【摘要】 目的　探讨健康教育对哮喘病人生活质量的影响。方法 2 2 4名哮喘患者随机分为两组 ,试验组 1 1 3例 ,对照组 1 1 1例。试验组干预措施包括分发哮喘教育小册子 ,系统讲解哮喘常识 ,学习和掌握定量雾化仪 (MDI)和峰流速仪的使用方法 ,记录哮喘日记 ,哮喘防治经验交流会 ,监测及记录病情变化。试验组及对照组的其余防治措施相同。观察指标 :哮喘常识考试成绩 ,定量雾化仪及峰流速仪使用方法考核 ,哮喘重度及危重度急性发作年次数 ,年平均住院天数 ,年病休天数 ,年医疗费用 ,生活质量量表评分。结果试验组较对照组了解更多的哮喘常识 ,考试成绩较试验前提高 ,正确使用MDI者明显增多 ,应用峰流速仪监测患者病情变化的人数亦较多 ,年重度及危重度急性发作次数下降 ,年平均住院天数降低 ,年病休天数减少 ,年医疗费用下降。试验前、后生活质量评分试验组分别为 (4 1 2± 1 0 5)分和 (5 2 6± 1 42 )分 ,对照组分别为 (4 0 8± 1 1 5)分和 (4 2 1±1 2 2 )分 ,试验组与对照组比较有非常显著性差异 (P <0 0 1 )。结论健康教育能降低哮喘患者急性发作次数 ,年平均住院和病休天数 ,降低年医疗费用 ,改善患者生活质量更多还原

【Abstract】 Objective To investigate the impact of asthma education on the quality of life in asthmatic patients Methods224 outpatients with asthma of various severities were randomly divided into two groups, 113 subjects in the trail group and 111 in the control group Patients in the trail group were intervened by the following measurements: learning the course What You And Your Family Can Do About Asthma ,lectures and discussion about asthma, trained how to use MDI and peak flow meter, how to use symptoms reports, etc The control group received routine medication regimens only All patients enrolled in the program were followed-up for at least one year Parameters related to impact of asthma education included knowledge of asthma, the frequencies of acute attacks, the days of hospitalization and loss of work, the medical expenditure, and quality of life scores ResultsIn the trail group,patients got higher scores in the test about asthma knowledge with reduced frequencies of acute attacks, decreased days of annual hospitalization, less loss of work output and medical expenditure compared to control group The total scores of quality of life was 4 12± 1 05 and 5 26±1 42 before and after 12 month intervention in the trial group,respectively ( P <0 01),however,the scores were 4 08±1 15 verse 4 21±1 22, respectively in the control group ( P >0 05) ConclusionPatient education can decrease the frequency of acute attacks, reduce the days of annual hospitalization and loss work output, spare the medical expeniture, and improve quality of life of asthmatic patients更多还原