Heringa P, Lawson L, Reda D
Nursing Service for Ambulatory Care, Veterans Administration, Edward Hines Jr. Hospital, IL 60141.
Health Educ Q. 1987 Fall;14(3):309-17. doi: 10.1177/109019818701400305.
The purpose of the study was to evaluate the efficacy of a structured education program on knowledge and psychomotor skills of subjects using inhaled beclomethasone dipropionate. The sample was comprised of 26 male outpatients with a mean age of sixty years (range 49-69 yrs) and mean educational level of 11 years (range 7-18 yrs). Subjects were tested to assess knowledge of drug action, self-administration, and side effects. Skill in self-administration was assessed by two independent raters who were blind to group assignment. Then, patients were randomly assigned to an experimental group (n = 13), who received a structured educational program, or a control group (n = 13), who received no structured educational interventions. Patients were retested four weeks after randomization. Subjects in the experimental and control groups did not differ significantly with respect to their initial mean knowledge and performance scores. The post-test mean knowledge score was significantly higher when compared to initial score for each group. Mean knowledge score at post-test did not differ significantly between groups. However, when comparing post-test performance scores to initial scores the experimental group had a significantly greater increase in mean score than the control group. It is concluded that a structured patient education program is an effective method for improving the psychomotor skills necessary for proper use of beclomethasone dipropionate aerosol.
该研究的目的是评估一项结构化教育计划对使用丙酸倍氯米松的受试者的知识和心理运动技能的效果。样本包括26名男性门诊患者,平均年龄60岁(范围49 - 69岁),平均教育水平11年(范围7 - 18年)。对受试者进行测试以评估其对药物作用、自我给药和副作用的知识。自我给药技能由两名对分组情况不知情的独立评估者进行评估。然后,患者被随机分配到实验组(n = 13),接受结构化教育计划,或对照组(n = 13),不接受结构化教育干预。随机分组四周后对患者进行重新测试。实验组和对照组在初始平均知识和表现得分方面没有显著差异。每组的测试后平均知识得分与初始得分相比显著更高。两组测试后的平均知识得分没有显著差异。然而,将测试后的表现得分与初始得分进行比较时,实验组的平均得分增幅显著大于对照组。得出的结论是,结构化患者教育计划是提高正确使用丙酸倍氯米松气雾剂所需心理运动技能的有效方法。