患者治疗教育:对摩洛哥成年哮喘患者肺功能的影响?

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Journal of Education and Health Promotion Pub Date : 2024-09-28 eCollection Date: 2024-01-01 DOI:10.4103/jehp.jehp_1626_23
Hanane El Abed, Mohammed E A Ragala, Hanaâ Ait-Taleb Lahsen, Mohamed C Benjelloun, Karima Halim
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引用次数: 0

摘要

背景:尽管有有效的哮喘药物,但病情仍然控制不佳,使其成为每年最常见的急诊室和医生就诊之一。需要适当的哮喘教育计划来维持或改善哮喘患者的最佳肺功能。本研究旨在评估成人哮喘患者在结构化教育干预前后肺功能参数的变化。方法和材料:我们对摩洛哥非斯市哈桑二世大学医院肺病科157名成年哮喘患者进行了准实验研究。该研究分三个阶段进行:患者招募和基线数据收集(2022年3月至5月),教育课程的规划和实施(2022年6月至7月),以及培训后3个月后(2022年9月至10月)的肺功能评估。通过问卷调查收集社会人口学和临床数据。教育前和教育后3个月进行肺活量测定。所有患者均接受了有组织的集体教育干预。对于定性变量,采用Wilcoxon检验;对于定量变量,采用配对样本t检验。结果:两组肺功能参数(占参考值的百分比)改善均有统计学意义(P < 0.001): 1秒用力呼气量(FEV1)、用力肺活量(FCV)、呼气峰流量(PEFR)由66.73±20.84依次升高至70.64±19.06;74.74±17.29 ~ 79.67±16.15和67.51±23.39 ~ 71.93±21.57。结论:我们的研究结果表明,教育干预可以减少成人哮喘患者肺功能的改变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Therapeutic patient education: Impact on lung function in Moroccan adult asthma patients?

Background: Despite the availability of effective asthma medications, the condition remains poorly controlled, making it one of the most common emergency room and physician visits each year. Appropriate asthma education programs are needed to maintain or improve optimal lung function in asthmatics. This study aimed to evaluate changes in lung function parameters in adult asthmatics before and after a structured educational intervention.

Methods and materials: We conducted a quasi-experimental study with 157 adult asthma patients in the Pneumology Department of the Hassan II University Hospital in Fez, Morocco. The study was performed in three phases: patient recruitment and baseline data collection (March-May 2022), planning and implementation of educational sessions (June-July 2022), and lung function evaluation 3 months later (September-October 2022) after training. Sociodemographic and clinical data were collected through a questionnaire. Spirometry was also performed before education and 3 months after. All patients received a structured and collective educational intervention. Pre- and post-education results were compared using the Wilcoxon test for qualitative variables and the paired sample t-test for quantitative variables.

Results: There was a statistically significant improvement (P < 0.001) in pulmonary function parameters (as a percentage of the reference value): forced expiratory volume in one second (FEV1), forced vital capacity (FCV), and peak expiratory flow rate (PEFR) sequentially increased from 66.73 ± 20.84 to 70.64 ± 19.06; 74.74 ± 17.29 to 79.67 ± 16.15 and 67.51 ± 23.39 to 71.93 ± 21.57.

Conclusions: Our results suggest that an educational intervention can be beneficial in reducing alterations in lung function in adult asthmatics.

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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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