Objective: To explore the effects of outpatient health education management on promoting self-management of elderly patients with asthma. Methods: 280 elderly patients with asthma admitted to our clinic from June 2016 to June 2017 were randomly divided into two groups. The control group received routine outpatient procedures while the management group received outpatient health education management. The in-terventions were compared between the two groups After nearly 6 months of living conditions, self-management ability, quality of life and disease prognosis. Results: The FEV1%＞ 80% (62.14%) of the patients in the management group were significantly higher than those in the control group (27.86%) in the last 6 months, 15% in the last 6 months, 5%in the last 6 months (2.86%) and tobacco exposure rate (6.43%) were signifi-cantly lower than those in the control group (35.71%, 17.14%, 13.57%, 26.43%). After 6 months of inter-vention, the self-management ability score 7.43), total quality of life (193.78 ± 22.60), ACT score (21.40 ± 1.66) and FEV1 level (2.90 ± 0.72) were significantly higher than the control group (78.11 ± 7.85, 172. 75 ± 20.97, 19.69 ± 1.40, 2.10 ± 0.68) , there was a significant difference ( P ＜0.01) . Conclusion: Outpa-tient health education management has a significant effect on promoting self-management of senile asthma pa-tients.%目的:探讨门诊健康教育管理对促进老年哮喘患者自我管理的效果.方法:收集2016 年6月至2017年6月门诊收治的280例老年哮喘患者随机分为两组,对照组患者实行常规门诊程序,管理 组患者则实行门诊健康教育管理模式,比较两组患者干预后近6 个月生活状况、自我管理能力、生活质量与疾病预后.结果:管理组患者FEV1%＞80%(62.14%)显著性高于对照组(27.86%),近六个月疾病加重急诊(15%)、近六个月疾病加重住院(5%)、高剂量吸入激素治疗(2.86%)与烟草暴露率(6.43%)均显著性低于对照组(35.71%,17.14%,13.57%,26.43%);干预后6 个月自我管理能力总分(84.20±7. 43)、生活质量总分(193.78±22.60)、ACT评分(21.40±1.66)与FEV1 水平(2.90±0.72)组间比较显著性高于对照组(78.11±7.85,172.75±20.97,19.69±1.40,2.10±0.68),存在显著性差异(P＜0.01).结论:门诊健康教育管理对促进老年哮喘患者自我管理的效果显著,具有借鉴意义.
展开▼
