影响基层医疗环境中慢性气道疾病教育项目满意度的因素。
Factors affecting satisfaction with education program for chronic airway disease in primary care settings.
作者信息
Kim Andrew, Hwang Yong Il, Kim Joo Hee, Jang Seung Hun, Park Sunghoon, Park Ji Young, Jung Ki-Suck, Yoo Kwang Ha, Park Yong Bum, Yoon Hyoung Kyu, Rhee Chin Kook, Kim Deog Kyeom, Yum Ho-Kee
机构信息
University of Pennsylvania, Philadelphia, PA, USA.
Department of Pulmonary, Allergy and Critical Care Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
出版信息
J Thorac Dis. 2017 Jul;9(7):1911-1918. doi: 10.21037/jtd.2017.06.01.
BACKGROUND
A well-organized education program improved the patients' knowledge about their disease, inhaler technique and quality of life in asthma and chronic obstructive pulmonary disease (COPD) patients. The effectiveness of the education program can be evaluated by assessing patients' satisfaction with the education program as well. In this study, we compared the patients' satisfaction with education program between COPD and asthma patients.
METHODS
A total of 284 asthma and COPD patients were enrolled. Three educational visits were conducted at 2-week intervals. On the first visit, we taught the patients about their diseases and the proper inhaler technique. On the second visit, non-pharmacologic treatments and action plans for acute exacerbation were introduced. On the final appointment, we summarized the educational concepts covered in the two prior visits. After the education program, the patients were assessed for their quality of life, knowledge of chronic airways disease, and satisfaction with the education program, using a structured questionnaire.
RESULTS
After the education program, 99.3% of the asthma patients knew much more about their disease and 96.8% agreed that education from the hospital is needed. For COPD patients, 94.8% felt more informed about their disease and 95.7% agreed that education from the hospital is needed. However, 17.1% of asthma patients and 13.5% of COPD patients disagreed to paying an additional fee for the education program. Finally, the knowledge improvement was linked to patient satisfaction with the education program.
CONCLUSIONS
The improvement in self-knowledge about their disease was linked to their satisfaction with the education program. However, costs associated with the program could limit its accessibility to the patients. The patient education program is a self-management intervention to improve the lives of patients with asthma and COPD. Thus, a policy to reduce the economic burden of the patients should be considered to disseminate the education program in primary care clinics.
背景
一个组织良好的教育项目提高了哮喘和慢性阻塞性肺疾病（COPD）患者对自身疾病、吸入器使用技术及生活质量的认知。教育项目的有效性也可通过评估患者对该项目的满意度来衡量。在本研究中，我们比较了COPD患者和哮喘患者对教育项目的满意度。
方法
共纳入284例哮喘和COPD患者。每隔2周进行3次教育访视。在第一次访视时，我们向患者讲解他们的疾病及正确的吸入器使用技术。在第二次访视时，介绍非药物治疗及急性加重的行动计划。在最后一次预约时，我们总结前两次访视中涵盖的教育内容。教育项目结束后，使用结构化问卷评估患者的生活质量、对慢性气道疾病的认知以及对教育项目的满意度。
结果
教育项目结束后，99.3%的哮喘患者对自身疾病有了更多了解，96.8%的患者认为需要医院提供的教育。对于COPD患者，94.8%的患者对自身疾病有了更多了解，95.7%的患者认为需要医院提供的教育。然而，17.1%的哮喘患者和13.5%的COPD患者不同意为教育项目额外付费。最后，知识的提高与患者对教育项目的满意度相关。
结论
患者对自身疾病认知的提高与他们对教育项目的满意度相关。然而，该项目的成本可能会限制患者的参与度。患者教育项目是一种自我管理干预措施，旨在改善哮喘和COPD患者的生活。因此，应考虑制定一项减轻患者经济负担的政策，以便在基层医疗诊所推广该教育项目。
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