The feasibility and effect of a nurse-led, patient-centered asthma education program in a Nigerian context.
| Autor: | Ozoh OB; Department of Medicine, College of Medicine, University of Lagos, Lagos, Nigeria.; Department of Medicine, Lagos University Teaching Hospital, Lagos, Nigeria., Akinbolagbe Y; Department of Pediatrics, College of Medicine University of Lagos, Lagos, Nigeria.; Department of Pediatrics, Lagos University Teaching Hospital, Lagos, Nigeria., Tekobo A; Department of Medicine, Lagos University Teaching Hospital, Lagos, Nigeria., Dede SK; Department of Medicine, Lagos University Teaching Hospital, Lagos, Nigeria., Dania MG; Department of Medicine, Lagos University Teaching Hospital, Lagos, Nigeria., Adeyeye O; Department of Medicine, Lagos State University College of Medicine, Lagos, Nigeria.; Department of Medicine, Lagos State University Teaching Hospital, Lagos, Nigeria. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of asthma : official journal of the Association for the Care of Asthma [J Asthma] 2022 Aug; Vol. 59 (8), pp. 1670-1679. Date of Electronic Publication: 2021 Jul 19. |
| DOI: | 10.1080/02770903.2021.1942040 |
| Abstrakt: | Rationale, Aims and Objectives: Insufficient asthma education is an unmet need in Nigeria. We aimed to assess the feasibility of a nurse-led asthma education program and its effect on asthma knowledge and outcomes in Lagos, Nigeria. Methods: Using a quasi-experimental study design, we recruited participants ≥12 years with physician diagnosed asthma. We assessed asthma knowledge, asthma control, medication adherence, health related quality of life and inhaler technique and also measured lung function. A trained nurse delivered asthma education sessions during the regular clinic visits and demonstrated correct inhaler technique. All assessments were repeated at 3-month. Data was analyzed with descriptive and inferential statistics. A p -value of <0.05 was considered significant for all associations. Results: Of the 80 participants at baseline, 42 (52.5%) completed the follow-up assessment and were included in the outcome analysis. Their ages ranged from 12 to 75 years, 35 (83.3%) were ≥18 years old and 30 (71.4%) were females. There was significant improvement in knowledge score immediately post intervention (15.48 ± 3.05 versus 18.33 ± 2.21, p < 0.001) and at 3 months (17.52 ± 2.63, p < 0.001). Those with uncontrolled asthma (Asthma Control Test score ≤19) had a meaningful (3.8-point) change in ACT score at follow-up. The improvement in the mean score on the Morisky Medication Adherence Scale was significant ( p = 0.03), but a change of 0.48 was not considered meaningful. There was significant ( p < 0.001) and meaningful (1.08) improvement in Mini Asthma Quality of Life score at 3 months. Pre-bronchodilator FEV1% predicted and scores on the inhaler technique check list for the Diskus and pressurized meter dose inhaler did not significantly change at follow-up ( p = 0.38, 0.26 and 0.80 respectively). Conclusion: It is practicable for nurses to deliver effective asthma education during regular clinic visits in our practice setting. This training could meaningfully improve asthma control and health related quality of life. |
| Databáze: | MEDLINE |
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