Efficacy of medical education combined with extended care on adherence to inhaled glucocorticoids and clinical effects in patients with bronchial asthma.

IF 1.7 4区 医学 Q3 ALLERGY Journal of Asthma Pub Date : 2025-03-01 Epub Date: 2024-10-17 DOI:10.1080/02770903.2024.2410423
Jin Zhou, Xuhao Yang, Jiaqing Zhou, Maoyu Xiong, Li Wen
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Abstract

Objective: To observe the clinical efficacy of medical education combined with extended care in patients with bronchial asthma and its effect on adherence to inhaled glucocorticoids.

Methods: Ninety-eight patients with bronchial asthma were divided into the control group and the experimental group, n = 49, by utilizing the random number table method. The control group was given routine education and care as well as routine out-of-hospital instructions, and the experimental group was given medical education and extended care based on the control group. Asthma disease knowledge mastery, asthma control, quality of life, medication adherence and lung function were compared between both groups, and the number of asthma attacks and re-hospitalizations were recorded.

Results: The experimental group performed higher scores of health knowledge, asthma control test and quality of life, rate of complete adherence, forced expiratory volume in one second (FEV1), peak expiratory flow rate, and FEV1/forced vital capacity. The number of asthma attacks and the times of re-hospitalizations were lower in the experimental group (all p < 0.05).

Conclusion: Medical education combined with extended care can improve bronchial asthma patients' mastery of asthma disease knowledge, effectively control patients' conditions, enhance patients' quality of life and lung function, increase patients' adherence to inhaled glucocorticoids, and reduce the recurrence of bronchial asthma patients.

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医学教育与延伸护理相结合对支气管哮喘患者坚持使用吸入性糖皮质激素及临床效果的效果。
目的观察医学教育结合延伸护理对支气管哮喘患者的临床疗效及其对吸入糖皮质激素依从性的影响:方法:采用随机数字表法将 98 例支气管哮喘患者分为对照组和实验组(49 例)。对照组给予常规教育和护理以及院外常规指导,实验组在对照组的基础上给予医学教育和延伸护理。比较两组哮喘疾病知识掌握情况、哮喘控制情况、生活质量、服药依从性和肺功能,并记录哮喘发作次数和再次住院次数:结果:实验组在健康知识、哮喘控制测试和生活质量、完全依从率、一秒用力呼气容积(FEV1)、呼气峰流速和 FEV1/用力肺活量方面得分更高。实验组的哮喘发作次数和再次住院时间均低于实验组(均为 P 结论:医学教育与延长护理相结合可改善哮喘患者的生活质量:医学教育结合延伸护理可提高支气管哮喘患者对哮喘疾病知识的掌握程度,有效控制患者病情,提高患者生活质量和肺功能,增加患者吸入糖皮质激素的依从性,减少支气管哮喘患者的复发率。
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来源期刊
Journal of Asthma
Journal of Asthma 医学-过敏
CiteScore
4.00
自引率
5.30%
发文量
158
审稿时长
3-8 weeks
期刊介绍: Providing an authoritative open forum on asthma and related conditions, Journal of Asthma publishes clinical research around such topics as asthma management, critical and long-term care, preventative measures, environmental counselling, and patient education.
期刊最新文献
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