The effectiveness of one-on-one nurse education on the outcomes of high-risk adult and pediatric patients with asthma.
Manag Care Interface
; 11(12): 82-92, 1998 Dec.
Article
en En
| MEDLINE
| ID: mdl-10338748
The effects of an asthma self-management program on asthma outcomes were evaluated in adult and pediatric patients with asthma who were considered at high risk (i.e., those who were not in control of their disease as determined by resource utilization, medication use, or lack of use). The program consisted of one-on-one nurse-to-patient ("nurse champion") education and subsequent assessment of asthma outcomes using the Asthma Quality Assessment System (AQAS) questionnaire, which measured asthma severity, patient quality of life, asthma awareness and knowledge, confidence in managing asthma, use of peak flow meters, asthma symptoms, medication use, lost work or school days, and affect of asthma. Over the course of six months, nurse champions educated 201 patients from four managed care plans and collected data at baseline and during four follow-up sessions. Adult patients and pediatric patient caregivers reported significant improvements in quality of life, and clinical and process measures. Significant increases in asthma knowledge were observed immediately after patient education, including greater than 89% increase in the proportion of patients who reported that they know "a lot" about the "things that cause asthma symptoms." Significant decreases were also found in work or school days missed, urgent care utilization, and hospital admission rates. Appropriate preventive care visits increased by more than 40%. These results indicate that the nurse champion program was associated with an improvement in asthma outcomes in high-risk adult and pediatric patients and warrant further evaluation in controlled studies. Incorporating one-on-one education programs into asthma management is an effective and rapid means of improving asthma outcomes.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Asma
/
Educación del Paciente como Asunto
/
Evaluación de Resultado en la Atención de Salud
/
Relaciones Enfermero-Paciente
Tipo de estudio:
Etiology_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Patient_preference
Límite:
Adult
/
Aged
/
Child
/
Child, preschool
/
Humans
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Manag Care Interface
Asunto de la revista:
SERVICOS DE SAUDE
Año:
1998
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos