Positive change in asthma control using therapeutic patient education in severe uncontrolled asthma: a one-year prospective study
| Autor: | Qingling Zhang, E Guo, Xiaoxian Zhang, Naijian Li, Zhengdao Lai, Rihuang Qiu, Jing Li |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Allergy
medicine.medical_specialty Disease Severe uncontrolled asthma Biochemistry Therapeutic patient education Pulmonary function testing 03 medical and health sciences Diseases of the respiratory system 0302 clinical medicine Quality of life Internal medicine Asthma control medicine 030212 general & internal medicine Prospective cohort study Asthma RC705-779 business.industry Research Organic Chemistry medicine.disease respiratory tract diseases 030228 respiratory system Exhaled nitric oxide Observational study business |
| Zdroj: | Asthma Research and Practice Asthma Research and Practice, Vol 7, Iss 1, Pp 1-7 (2021) |
| ISSN: | 2054-7064 |
| Popis: | Background Severe asthma is difficult to control. Therapeutic patient education enables patients to better understand their disease and cope with treatment, but the effect of therapeutic patient education in severe uncontrolled asthma is unclear. We evaluated whether therapeutic patient education is effective in improving asthma control and decreasing the frequency of exacerbations in severe uncontrolled asthma. Methods This was a prospective, observational, and self-controlled study that enrolled 40 subjects with severe uncontrolled asthma. Patients were seen at a clinic four times (on day 1 and after 3, 6, and 12 months). After baseline data collection, the subjects completed a therapeutic patient education program and were also followed-up via telephone after 1, 2, 4, 5, 7, 8, 9, 10, and 11 months to monitor asthma medication adherence and collect asthma-related information. Results Within the 1-year study period, a total of 23 exacerbations were recorded in 14 patients, seven of whom required emergency treatment and two of whom were hospitalized. Twelve months after the standardized therapeutic patient education program, pulmonary function and fractional exhaled nitric oxide levels improved significantly in all 40 patients. Moreover, the scores from three standardized asthma questionnaires and indices suggested improved quality of life in these patients with severe uncontrolled asthma. Serum levels of biomarkers reflecting asthma immune responses did not change between baseline and the 1-year follow-up time point. Conclusions Therapeutic patient education is effective in improving asthma control and decreasing exacerbations in patients with severe uncontrolled asthma. |
| Databáze: | OpenAIRE |
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