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两种教育模式(面对面教育和发放疾病防治宣传手册)对哮喘患者疾病控制的影响。

Effect of Two Educational Models including Face-to-Face and Training Pamphlets for Disease Control in Asthmatic Patients.

作者信息

Shariati Vahideh, Basiri Reza, Iravani Farzaneh, Esmaily Habibollah, Farid Hosseiny Reza, Jabbari Azad Farahzad

机构信息

Specialist of Internal Medicine, Internal Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.

Lung Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Tanaffos. 2020 Jan;19(1):38-44.

PMID:33101430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7569492/
Abstract

BACKGROUND

Asthma is a common condition in which the patient requires self-management and teaching programs that lead to reduced prevalence and mortality. The main aim of this study was to improve the management knowledge of the disease through the use of educational tools, pamphlets and face-to-face lecture, concurrent with evaluating and comparing its effectiveness in response to treatment.

MATERIALS AND METHODS

In this study, 82 asthmatic patients were enrolled. Training necessary to control the disease and use of drugs were provided to patients in one group by pamphlets (39 patients) and the other by face-to-face education (43 patients). After a month, Disease control examination and Asthma Control Test (ACT) scores were evaluated and compared.

RESULTS

The mean age of participants was 39.12±14.25 years. There was no significant difference between the two groups in age, gender and education (P> 0.05) and no significant difference in asthma control between the two groups before the intervention (P = 0.065). The overall asthma control score in the pamphlet was increased from 15.43±4.99 at baseline to 20.58±4.47 in the assessment after one month education (P <0.001) and in face-to-face training an overall score was increased from 13.27±5.39 to 21.95±2.77 (P <0.001). After one month education, asthma control score was increased 5.23 ± 6.88 in pamphlets group and 8.9 ± 6.32 in face-to-face group (P = 0.014).

CONCLUSION

Evaluation of both educational methods showed face-to-face training is more efficient.

摘要

背景

哮喘是一种常见病症,患者需要进行自我管理并接受相关教学项目,以降低发病率和死亡率。本研究的主要目的是通过使用教育工具、宣传册和面对面讲座来提高对该疾病的管理知识,同时评估和比较其在治疗反应方面的有效性。

材料与方法

本研究纳入了82名哮喘患者。一组(39名患者)通过宣传册向患者提供控制疾病和使用药物所需的培训,另一组(43名患者)则通过面对面教育提供培训。一个月后,对疾病控制检查和哮喘控制测试(ACT)得分进行评估和比较。

结果

参与者的平均年龄为39.12±14.25岁。两组在年龄、性别和教育程度方面无显著差异(P>0.05),干预前两组在哮喘控制方面也无显著差异(P = 0.065)。宣传册组的总体哮喘控制评分从基线时的15.43±4.99提高到一个月教育后的评估中的20.58±4.47(P <0.001),面对面培训组的总体评分从13.27±5.39提高到21.95±2.77(P <0.001)。一个月教育后,宣传册组的哮喘控制评分提高了5.23±6.88,面对面组提高了8.9±6.32(P = 0.014)。

结论

对两种教育方法的评估表明,面对面培训更有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af26/7569492/8a3446679ea1/Tanaffos-19-38-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af26/7569492/8a3446679ea1/Tanaffos-19-38-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af26/7569492/8a3446679ea1/Tanaffos-19-38-g001.jpg

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本文引用的文献

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Effect of patient education and standard treatment guidelines on asthma control: an intervention trial.患者教育与标准治疗指南对哮喘控制的影响:一项干预试验。
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Asthma prevalence and severity in low-resource communities.资源匮乏社区的哮喘患病率及严重程度
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Trace Elements Status in Sera of Patients with Allergic Asthma.过敏性哮喘患者血清中的微量元素状况
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Downregulation of immune responses in asthmatic humans by ES products of Marshallagia marshalli.马氏马歇尔线虫的排泄-分泌产物对哮喘患者免疫反应的下调作用
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Action plans in patients presenting to emergency departments with asthma exacerbations: Frequency of use and description of contents.因哮喘急性加重就诊于急诊科的患者的行动计划:使用频率及内容描述
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Effectiveness of educational interventions on asthma self-management in Punjabi and Chinese asthma patients: a randomized controlled trial.教育干预对旁遮普语和华语哮喘患者哮喘自我管理的有效性:一项随机对照试验。
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BMC Public Health. 2012 Mar 19;12:204. doi: 10.1186/1471-2458-12-204.
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Asthma management failure: a flaw in physicians' behavior or in patients' knowledge?哮喘管理失败:是医生行为的缺陷还是患者知识的不足?
J Asthma. 2011 Apr;48(3):266-74. doi: 10.3109/02770903.2011.555040. Epub 2011 Mar 7.
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A randomized controlled trial of self-management education for asthma patients in the emergency department.一项在急诊科对哮喘患者进行自我管理教育的随机对照试验。
Ann Emerg Med. 2011 Jun;57(6):603-12. doi: 10.1016/j.annemergmed.2010.11.033. Epub 2011 Jan 12.
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