哮喘联盟

   摘要
   我们评估了一项基于重复短期干预的哮喘教育计划的有效性（AEP-RSI），以改善哮喘控制（控制症状和未来风险）和生活质量。总共有230名轻中度持续哮喘未控制成人患者参加为期一年的整群随机对照多中心研究。AEP-RSI在3个月内分四个阶段进行面对面授课，包括书面的个体化行动管理计划和吸入器技术培训。中心被随机分为AEP-RSI（干预）组或常规临床实践小组。使用标准教育计划的特殊中心作为金标准组。三组均观察到一项显著的哮喘控制测试评分改善（P＜0.001），但干预和金标准组比常规临床实践组改善更加明显（P = 0.042），同时病情加重明显减少（均值±标准差分别为1.20±2.02，0.56±1.5与2.04±2.72），小型哮喘生活质量问卷得分明显增加（分别为0.95±1.04，0.89±0.84与0.52±0.97）。AEP-RSI能有效改善哮喘症状控制，未来风险和生活质量。


 

（苏欣 审校）
Eur Respir J.2015 Sep 24. pii: ERJ-00458-2015. doi: 10.1183/13993003.00458-2015. [Epub ahead of print]

A repeated short educational intervention improves asthma control and quality of life.
 

Plaza V1, Peiró M2, Torrejón M2, Fletcher M3, López-Viña A4, Ignacio JM5, Quintano JA6, Bardagí S7, Gich I8; PROMETHEUS Study Group.
 

Abstract
We assessed the effectiveness of an asthma educational programme based on a repeated short intervention (AEP-RSI) to improve asthma control (symptom control and future risk) and quality of life.A total of 230 adults with mild-to-moderate persistent uncontrolled asthma participated in a 1-year cluster randomised controlled multicentre study. The AEP-RSI was given in four face-to-face sessions at 3-month intervals, and included administration of a written personalised action plan and training on inhaler technique. Centres were randomised to the AEP-RSI (intervention) group or usual clinical practice group. Specialised centres using a standard educational programme were the gold standard group.A significant improvement in the Asthma Control Test score was observed in all three groups (p<0.001), but improvements were higher in the intervention and gold standard groups than in the usual clinical practice group (p=0.042), which also showed fewer exacerbations (mean±sd; 1.20±2.02 and 0.56±1.5 versus 2.04±2.72, respectively) and greater increases in the Mini Asthma Quality of Life Questionnaire scores (0.95±1.04 and 0.89±0.84 versus 0.52±0.97, respectively).The AEP-RSI was effective in improving asthma symptom control, future risk and quality of life.
 

Eur Respir J.2015 Sep 24. pii: ERJ-00458-2015. doi: 10.1183/13993003.00458-2015. [Epub ahead of print]