Lee Jung Yeon, Yoo Kwang Ha, Kim Deog Kyeom, Kim Sang-Ha, Kim Tae-Eun, Kim Tae-Hyung, Rhee Chin Kook, Park Yong Bum, Yoon Hyoung Kyu, Yum Ho-Kee
Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Konkuk University Medical Center, Chungju Hospital, Chungju, Korea .
Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea .
J Korean Med Sci. 2016 Jul;31(7):1069-74. doi: 10.3346/jkms.2016.31.7.1069. Epub 2016 May 19.
Education has been known to essential for management of chronic airway diseases. However the real benefits remain unclear. We evaluated the effectiveness of an organized educational intervention for chronic airway diseases directed at primary care physicians and patients. The intervention was a 1-month education program of three visits, during which subjects were taught about their disease, an action plan in acute exacerbation and inhaler technique. Asthma control tests (ACT) for asthma and, chronic obstructive pulmonary disease (COPD) assessment tests (CAT) for COPD subjects were compared before and after education as an index of quality of life. Educational effectiveness was also measured associated with improvement of their knowledge for chronic airway disease itself, proper use of inhaler technique, and satisfaction of the subjects and clinicians before and after education. Among the 285 participants, 60.7% (n = 173) were men and the mean age was 62.2 ± 14.7. ACT for asthma and CAT in COPD patients were significantly improved by 49.7% (n = 79) and 51.2% (n = 65) more than MCID respectively after education (P < 0.05). In all individual items, knowledge about their disease, inhaler use and satisfaction of the patients and clinicians were also improved after education (P < 0.05). This study demonstrates the well-organized education program for primary care physicians and patients is a crucial process for management of chronic airway diseases.
众所周知，教育对于慢性气道疾病的管理至关重要。然而，其实际益处仍不明确。我们评估了针对基层医疗医生和患者的慢性气道疾病有组织教育干预的效果。该干预是一个为期1个月、分三次就诊的教育项目，在此期间向受试者传授有关其疾病、急性加重期的行动计划以及吸入器技术。将教育前后哮喘患者的哮喘控制测试（ACT）以及慢性阻塞性肺疾病（COPD）患者的慢性阻塞性肺疾病评估测试（CAT）作为生活质量指标进行比较。还测量了教育效果与他们对慢性气道疾病本身知识的改善、吸入器技术的正确使用以及教育前后受试者和临床医生满意度之间的关联。在285名参与者中，60.7%（n = 173）为男性，平均年龄为62.2±14.7岁。教育后，哮喘患者的ACT和COPD患者的CAT分别比最小临床重要差异（MCID）显著提高了49.7%（n = 79）和51.2%（n = 65）（P < 0.05）。在所有单项中，患者和临床医生对疾病的了解、吸入器使用情况以及满意度在教育后也有所改善（P < 0.05）。本研究表明，针对基层医疗医生和患者的精心组织的教育项目是慢性气道疾病管理的关键过程。
