment of asthma it might be expected that the active participation of COPD-patients in the management of their disease may reduce the burden of the disease. Self-management of chronic obstructive pulmonary disease (COPD) includes sufficient coping behaviour, compliance with inhaled medication, attention to changes in the severity of the disease, adequate inhalation technique, and self-adjustment of the medication in case of exacerbations. In contrast to the conflicting results of the current literature, the evaluation of our structured education programme for patients with mild to moderate COPD revealed a significant improvement of inhalation technique and self-control of the disease as well as a significant reduction of exacerbations. Therefore, it may be concluded that education may modify the behaviour of patients in the management of COPD by improving self-control and self-management of the disease and thus reducing morbidity.
关于患者教育在哮喘治疗中对健康的有益影响，可以预期慢性阻塞性肺疾病（COPD）患者积极参与疾病管理可能会减轻疾病负担。慢性阻塞性肺疾病（COPD）的自我管理包括足够的应对行为、吸入药物的依从性、关注疾病严重程度的变化、正确的吸入技术以及在病情加重时自我调整药物。与当前文献中相互矛盾的结果不同，我们对轻度至中度COPD患者的结构化教育计划的评估显示，吸入技术和疾病自我控制有显著改善，病情加重次数也显著减少。因此，可以得出结论，教育可能通过改善疾病的自我控制和自我管理来改变患者在COPD管理中的行为，从而降低发病率。
