Magar Yves, Vervloet Daniel, Steenhouwer François, Smaga Sylvie, Mechin Hubert, Rocca Serra Jean-Paul, Marchand Claire, d'Ivernois Jean-François
Service de Pneumo-allergologie, Hôpital Saint-Joseph, 185 rue Raymond Losserand, 75014 Paris, France.
Patient Educ Couns. 2005 Jul;58(1):41-6. doi: 10.1016/j.pec.2004.05.016.
The aim of this study was to evaluate the impact of a new patient education programme on adults with asthma. This self-management programme included an individual assessment of patient's needs and two educational group sessions. Teaching methods and session content are described as well as caregivers training programme. The training sessions included a written asthma action plan based on symptoms and personal peak expiratory flow. Patients (n = 238) aged from 18 to 60 years were allocated to the intervention (group A) or control group (group B). Patients filled during 1 year a daily diary and questionnaire and they were administered telephone interviews. 127 patients were included in the treatment program and 111 in the control group. There was a significant improvement in the educated group with regard to symptoms free days (P = 0.03), number of awakenings (P = 0.04), consumption of corticosteroids (P = 0.03), consumption of beta2-agonists (P = 0.03), and quality of life score (P = 0.01). In conclusion, this study validates a specific educational approach named "un souffle nouveau".
本研究的目的是评估一项新的患者教育计划对成年哮喘患者的影响。这项自我管理计划包括对患者需求的个体评估以及两次教育小组会议。描述了教学方法和会议内容以及护理人员培训计划。培训课程包括基于症状和个人呼气峰值流速的书面哮喘行动计划。年龄在18至60岁之间的患者（n = 238）被分配到干预组（A组）或对照组（B组）。患者在1年的时间里填写每日日记和问卷，并接受电话访谈。治疗组纳入127例患者，对照组纳入111例患者。在无症状天数（P = 0.03）、觉醒次数（P = 0.04）、皮质类固醇使用量（P = 0.03）、β2激动剂使用量（P = 0.03）和生活质量评分（P = 0.01）方面，教育组有显著改善。总之，本研究验证了一种名为“新气息”的特定教育方法。
