Hilton S, Sibbald B, Anderson H R, Freeling P
J R Soc Med. 1982 Aug;75(8):625-30.
The results are reported of a preliminary study to a controlled trial evaluating health education in asthma. A questionnaire designed to assess asthma morbidity in the previous twelve months and knowledge of the condition was administered to 50 asthma patients. An independent assessment of morbidity was made by the patient's general practitioners, utilizing case notes and their knowledge of the patients. For each aspect of morbidity, severe' asthma as assessed by doctors tended to be associated with increasing disability on questionnaire assessment. Overall, questionnaire morbidity scores' were significantly higher in the doctors' `severe' group. Patients' level of knowledge was low, but no significant correlation was found between patients' level of knowledge and level of morbidity.The findings suggest that there is a need for health education in asthma, and that the questionnaire used is a valid tool for measuring the impact of such education on patients' morbidity. An outline of the controlled trial for evaluation of health education is given.
本文报告了一项针对哮喘健康教育的对照试验的初步研究结果。向50名哮喘患者发放了一份旨在评估过去十二个月哮喘发病率及病情知晓情况的问卷。患者的全科医生利用病历记录及对患者的了解，对发病率进行了独立评估。对于发病率的各个方面，医生评估为“重度”的哮喘在问卷评估中往往与残疾程度增加相关。总体而言，医生评定为“重度”组的问卷“发病率得分”显著更高。患者的知识水平较低，但未发现患者的知识水平与发病率之间存在显著相关性。研究结果表明，哮喘患者需要进行健康教育，且所使用的问卷是衡量此类教育对患者发病率影响的有效工具。文中还给出了评估健康教育的对照试验大纲。
