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目的评估三位一体支气管哮喘(简称哮喘)教育管理模式对患者病情控制水平和哮喘生命质量的影响。方法北京大学人民医院三位一体哮喘教育管理模式由哮喘专业门诊、哮喘宣教中心和哮喘患者协会构成。2005年4月至6月选择北京大学人民医院接受三位一体哮喘教育管理的门诊患者为教育组(56例);选择另一家三级医院未接受系统哮喘教育管理的门诊患者为对照组(30例)。采用面对面问卷方式调查两组近8周的病情控制水平和生命质量评分并进行对比分析。结果两组病情的良好控制率分别为61%(34例)和10%(3例),教育组优于对照组,差异有统计学意义(χ2=20.50,P<0.01);两组哮喘患者生命质量总评分分别为(155±12)分、(132±24)分,教育组亦优于对照组,差异有统计学意义(t=5.17,P<0.01)。结论三位一体哮喘教育管理模式可以有效提高哮喘患者的病情控制水平和哮喘生命质量。
Objective To evaluate the impact of the educational management mode of Trinidad and Tobago (asthma) on the patients’ condition control and asthma quality of life. Methods Peking University People’s Hospital Trinity asthma education management mode by the asthma clinic, asthma education center and asthma Association. From April to June 2005, Peking University People’s Hospital selected outpatients for Trinidad and Tobago as the education group (56 cases); another outpatient group (30 cases) who did not receive systematic asthma education and management from another tertiary level hospital was selected as the control group . Face-to-face questionnaires were used to investigate the control and quality of life scores of the two groups for nearly eight weeks and to make a comparative analysis. Results The two groups had good control rates of 61% (34 cases) and 10% (3 cases), respectively. The education group was better than the control group (χ2 = 20.50, P <0.01) The total quality of life scores were (155 ± 12) and (132 ± 24) points, respectively. The education group was also superior to the control group with statistically significant difference (t = 5.17, P <0.01). Conclusion Trinity asthma education management model can effectively improve the control of asthma patients and the quality of life of asthma.