中华内科杂志
中華內科雜誌
중화내과잡지
CHINESE JOURNAL OF INTERNAL MEDICINE
2008年
8期
630-633
,共4页
哮喘%教育%组织和管理%哮喘控制
哮喘%教育%組織和管理%哮喘控製
효천%교육%조직화관리%효천공제
Asthma%Education%Organization and administration%Asthma control
目的 评价"三位一体"支气管哮喘教育管理模式对支气管哮喘患者病情控制水平的影响.方法 由经过培训的北京市6所大型教学医院的呼吸科医生,以面对面的方式连续不加选择地问卷调查各自医院门诊成年支气管哮喘患者病情控制水平,比较以"三位一体"(哮喘专病门诊、哮喘宣教中心、哮喘患者协会)模式系统教育管理的支气管哮喘患者(教育组)与未进行"三位一体"系统教育管理的支气管哮喘患者(对照组)的问卷调查结果.结果 教育组患者100例,对照组患者427例.教育组支气管哮喘控制测试(ACT)评分达20分以上的占85%,显著高于对照组的37%(χ2=74.345,P<0.01);过去1年中教育组因支气管哮喘加重住院、急诊就诊、误工的分别占4%、18%、20%(10/49),显著低于对照组的23%、32%、55%(76/137)(χ2值分别为19.431、7.515、17.853,P值均小于0.01).结论 "三位一体"支气管哮喘教育管理模式可显著提高患者的病情控制水平.
目的 評價"三位一體"支氣管哮喘教育管理模式對支氣管哮喘患者病情控製水平的影響.方法 由經過培訓的北京市6所大型教學醫院的呼吸科醫生,以麵對麵的方式連續不加選擇地問捲調查各自醫院門診成年支氣管哮喘患者病情控製水平,比較以"三位一體"(哮喘專病門診、哮喘宣教中心、哮喘患者協會)模式繫統教育管理的支氣管哮喘患者(教育組)與未進行"三位一體"繫統教育管理的支氣管哮喘患者(對照組)的問捲調查結果.結果 教育組患者100例,對照組患者427例.教育組支氣管哮喘控製測試(ACT)評分達20分以上的佔85%,顯著高于對照組的37%(χ2=74.345,P<0.01);過去1年中教育組因支氣管哮喘加重住院、急診就診、誤工的分彆佔4%、18%、20%(10/49),顯著低于對照組的23%、32%、55%(76/137)(χ2值分彆為19.431、7.515、17.853,P值均小于0.01).結論 "三位一體"支氣管哮喘教育管理模式可顯著提高患者的病情控製水平.
목적 평개"삼위일체"지기관효천교육관리모식대지기관효천환자병정공제수평적영향.방법 유경과배훈적북경시6소대형교학의원적호흡과의생,이면대면적방식련속불가선택지문권조사각자의원문진성년지기관효천환자병정공제수평,비교이"삼위일체"(효천전병문진、효천선교중심、효천환자협회)모식계통교육관리적지기관효천환자(교육조)여미진행"삼위일체"계통교육관리적지기관효천환자(대조조)적문권조사결과.결과 교육조환자100례,대조조환자427례.교육조지기관효천공제측시(ACT)평분체20분이상적점85%,현저고우대조조적37%(χ2=74.345,P<0.01);과거1년중교육조인지기관효천가중주원、급진취진、오공적분별점4%、18%、20%(10/49),현저저우대조조적23%、32%、55%(76/137)(χ2치분별위19.431、7.515、17.853,P치균소우0.01).결론 "삼위일체"지기관효천교육관리모식가현저제고환자적병정공제수평.
Objective To evaluate the impact of the asthma education and management model developed by Peking University People's Hospital on the level of asthma control. Methods Trained respiratory physicians from 6 large teaching hospitals in the urban districts of Beijing conducted a successive questionnaire survey in the form of face-to-face interviews with adult asthma patients attending their respective clinics. The results were used to compare the levels of asthma control between patients who were administered "three-in-one" asthma education and management (education group) and those who were not(control group). Results Among the 100 patients in the education group, 85% showed asthma control test(ACT) values ≥20 points. This was significantly higher than that in the 427 control group patients (37%,χ2 =74.345 ,P <0.01 ). During the past 1 year, the rate of hospitalization due to exacerbation of asthma,number of emergency treatments, and missed working days were significantly lower in the education group than in the control group ( 4%, 18%, 20% vs 23%, 32%, 55%, respectively; χ2 = 19.431,7.515 and 17.853 respectively; and P < 0.01 for all). Conclusion The " three-in-one" asthma education and management model can significantly improve asthma control.
