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The Journal of Nursing Research MEDLINESCIEScopusSSCITSSCI

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篇名 The Effects of Asthma Education on Asthma Knowledge and Health-Related Quality of Life in Taiwanese Asthma Patients
卷期 18:2
並列篇名 氣喘教育對臺灣氣喘病人知識及健康相關生活品質之成效
作者 王桂芸吳清平辜志弘張乃文李雅欣賴香如
頁次 126-135
關鍵字 氣喘知識氣喘教育手冊廣義估計方程式健康相關生活品質臺灣Asthma knowledgeAsthma structured-education programGeneralized estimating equationHealth-related quality of lifeTaiwanMEDLINEScopusSSCITSCITSSCISCIE
出刊日期 201006

中文摘要

背 景 病人教育是氣喘管理的一項重要元素,台灣以縱貫性研究設計探討氣喘教育對於氣喘病人知識及健康相關生活品質成效之研究結果有限。
目 的 此研究的目的是要確定台灣氣喘病人在接受氣喘衛教課程後,六個月期間追蹤其對氣喘的一般知識和健康相關生活品質的成效。
方 法 本研究以立意研究法收集個案,共有118位病人參與研究,其中42位病人接受氣喘衛教課程,76位病人接受例行照護。經過六個月追蹤時間,每一位病人在收案日及一個月、三個月及六個月時皆接受氣喘一般知識問卷(asthma general knowledge questionnaire for adults)及中文版聖喬治呼吸問卷之測量。
結 果 在組別與時間有交互作用下,實驗組的氣喘知識顯著高於控制組(p < .001)。聖喬治呼吸問卷整體及其三個次面向的平均分數,實驗組與控制組之間無統計上的顯著差異,但聖喬治呼吸問卷整體及其三個次面向的分數在一個月、三個月及六個月時呈現顯著下降趨勢。
結 論 有組織性的氣喘衛教課程可以增加病人的氣喘一般知識,但對和健康相關之生活品質則無顯著改善。

英文摘要

Background: Patient education is a critical component of asthma management. Limited data from longitudinal re-search studies are available from Taiwan to show the effect of asthma education on knowledge and health-related quality of life (HRQOL) in asthma patients.
Purpose: This study was designed to determine the effec-tiveness of an asthma education program on asthma general knowledge and HRQOL in Taiwanese patients with asthma during a 6-month follow-up period.
Methods: One hundred eighteen patients were recruited using purposive sampling, 42 of whom were enrolled in an asthma education program and 76 of whom received routine care. Measurements were completed at baseline and at 1, 3,and 6 months after enrollment. Over the 6 months of follow-
up, asthma knowledge was measured using the Chinese language version of the asthma general knowledge question-naire for adults, whereas HRQOL was measured using the St. George’s Respiratory Questionnaire (SGRQ).
Results: Asthma knowledge increased significantly in the intervention group as compared with the comparison group (p G .001), and Group × Month interaction effects were found.
Total SGRQ mean score and the three subscales showed no significant differences between intervention and comparison groups. However, overall SGRQ trends and subscale scores for both groups decreased significantly through the first, third,and sixth months.
Conclusions and Implications for Practice: We observed an increase in asthma general knowledge but no significant improvement in HRQOL using an asthma structured-education program.

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