Poster Presentation
Thursday, 20 July 2006
10:00 AM - 10:30 AM
Thursday, 20 July 2006
3:00 PM - 3:30 PM
The Effects of a Self-Management Education Program on Patients with Bronchial Asthma
Kwua-Yun Wang, RN, MS, School of Nursing, National Defense Medical Center, National Defense University, Taipei, Taiwan
| Learning Objective #1: The learner will be able to utilize the effective strategies to manage the asthma patient. |
| Learning Objective #2: The learner will be able to apply evidence-based professional knowledge to promote asthma patient care. |
Purpose: The effects of a self management education program on knowledge, attitude, self-efficacy, and quality of life in Taiwanese patients with bronchial asthma was studied during a 3-month follow-up period. Methods: A total of 60 patients who met the study criteria were recruited from a teaching hospital’s outpatient asthma clinic in Taipei area, Taiwan. Thirty-four patients were assigned to the self-management program, and 26 patients were assigned to the control group using single blind random allocation design. Data at follow up were available in the intervention and control groups for 25, 19 respectively. Measurement were done at baseline, and at 1, and 3 months after enrollment. Outcome measures were peak expiratory flow (PEF), asthma knowledge, attitude, self-efficacy, and health-related quality of life (HRQOL). Data were analyzed using the student’s t test, chi-squared test, and generalized estimating equation (GEE) method. Results: After controlling for potential confounding factors and interaction of time and group, the PEF was significantly increased 36.3 L at the 3-month follow-up in the intervention group (p=0.04). The attitude and self-efficacy were significantly higher in the intervention group (p=0.005, p=0.04, respectively). The HRQOL in total and two subscales (symptoms and imparts) were significantly lower in the intervention group (p=0.02, p=0.0005, p=0.04, respectively). The relationship between groups and attitude or symptoms were varied by time (p=0.01, p=0.006, respectively). In addition, level of education was positively correlated with the asthma knowledge, attitude, and self-efficacy (p<0.05). Economic status was positively correlated with the SGRQ in total and two subscales (symptoms and impacts) (p<0.05). Conclusions: The self-management education program led to a trend of improvement in attitude, self-efficacy and HRQOL.
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