The effects of additional care by a pulmonary nurse for asthma and COPD patients at a respiratory outpatient clinic: results from a double blind, randomized clinical trial.

Autor: Rootmensen GN; Department of Pulmonology, Academic Medical Centre, Amsterdam, The Netherlands. geert_rootmensen@yahoo.com, van Keimpema AR, Looysen EE, van der Schaaf L, de Haan RJ, Jansen HM
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2008 Feb; Vol. 70 (2), pp. 179-86. Date of Electronic Publication: 2007 Nov 26.
DOI: 10.1016/j.pec.2007.09.021
Abstrakt: Objective: To assess the effects of additional information based nursing care program in the treatment of asthma and COPD patients at a pulmonary outpatient clinic.
Methods: In a double blind, randomized clinical trial, 191 patients were allocated to an additional care group or control group. Patients in the intervention group received a protocol-based education program on individual basis by a pulmonary nurse on individual basis (average duration 60 min per patient). All patients were masked for the trial objectives. Effectiveness was expressed in terms of knowledge, inhalation technique, self-management, exacerbation rate (primary outcomes), and health-related quality of life and satisfaction with care received (secondary outcomes). The time interval between the initial and final assessments was 6 months.
Results: Ninety-seven patients were randomized into the additional care group and 94 into the control group, of which 157 had a complete dataset. (Un)adjusted analyses did not show differences between treatment groups in terms of knowledge, inhalation technique, self-management, health-related quality of life, and satisfaction with care. Multivariate logistic regression adjusting for baseline covariates showed a significant treatment effect with regard to exacerbation rate (odds ratio=0.35; 95% confidence limits: 0.13/0.94, p=0.04).
Conclusion: With the exception of exacerbation rate, we could not demonstrate efficacy of additional nursing care in a broad range of outcome parameters.
Practice Implications: At present we do not recommend to implement our patient-tailored education program in daily practice.
Databáze: MEDLINE
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