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一般診療における喘息の罹患率に対する患者教育の影響の制御された評価
Lancet (London, England)
|January 4, 1986
まとめ
喘息に対する患者教育プログラムは,理解を向上させたが,自己管理や罹病率を向上させたわけではない. 単純な情報的なアプローチは,一般診療では効果がなく,患者の態度や信念に関するさらなる研究の必要性を強調しました.
科学分野:
- 肺内医学は肺内医学である.
- 保健教育 保健教育について
- 一般的実践についてです.
背景:
- 喘息の管理には,効果的な患者教育が必要です.
- 一般診療の環境は,教育的介入の実施に独特の課題を提示しています.
- 患者の知識,自己管理,および罹病率に対する教育プログラムの影響を評価することは極めて重要です.
研究 の 目的:
- 一般診療での喘息に関する2つの異なる患者教育プログラムを評価する.
- 最大の教育プログラムと限られた教育プログラムの有効性を比較する.
- これらのプログラムが喘息に関する知識,自己管理,および罹病率に与える影響を決定する.
主な方法:
- 339人の喘息患者を対象とした制御試験です.
- 知識の評価,自己管理,およびアンケートを使用した罹病率.
- 最大の教育群,限られた教育群,およびコントロール群の比較.
- 1年後の274人の患者の再評価.
主要な成果:
- 両方の介入グループは,喘息の理解が向上したことを示した.
- 最大の介入群のみが,喘息に関する知識の有意な増加を示した.
- 介入群と対照群の間では,自己管理能力や喘息の罹患率に有意な違いは認められなかった.
- 単純な情報教育プログラムは,この一般診療の集団では効果がないことが判明しました.
結論:
- 一般診療における現在の単純な情報的な喘息教育プログラムは,自己管理を改善したり,罹病率を減らすために不十分です.
- 喘息の治療を改善するために,患者の態度,信念,行動を理解し,対処するためにさらなる研究が必要です.
- より包括的かつ個別化された教育戦略の開発は,喘息の治療結果を改善するために不可欠です.
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