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Evaluation of a structured treatment and teaching programme on asthma
I Mühlhauser1, B Richter, D Kraut
1Medical Department for Metabolic Diseases and Nutrition, Heinrich-Heine University of Düsseldorf, Germany.
Journal of Internal Medicine
|August 1, 1991
Summary
A structured asthma program significantly reduced severe attacks, hospitalizations, and work absences in adults. Patients gained better disease management skills and improved adherence to medication.
Area of Science:
- Pulmonology
- Clinical Medicine
- Health Education
Background:
- Asthma management requires patient engagement for optimal outcomes.
- Moderate to severe asthma necessitates structured interventions to reduce morbidity.
Purpose of the Study:
- To evaluate a structured in-patient treatment and teaching program for adults with moderate to severe asthma.
- To assess the program's impact on asthma-related morbidity and patient self-management skills.
Main Methods:
- Prospective before-after trial involving 132 adult asthma patients.
- Intervention: 5-day in-patient program focused on self-management and drug therapy adaptation.
- Outcome measures: Asthma attacks, hospitalizations, work absenteeism, compliance, and management skills.
Main Results:
- Severe asthma attacks decreased from 71% to 36% post-intervention (P<0.0001).
- Hospitalization rates dropped from 39% to 22% (P<0.002).
- Work absenteeism reduced from 60% to 43% (P<0.04), with improved adherence and skills.
Conclusions:
- Structured asthma treatment and teaching programs substantially reduce morbidity in moderate to severe cases.
- Empowering patients with greater responsibility enhances disease management.
- The intervention led to significant improvements in patient outcomes and self-care.