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Providing asthma self-management education in the emergency department: A systematic review and feasibility study.

机译:在急诊科提供哮喘自我管理教育:系统的回顾和可行性研究。

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摘要

The issue. Many asthma patients present to the Emergency Department (ED) each year, however the opportunity for education is often missed. As part of an Ontario initiative, individuals presenting in the ED were provided with evidence-based asthma education and were followed to describe the feasibility of providing education in this setting and the impact on asthma knowledge and perceived control. This thesis describes the need for education in the ED, the characteristics of effective education programs, the types of outcome measures used to evaluate these programs, and an evaluation of an asthma education intervention at the Kingston General Hospital ED and in the Asthma Education Centre (AEC).;Methods. (1) Comprehensive systematic review of research literature on patient education interventions in the ED, and (2) Feasibility study using a pre-post design in two settings (ED n=17, AEC n=20) to document the impact of the asthma education intervention on asthma knowledge and perceived control of asthma.;Results. Systematic review. Interventions used lecture, discussion, demonstration, practice and instructional tools to relay information. Outcome measures included those from cognitive, affective and psychomotor learning domains. The majority (60%) of randomized controlled trials (RCT) reported being able to meet their learning domain outcomes using a variety of teaching methods.;Feasibility study. Groups were similar with respect to baseline characteristics with the exception of mean age and state anxiety. Change in asthma knowledge scores post education were significant for both ED and AEC groups; p<.01. The ED participants showed a significant improvement in perceived control scores after education (p=.01) but the same was not found in the AEC group (p=.19).;Purpose. (1) To develop a synthesis of the state of knowledge with regard to patient education in the ED through a systematic review of the research literature, and (2) To describe the feasibility and impact of a brief asthma education intervention delivered in the ED and an AEC, on asthma knowledge and perceived control.;Conclusions and implications of thesis enquiry. The thesis has provided information to assist in planning and implementation of evidence-based recommendations for asthma education in the ED. The systematic review resulted in a synopsis of current approaches to education in the emergency setting including types of educational interventions, outcomes used and reported effectiveness. The study conducted locally provided useful information about the feasibility of asthma education in the ED as well as preliminary data on the effectiveness in improving asthma knowledge and perceived control of symptoms.
机译:问题。每年都有许多哮喘患者到急诊科就诊,但是常常错过了接受教育的机会。作为安大略省一项举措的一部分,对急诊科中出现的个人进行了基于证据的哮喘教育,并随后描述了在这种情况下开展教育的可行性以及对哮喘知识和感知控制的影响。本论文描述了急诊教育的必要性,有效教育计划的特点,评估这些计划的结果指标的类型以及对金斯敦总医院急诊科和哮喘教育中心的哮喘教育干预措施的评估( AEC);方法。 (1)对急诊患者教育干预研究文献的系统综述,以及(2)在两种情况下采用事前设计进行可行性研究(ED n = 17,AEC n = 20),以记录哮喘的影响对哮喘知识和感知到的哮喘控制进行教育干预。系统评价。干预措施使用演讲,讨论,演示,练习和指导工具来传递信息。结果指标包括来自认知,情感和心理运动学习领域的指标。多数随机对照试验(RCT)(60%)报告说,他们可以使用多种教学方法满足其学习领域的成果。除平均年龄和状态焦虑外,各组的基线特征相似。 ED和AEC组的教育后哮喘知识得分的变化均很显着。 p <.01。 ED参与者在接受教育后表现出明显的控制得分显着改善(p = .01),但在AEC组中却没有发现同样的改善(p = .19)。 (1)通过对研究文献的系统回顾,就急诊科中患者教育的知识状态进行综合,以及(2)描述在急诊科中进行简短的哮喘教育干预措施的可行性和影响。关于哮喘知识和知觉控制的AEC 。;论文研究的结论和意义。本文提供了信息,以帮助规划和实施急诊中基于证据的哮喘教育建议。系统的审查总结了紧急情况下当前的教育方法,包括教育干预措施的类型,使用的成果和报告的有效性。在当地进行的研究提供了有关在ED中进行哮喘教育的可行性的有用信息,以及有关改善哮喘知识和感知症状控制效果的初步数据。

著录项

  • 作者

    Szpiro, Kim Anita.;

  • 作者单位

    Queen's University (Canada).;

  • 授予单位 Queen's University (Canada).;
  • 学科 Health Sciences Nursing.
  • 学位 M.Sc.
  • 年度 2007
  • 页码 153 p.
  • 总页数 153
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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