Department of Public Health Nursing, Faculty of Health Science, Bilecik Seyh Edebali University, Bilecik, Turkey.
Department of Public Health Nursing, Faculty of Health Science, Eskisehir Osmangazi University, Eskisehir, Turkey.
Int J Nurs Pract. 2024 Dec;30(6):e13288. doi: 10.1111/ijn.13288. Epub 2024 Jul 19.
This study aimed to determine the effect of web-designed education developed for asthma patients on drug adherence, asthma control and fatigue.
This randomized controlled trial was conducted between August 2021 and January 2022 with 200 individuals suffering from poor asthma control who participated in web-designed education. After the intervention, the asthma patients were followed up for 6 weeks to measure Medication Adherence Report Scale (MARS), Chronic Obstructive Pulmonary Disease and Asthma Fatigue Scale (CAFS), Asthma Control Test (ACT) and Inhalation Devices Usage Techniques Knowledge Test (IDUSTKT). Data were analysed in the Statistical Package for the Social Sciences program using the Chi-square test, Independent t-test, Man-Whitney U test, Wilcoxon test, Paired t-test, Greenhouse-Geisser (F) test and Linear regression.
The web-designed education had a statistically significant effect on the total scores of CAFS, ACT and IDUSTKT for individuals with asthma (p < 0.001). This intervention decreased fatigue levels, improved asthma control and enhanced knowledge of inhalation device usage techniques. Although there was an improvement in medication adherence, this difference was not statistically significant.
These results suggest that web-based educational programs can be an effective tool in asthma management and may improve patients' quality of life. Future research should examine the long-term effects of such educational programs and their effectiveness across different demographic groups in more detail.
本研究旨在确定为哮喘患者设计的网络教育对药物依从性、哮喘控制和疲劳的影响。
这是一项于 2021 年 8 月至 2022 年 1 月进行的随机对照试验,共有 200 名哮喘控制不佳的患者参与了网络设计教育。干预后,对哮喘患者进行了 6 周的随访,以测量药物依从性报告量表(MARS)、慢性阻塞性肺疾病和哮喘疲劳量表(CAFS)、哮喘控制测试(ACT)和吸入装置使用技术知识测试(IDUSTKT)。使用社会科学统计软件包中的卡方检验、独立 t 检验、曼-惠特尼 U 检验、威尔科克森检验、配对 t 检验、格林豪斯-盖瑟(F)检验和线性回归分析数据。
网络教育对哮喘患者的 CAFS、ACT 和 IDUSTKT 总分有统计学意义(p<0.001)。这种干预降低了疲劳水平,改善了哮喘控制,提高了吸入装置使用技术知识。尽管药物依从性有所改善,但差异无统计学意义。
这些结果表明,基于网络的教育计划可以成为哮喘管理的有效工具,并可能提高患者的生活质量。未来的研究应更详细地研究此类教育计划的长期效果及其在不同人群中的有效性。