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一项包括吸入器培训和疾病管理的慢性阻塞性肺疾病综合教育计划的短期评估

Short-term Evaluation of a Comprehensive Education Program Including Inhaler Training and Disease Management on Chronic Obstructive Pulmonary Disease.

作者信息

Yoo Kwang Ha, Chung Wou Young, Park Joo Hun, Hwang Sung Chul, Kim Tae Eun, Oh Min Jung, Kang Dae Ryong, Rhee Chin Kook, Yoon Hyoung Kyu, Kim Tae Hyung, Kim Deog Kyeom, Park Yong Bum, Kim Sang Ha, Yum Ho Kee

机构信息

Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.

Department of Pulmonary and Critical Care Medicine, Ajou University School of Medicine, Suwon, Korea.

出版信息

Tuberc Respir Dis (Seoul). 2017 Oct;80(4):377-384. doi: 10.4046/trd.2017.0041. Epub 2017 Sep 1.

DOI:10.4046/trd.2017.0041
PMID:28905533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5617854/
Abstract

BACKGROUND

Proper education regarding inhaler usage and optimal management of chronic obstructive pulmonary disease (COPD) is essential for effectively treating patients with COPD. This study was conducted to evaluate the effects of a comprehensive education program including inhaler training and COPD management.

METHODS

We enlisted 127 patients with COPD on an outpatient basis at 43 private clinics in Korea. The patients were educated on inhaler usage and disease management for three visits across 2 weeks. Physicians and patients were administered a COPD assessment test (CAT) and questionnaires about the correct usage of inhalers and management of COPD before commencement of this program and after their third visit.

RESULTS

The outcomes of 127 COPD patients were analyzed. CAT scores (19.6±12.5 vs. 15.1±12.3) improved significantly after this program (p<0.05). Patients with improved CAT scores of 4 points or more had a better understanding of COPD management and the correct technique for using inhalers than those who did not have improved CAT scores (p<0.05).

CONCLUSION

A comprehensive education program including inhaler training and COPD management at a primary care setting improved CAT scores and led to patients' better understanding of COPD management.

摘要

背景

关于吸入器使用方法及慢性阻塞性肺疾病（COPD）最佳管理的适当教育对于有效治疗COPD患者至关重要。本研究旨在评估一项包括吸入器培训和COPD管理的综合教育计划的效果。

方法

我们在韩国43家私人诊所门诊招募了127例COPD患者。患者在2周内分三次就诊接受吸入器使用方法和疾病管理教育。在该计划开始前及第三次就诊后，对医生和患者进行慢性阻塞性肺疾病评估测试（CAT）以及关于吸入器正确使用方法和COPD管理的问卷调查。

结果

对127例COPD患者的结果进行了分析。该计划实施后，CAT评分显著改善（19.6±12.5对15.1±12.3）（p<0.05）。CAT评分提高4分或更多的患者比CAT评分未改善的患者对COPD管理和吸入器正确使用技术有更好的理解（p<0.05）。

结论

在基层医疗环境中开展的包括吸入器培训和COPD管理的综合教育计划提高了CAT评分，并使患者对COPD管理有了更好的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aed/5617854/9f41cd6c5090/trd-80-377-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aed/5617854/dcdaaf73ce85/trd-80-377-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aed/5617854/b8a788ca6d80/trd-80-377-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aed/5617854/9f41cd6c5090/trd-80-377-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aed/5617854/dcdaaf73ce85/trd-80-377-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aed/5617854/b8a788ca6d80/trd-80-377-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aed/5617854/9f41cd6c5090/trd-80-377-g003.jpg

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