Department of General Education, National Taichung Institute of Technology, Taichung, Taiwan.
J Clin Nurs. 2010 May;19(9-10):1424-33. doi: 10.1111/j.1365-2702.2009.03021.x.
To evaluate the effectiveness of a nurse-led patient-centred asthma education programme on home environmental control behaviours of parents of children with moderate or severe asthma.
Reducing allergic triggers is important self-management behaviour for preventing asthma attacks and patient-centred asthma education has been shown to effectively manage chronic disease.
A preliminary quasi-experimental, non-equivalent control group design was used.
Dyads (n = 75) of parents and their children with moderate or severe asthma (ages 6-14 years) were purposively recruited from the asthma clinics of two hospitals in central Taiwan. The experimental group of 38 children/parents from one hospital received patient-centred asthma education. The comparison group of 37 children/parents from the other hospital received routine individual education. At pretest and at the end of the three-month patient-centred asthma education programme, we measured parents' control of home environmental triggers, children's asthma signs/symptoms and children's pulmonary function. Data were analysed by the general linear model for repeat measures.
The level of improvement in dust and cleaning methods was significantly greater among parents in the experimental group than among those in the comparison group (p < 0.05). Children with moderate or severe asthma in the experimental group had fewer signs/symptoms of asthma and better lung function than children in the comparison group.
Our patient-centred asthma education programme improved parents' home environmental control and children's asthma sign/symptoms and lung function.
Nurses can play primary roles as patient educators in asthma clinics. Well-trained patient educators can continuously monitor self-management behaviours to improve patients' compliance with home environmental control, thus leading to better physical outcomes in children with asthma than routine individual asthma education alone.
评估以护士为主导的以患者为中心的哮喘教育计划对中重度哮喘儿童父母的家庭环境控制行为的有效性。
减少过敏触发因素是预防哮喘发作的重要自我管理行为，以患者为中心的哮喘教育已被证明能有效管理慢性疾病。
采用初步准实验、非等效对照组设计。
从台湾中部两家医院的哮喘诊所，有目的地招募了 75 对父母和他们患有中重度哮喘（6-14 岁）的孩子。来自一家医院的 38 名儿童/父母作为实验组接受以患者为中心的哮喘教育。来自另一家医院的 37 名儿童/父母作为对照组接受常规的个体教育。在预测试和为期三个月的以患者为中心的哮喘教育计划结束时，我们测量了父母对家庭环境触发因素的控制、儿童的哮喘症状/体征和儿童的肺功能。数据采用重复测量的一般线性模型进行分析。
实验组父母在灰尘和清洁方法方面的改善水平明显高于对照组（p < 0.05）。实验组中患有中重度哮喘的儿童比对照组的儿童哮喘症状/体征更少，肺功能更好。
我们的以患者为中心的哮喘教育计划改善了父母的家庭环境控制以及儿童的哮喘症状/体征和肺功能。
护士可以在哮喘诊所中担任主要的患者教育者。经过良好培训的患者教育者可以持续监测自我管理行为，提高患者对家庭环境控制的依从性，从而使哮喘儿童的身体状况好于单纯的常规个体哮喘教育。
