Lemaigre V, Van den Bergh O, Victoir A, De Peuter S, Verleden G M
Dienst Longziekten, Universitaire Ziekenhuizen Leuven, Campus Gasthuisberg, Leuven, Belgium.
Acta Clin Belg. 2010 Jan-Feb;65(1):29-36. doi: 10.1179/acb.2010.004.
Asthma self-management programs are effective but often time-consuming.We evaluated the effects of a shortened asthma self-management program on asthma knowledge, morbidity and asthma-related behaviour in a group of moderate to severe adult asthmatics.
The effects of the program were evaluated with a one year prospective trial in a group of 55 asthmatics (mean age 45 yrs, 42% males, N=26 in intervention group, N=29 in control group) by administering questionnaires and diary exercises at baseline, immediately, 3 and 12 months after the end of the program.
Asthma-related knowledge and hyperventilation symptoms improved more in the intervention than in the control group and this effect was maintained until 3 months after participation. General asthma symptoms improved significantly, but substantial symptom improvements were also found in the control group. The original effects in the intervention group persisted partly but not significantly 1 year after participation. No significant effects were found on pulmonary function.
Based on our preliminary results, we conclude that our shortened asthma self-management program had an impact on knowledge and asthma symptoms, especially hyperventilation symptoms, until 3 months after the end of the program. Continuous reinforcement and specifying the program content are essential aspects to obtain more robust and long-lasting effects when administering shortened asthma self-management programs.
哮喘自我管理项目有效，但往往耗时。我们评估了缩短版哮喘自我管理项目对一组中度至重度成年哮喘患者的哮喘知识、发病率及哮喘相关行为的影响。
通过在基线、项目结束即刻、3个月及12个月时发放问卷和进行日记练习，对55名哮喘患者（平均年龄45岁，42%为男性，干预组26人，对照组29人）进行为期一年的前瞻性试验，以评估该项目的效果。
与对照组相比，干预组的哮喘相关知识及通气过度症状改善更明显，且这种效果持续至参与项目后3个月。一般哮喘症状有显著改善，但对照组也有明显的症状改善。干预组的初始效果在参与项目1年后部分持续，但无显著意义。对肺功能未发现显著影响。
基于我们的初步结果，我们得出结论，我们的缩短版哮喘自我管理项目对知识及哮喘症状，尤其是通气过度症状，在项目结束后3个月内有影响。在实施缩短版哮喘自我管理项目时，持续强化及明确项目内容是获得更显著和持久效果的关键方面。
