J Korean Med Sci.
2016 Jul;31(7):1069-1074. 10.3346/jkms.2016.31.7.1069.
Effects of Educational Interventions for Chronic Airway Disease on Primary Care
- Affiliations
-
- 1Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Konkuk University Medical Center, Chungju Hospital, Chungju, Korea.
- 2Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
- 3Seoul Metropolitan Government, Seoul National University Boramae Medical Center, Seoul, Korea.
- 4Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
- 5Department of Clinical Pharmacology, Konkuk University Medical Center, Seoul, Korea.
- 6Department of Internal Medicine, Hanyang University Guri Hospital, Guri, Korea.
- 7Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
- 8Department of Internal Medicine, College of Medicine, Hallym University Medical Center, Seoul, Korea.
- 9Department of Internal Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
- 10Department of Internal Medicine, Seoul Paik Hospital, Inje University, Seoul, Korea. pulho@korea.com
- KMID: 2373725
- DOI: http://doi.org/10.3346/jkms.2016.31.7.1069
Abstract
- Education has been known to essential for management of chronic airway diseases. However the real benefits remain unclear. We evaluated the effectiveness of an organized educational intervention for chronic airway diseases directed at primary care physicians and patients. The intervention was a 1-month education program of three visits, during which subjects were taught about their disease, an action plan in acute exacerbation and inhaler technique. Asthma control tests (ACT) for asthma and, chronic obstructive pulmonary disease (COPD) assessment tests (CAT) for COPD subjects were compared before and after education as an index of quality of life. Educational effectiveness was also measured associated with improvement of their knowledge for chronic airway disease itself, proper use of inhaler technique, and satisfaction of the subjects and clinicians before and after education. Among the 285 participants, 60.7% (n = 173) were men and the mean age was 62.2 ± 14.7. ACT for asthma and CAT in COPD patients were significantly improved by 49.7% (n = 79) and 51.2% (n = 65) more than MCID respectively after education (P < 0.05). In all individual items, knowledge about their disease, inhaler use and satisfaction of the patients and clinicians were also improved after education (P < 0.05). This study demonstrates the well-organized education program for primary care physicians and patients is a crucial process for management of chronic airway diseases.
Keyword
MeSH Terms
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Adult
Aged
Aged, 80 and over
Asthma/pathology
Disease Management
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Middle Aged
Nebulizers and Vaporizers
*Patient Education as Topic
Patient Satisfaction
Primary Health Care
Pulmonary Disease, Chronic Obstructive/*pathology
Quality of Life
Respiration
Young Adult
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