Suppr超能文献

胃食管反流病患者接受教育项目后的疾病知识——一项随机对照试验

Disease knowledge after an educational program in patients with GERD--a randomized controlled trial.

作者信息

Urnes Jorgen, Petersen Hermod, Farup Per G

机构信息

Department of Community Medicine and General Practice, Norwegian University of Science and Technology, and Department of Occupational Health, Trondheim University Hospital, Trondheim, Norway.

出版信息

BMC Health Serv Res. 2008 Nov 13;8:236. doi: 10.1186/1472-6963-8-236.

Abstract

BACKGROUND

Patient education has proved beneficial in several but not all chronic disease. Inconsistent findings may rely on varying educational effects of various programs and differential effects on subgroups of patients. Patients' increase in disease knowledge may serve as a feedback to the educator on how well the education program works - but may not be associated to relevant clinical outcomes like quality of life (QoL). This study aimed to investigate the effects of a group based education program for patients with gastroesophageal reflux disease (GERD) on disease knowledge and the association between knowledge and QoL.

METHODS

Patients with GERD were randomly allocated to education (102 patients) or control (109 patients). The education program was designed as a structured dialogue conveying information about pathophysiology, pharmacological and non-pharmacological treatment of GERD, patients' rights and use of healthcare. Outcomes were a 24 item knowledge test on GERD (score 0-24) 2 and 12 months after the educational program and disease specific and general QoL (Digestive symptoms and disease impact, DSIQ, and General Health Questionnaire, GHQ).

RESULTS

Patients allocated to education achieved higher knowledge test scores than controls at 2 months (17.0 vs. 13.1, p<0.001) and at 12 months (17.1 vs. 14.0, p<0.001) follow-up. Knowledge test score was positively associated with having completed advanced school and inversely related to psychiatric illness and poor QoL as perceived by the patients at the time of inclusion. Overall, changes in knowledge test score were not associated with change in QoL.

CONCLUSION

A group based education program for patients with GERD designed as a structured dialogue increased patients' disease knowledge, which was retained after 1 year. Changes in GERD-knowledge were not associated with change in QoL.

TRIAL REGISTRATION

ClinicalTrials.gov: NCT0061850.

摘要

背景

患者教育已被证明对多种慢性病有益,但并非对所有慢性病都有效。研究结果不一致可能取决于各种项目不同的教育效果以及对患者亚组的不同影响。患者疾病知识的增加可能作为一种反馈,让教育者了解教育项目的效果如何——但可能与生活质量(QoL)等相关临床结局并无关联。本研究旨在调查针对胃食管反流病(GERD)患者的小组教育项目对疾病知识的影响以及知识与生活质量之间的关联。

方法

GERD患者被随机分为教育组(102例患者)和对照组(109例患者)。教育项目设计为结构化对话,传达有关GERD的病理生理学、药物和非药物治疗、患者权利以及医疗保健使用的信息。结局指标为教育项目结束后2个月和12个月时关于GERD的24项知识测试(得分0 - 24)以及疾病特异性和一般性生活质量(消化症状和疾病影响,DSIQ,以及一般健康问卷,GHQ)。

结果

在2个月随访时(17.0对13.1,p<0.001)和12个月随访时(17.1对14.0,p<0.001),分配到教育组的患者知识测试得分高于对照组。知识测试得分与完成高等教育呈正相关,与纳入时患者所感知的精神疾病和较差生活质量呈负相关。总体而言,知识测试得分的变化与生活质量的变化无关。

结论

针对GERD患者设计的作为结构化对话的小组教育项目增加了患者的疾病知识,且1年后仍得以保持。GERD知识的变化与生活质量的变化无关。

试验注册

ClinicalTrials.gov:NCT0061850 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/423a/2596788/eaf0ba650ffc/1472-6963-8-236-1.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验