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首页> 外文期刊>International Journal of Chronic Obstructive Pulmonary Disease >Assessing the effect of culturally specific audiovisual educational interventions on attaining self-management skills for chronic obstructive pulmonary disease in Mandarin- and Cantonese-speaking patients: a randomized controlled trial
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Assessing the effect of culturally specific audiovisual educational interventions on attaining self-management skills for chronic obstructive pulmonary disease in Mandarin- and Cantonese-speaking patients: a randomized controlled trial

机译：评估文化特定的视听教育干预措施对普通话和广东话患者获得慢性阻塞性肺疾病自我管理技能的效果：一项随机对照试验

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Background: Patient education is a key component in the management of chronic obstructive pulmonary disease (COPD). Delivering effective education to ethnic groups with COPD is a challenge. The objective of this study was to develop and assess the effectiveness of culturally and linguistically specific audiovisual educational materials in supporting self-management practices in Mandarin- and Cantonese-speaking patients. Methods: Educational materials were developed using participatory approach (patients involved in the development and pilot test of educational materials), followed by a randomized controlled trial that assigned 91 patients to three intervention groups with audiovisual educational interventions and one control group (pamphlet). The patients were recruited from outpatient clinics. The primary outcomes were improved inhaler technique and perceived self-efficacy to manage COPD. The secondary outcome was improved patient understanding of pulmonary rehabilitation procedures. Results: Subjects in all three intervention groups, compared with control subjects, demonstrated postintervention improvements in inhaler technique ( P <0.001), preparedness to manage a COPD exacerbation ( P <0.01), ability to achieve goals in managing COPD ( P <0.01), and understanding pulmonary rehabilitation procedures ( P <0.05). Conclusion: Culturally appropriate educational interventions designed specifically to meet the needs of Mandarin and Cantonese COPD patients are associated with significantly better understanding of self-management practices. Self-management education led to improved proper use of medications, ability to manage COPD exacerbations, and ability to achieve goals in managing COPD. Clinical implication: A relatively simple culturally appropriate disease management education intervention improved inhaler techniques and self-management practices. Further research is needed to assess the effectiveness of self-management education on behavioral change and patient empowerment strategies.
机译：背景：患者教育是慢性阻塞性肺疾病（COPD）管理中的关键组成部分。向患有COPD的种族群体提供有效的教育是一项挑战。这项研究的目的是开发和评估文化和语言特定的视听教育材料在支持普通话和广东话患者的自我管理实践中的有效性。方法：采用参与式方法（参与教材开发和试点测试的患者）制作教材，然后进行一项随机对照试验，该试验将91名患者分为三个接受视听教育干预的干预组和一个对照组（小册子）。这些患者是从门诊诊所招募的。主要结果是改善了吸入器技术，并发现了自我控制COPD的自我效能。次要结果是改善患者对肺康复程序的了解。结果：与对照组相比，所有三个干预组的受试者均表现出干预后吸入器技术的改善（P <0.001），应对COPD急性发作的准备（P <0.01），实现COPD管理目标的能力（P <0.01）。 ，并了解肺康复程序（P <0.05）。结论：专门为满足普通话和粤语COPD患者需求而设计的文化上适当的教育干预措施，可以使人们对自我管理实践有更好的了解。自我管理教育提高了药物的正确使用，控制COPD恶化的能力以及实现管理COPD目标的能力。临床意义：相对简单，适合文化的疾病管理教育干预措施，可以改善吸入器技术和自我管理做法。需要进行进一步的研究以评估自我管理教育对行为改变和患者赋权策略的有效性。

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