Hilton S, Sibbald B, Anderson H R, Freeling P
Lancet. 1986 Jan 4;1(8471):26-9. doi: 10.1016/s0140-6736(86)91904-5.
Two different patient education programmes for asthma in general practice were evaluated in a controlled trial. Knowledge, self management, and morbidity due to asthma were assessed in 339 patients by means of a questionnaire. One group then received a maximum education programme, a second group received a limited education programme, and a third acted as a control group. 274 patients were reassessed after one 1 year. In both the intervention groups, understanding of asthma was greater after the trial. Only in the maximum intervention group was a significant improvement in knowledge of asthma shown. Neither group showed any change in self-management ability or asthma morbidity that differed significantly from changes in the control group. These simple informational education programmes were ineffective when applied to a general practice population. Further studies of factors affecting attitudes, beliefs, and actions are needed to improve the advice and support given to asthma patients.
在一项对照试验中，对两种不同的全科哮喘患者教育方案进行了评估。通过问卷调查对339名患者的哮喘相关知识、自我管理能力和发病率进行了评估。然后，一组接受全面教育方案，第二组接受有限教育方案，第三组作为对照组。一年后对274名患者进行了重新评估。在两个干预组中，试验后对哮喘的理解都有所提高。只有在全面干预组中，哮喘知识有显著改善。两组在自我管理能力或哮喘发病率方面均未显示出与对照组有显著差异的变化。这些简单的信息教育方案应用于全科人群时效果不佳。需要进一步研究影响态度、信念和行为的因素，以改善对哮喘患者的建议和支持。
