The Effects of Asthma Education on Asthma Knowledge and Health-Related Quality of Life in Taiwanese Asthma Patients

氣喘教育對台灣氣喘病人知識及健康相關生活品質之成效

王桂芸(Kwua-Yun Wang) ； 吳清平(Chin-Pyng Wu) ； 辜志弘(Chih-Hung Ku) ； 張乃文(Nai-Wen Chang) ； 李雅欣(Ya-Hsin Le) ； 賴香如(Hsiang-Ru Lai)

《The Journal of Nursing Research》 18卷2期 (2010/06) Pp. 126-135

摘要

Background: Patient education is a critical component of asthma management. Limited data from longitudinal research studies are available from Taiwan to show the effect of asthma education on knowledge and health-related quality of life (HRQOL) in asthma patients.
Purpose: This study was designed to determine the effectiveness of an asthma education program on asthma general knowledge and HRQOL in Taiwanese patients with asthma during a 6-month follow-up period.
Methods: One hundred eighteen patients were recruited using purposive sampling, 42 of whom were enrolled in an asthma education program and 76 of whom received routine care. Measurements were completed at baseline and at 1, 3, and 6 months after enrollment. Over the 6 months of follow-up, asthma knowledge was measured using the Chinese language version of the asthma general knowledge questionnaire for adults, whereas HRQOL was measured using the St. George's Respiratory Questionnaire (SGRQ).
Results: Asthma knowledge increased significantly in the intervention group as compared with the comparison group (p＜.001), and Group×Month interaction effects were found. Total SGRQ mean score and the three subscales showed no significant differences between intervention and comparison groups. However, overall SGRQ trends and subscale scores for both groups decreased significantly through the first, third, and sixth months.
Conclusions and Implications for Practice: We observed an increase in asthma general knowledge but no significant improvement in HRQOL using an asthma structured-education program.

關鍵字

氣喘知識 ； 氣喘教育手冊 ； 廣義估計方程式 ； 健康相關生活品質 ； 台灣

並列摘要

Background: Patient education is a critical component of asthma management. Limited data from longitudinal research studies are available from Taiwan to show the effect of asthma education on knowledge and health-related quality of life (HRQOL) in asthma patients.
Purpose: This study was designed to determine the effectiveness of an asthma education program on asthma general knowledge and HRQOL in Taiwanese patients with asthma during a 6-month follow-up period.
Methods: One hundred eighteen patients were recruited using purposive sampling, 42 of whom were enrolled in an asthma education program and 76 of whom received routine care. Measurements were completed at baseline and at 1, 3, and 6 months after enrollment. Over the 6 months of follow-up, asthma knowledge was measured using the Chinese language version of the asthma general knowledge questionnaire for adults, whereas HRQOL was measured using the St. George's Respiratory Questionnaire (SGRQ).
Results: Asthma knowledge increased significantly in the intervention group as compared with the comparison group (p＜.001), and Group×Month interaction effects were found. Total SGRQ mean score and the three subscales showed no significant differences between intervention and comparison groups. However, overall SGRQ trends and subscale scores for both groups decreased significantly through the first, third, and sixth months.
Conclusions and Implications for Practice: We observed an increase in asthma general knowledge but no significant improvement in HRQOL using an asthma structured-education program.

並列關鍵字

asthma knowledge ； asthma structured-education program ； generalized estimating equation ； health-related quality of life ； Taiwan

參考文獻

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