支气管哮喘患者系统教育和管理效果评估

目的　评价十余年来对哮喘患者进行系统教育和管理的效果。方法　对参加过支气管哮喘教育和管理的 1 2 8例患者进行问卷调查 ,了解其对哮喘的认知水平、用药情况和病情控制水平等 ,并与亚太地区哮喘现状研究 (AIRIAP)结果进行比较。结果　 1 2 8例被调查哮喘患者的病情程度为轻度间歇期、轻度持续期、中度持续期、重度持续期的分别占 1 8. 8%、2 1 . 1 %、4 6. 9%和 1 3. 2 %。其中 ,认识哮喘炎症本质、认识吸入激素治疗哮喘重要性、了解并注意预防哮喘诱因的分别占85 . 9%、93. 0 %和 76 . 6 %;了解、拥有和每天使用呼气峰流速仪的分别占 71 . 9%、6 1 . 7%和 1 8 .8%;接受过吸入技术培训、认为吸入技术掌握良好的患者分别占 96 . 9%和 93 8%;正在吸入肾上腺糖皮质激素治疗的患者占 75 %;曾经与医生共同制定治疗计划的占 6 8 .0 %、定期随访率 35. 2 %,自我评价能够配合治疗者占 78 9%,对治疗满意者占 82. 0 %,对医生表示信任者占 90 . 6 %。 1 2 8例哮喘患者近 1个月日间、夜间症状发生频率分别为 4 3. 8%和 33. 6 %;每周至少出现一次昼、夜间症状的患者比例分别为 31 . 3%和 1 4 . 1 %。近一年内因哮喘急诊就医、住院、因哮喘误工患者分别占 1 0. 2 %、4 . 7%和 1 1. 7%;既往曾行肺功能检查者占

Assessment of the effects of systematic asthma patient education and management

Objective To evaluate the effects of stepwise therapy recommended by global initiative for asthma (GINA) on the quality of life (QOL) in the patients with asthma.Methods The QOL were assessed with SGRQ and SF-36 questionnaire before and after 3 month of stepwise therapy recommended by GINA in 31 asthma patients,in which 24 were assessed by pulmonary function test including forced expiratory volume in one second (FEV 1),percentage of predicted FEV 1 (FEV 1%pre) and peak expiratory flow rate (PEF).Results Both pulmonary function parameters and QOL of asthmatic patients were improved after 3 month stepwise therapy.Except SF-36 domain BP,the scores of SGRQ and SF-36 showed significant improvement as well as FEV 1,FEV 1%pre,and PEF (P<0.05).Conclusions QOL is an essential and useful index for evaluation of asthma control target.Both pulmonary function parameters and QOL of asthma patients are improved after the stepwise therapy.