Donald Karen J, McBurney Helen, Teichtahl Harry, Irving Louis
School of Physiotherapy, La Trobe University, Victoria.
Aust Fam Physician. 2008 Mar;37(3):170-3.
Self management programs have been advocated for adults who have recently been admitted to hospital or have recently attended an emergency department because of asthma. A new telephone based approach has already been trialled for the management of a number of other chronic conditions. This study sought to determine the effect of a telephone based asthma management program for adults with asthma.
Adults with one or more previous admissions for asthma to either or both of two tertiary hospitals between 1 May 2001 and 30 November 2003 were invited to participate. All participants received one face-to-face session with an asthma educator. Participants were randomised to intervention (six telephone calls over 6 months) or control (usual care) groups. Measures of health care utilisation and morbidity were collected weekly for 12 months.
Seventy-one adults (54 females) with a mean age of 36.2 years were recruited to the study. Twenty hospital re-admissions were recorded for the control group and one for the intervention group at 12 months. Re-admission was significantly associated with allocation to control group (p=0.05). The control group was significantly more likely to report being woken by asthma on more than half the nights of the week (p=0.03).
Telephone based self management intervention results in clinically important reductions in hospital re-admission in adults previously hospitalised with asthma.
自我管理项目已被推荐给近期因哮喘入院或近期到急诊科就诊的成年人。一种基于电话的新方法已在其他一些慢性病管理中进行了试验。本研究旨在确定基于电话的哮喘管理项目对成年哮喘患者的效果。
邀请2001年5月1日至2003年11月30日期间因哮喘在两家三级医院中的一家或两家有过一次或多次入院记录的成年人参与。所有参与者都与一位哮喘教育者进行了一次面对面的交流。参与者被随机分为干预组（在6个月内进行6次电话随访）或对照组（常规护理）。在12个月内每周收集医疗保健利用和发病率的测量数据。
71名成年人（54名女性），平均年龄36.2岁，被纳入研究。对照组在12个月时有20次再次入院记录，干预组有1次。再次入院与被分配到对照组显著相关（p = 0.05）。对照组更有可能报告在一周中超过一半的夜晚因哮喘醒来（p = 0.03）。
基于电话的自我管理干预可使既往因哮喘住院的成年人再次入院率在临床上有显著降低。
