Nursing Department, Health School, Tokat Gaziosmanpaşa University, Tokat, Turkey.
Nursing Department, Faculty of Health Sciences, Gazi University, Ankara, Turkey.
J Allergy Clin Immunol Pract. 2021 Sep;9(9):3371-3379. doi: 10.1016/j.jaip.2021.03.060. Epub 2021 Apr 27.
Disease management in individuals with asthma is affected by factors such as avoiding triggers that cause attacks and properly using inhaler devices.
To determine the effect of a theory of planned behavior (TPB) education program on asthma control and medication adherence.
A randomized controlled trial enrolled 30 participants in the intervention group and 30 in the control group. The educational approach was employed in participants in the intervention group for five home visits over 3 months according to the TPB program.
Before the education program, all participants in the intervention group and 90% of those in the control group had poorly controlled asthma (P > .05). After the program, all individuals in the intervention group and 20% of the control group had well-controlled asthma (P < .001). There was no statistically significant difference between Morisky Medication Adherence Scale-8 pretest scores in the intervention and control groups in terms of medication adherence (2.37 ± 1.75 and 3.13 ± 1.71, respectively; P > .05). Mean Morisky Medication Adherence Scale-8 scores in the intervention group at posttest (7.50 ± 0.78) were significantly higher than those of the control group (3.93 ± 2.03; P < .001).
This study revealed that asthma control and medication adherence increased in the intervention group after the TPB education program. The program was effective in asthma control and medication adherence for individuals with asthma.
个体的哮喘疾病管理受到避免引起发作的诱因和正确使用吸入器装置等因素的影响。
确定计划行为理论（TPB）教育计划对哮喘控制和药物依从性的影响。
一项随机对照试验招募了 30 名干预组参与者和 30 名对照组参与者。在干预组中，参与者根据 TPB 计划接受了为期 3 个月的 5 次家访的教育方法。
在教育计划之前，干预组的所有参与者和 90%的对照组参与者的哮喘控制不佳（P>0.05）。计划后，干预组的所有参与者和对照组的 20%的参与者的哮喘控制良好（P<0.001）。在药物依从性方面，干预组和对照组的 Morisky 药物依从性量表-8 预测试评分没有统计学上的显著差异（分别为 2.37±1.75 和 3.13±1.71；P>0.05）。干预组 Morisky 药物依从性量表-8 的后测平均分数（7.50±0.78）明显高于对照组（3.93±2.03；P<0.001）。
这项研究表明，在 TPB 教育计划后，干预组的哮喘控制和药物依从性增加。该计划对哮喘患者的哮喘控制和药物依从性有效。
