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首页> 外文期刊>Canadian Respiratory Journal >Impact of Group Asthma Education on Asthma Control and Emergency Room Visits in an Underserved New York Community
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Impact of Group Asthma Education on Asthma Control and Emergency Room Visits in an Underserved New York Community

机译：哮喘教育对哮喘控制和急诊室访问的影响，纽约社区的影响

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Objective. Asthma education programs have been shown to be effective in decreasing health care utilization and improving disease control and management. However, there are few studies evaluating the outcomes of group asthma education. The aim of this study was to assess the impact of an outpatient adult group asthma education program in an inner-city-based hospital caring for an underserved population. Methods. We conducted a pre- and poststudy of all patients with asthma who participated in two structured group asthma education sessions led by a respiratory therapist, clinical pharmacist, and pulmonologist. The study period (January 2016 to April 2018) included the year before group education and the year after education. The primary outcomes were the number of patients requiring emergency room visits and hospital admission. The secondary outcomes included asthma control as assessed by Asthma Control Test scores, use of systemic corticosteroids, and change in test scores postintervention. Results. Eighty-eight patients received group education during the study period; 82 attended 2/2 sessions, and 6 attended 1/2 sessions. The study population was largely Hispanic (73%) or African American (25%) and had a mean age of 58?years. Most had moderate (57%) or severe (25%) persistent asthma. Significantly, fewer patients required emergency room visits in the postintervention period than in the preintervention period (20 visits vs. 42 visits, p=0.0002). Group education was also associated with increased asthma control (p=0.0043), decreased use of systemic corticosteroids (p=0.0005), and higher postintervention test scores (p=0.0001). Conclusions. Group asthma education provided by a multidisciplinary team in an inner-city hospital clinic caring for underserved and minority populations is feasible and may decrease utilization of health care resources when patients are educated and empowered to participate in their asthma management.
机译：客观的。哮喘教育计划已被证明可有效降低医疗利用和改善疾病控制和管理。但是，很少有研究评估哮喘教育组的结果。本研究的目的是评估门诊成人组哮喘教育方案在内部城市的医院照顾不足人口的影响。方法。我们对所有哮喘患者进行了一系列，哮喘患者参加了由呼吸治疗师，临床药剂师和肺神论引领的两种结构化组哮喘教育会话。研究期（2016年1月至2018年4月）包括在团体教育和教育之后的一年前一年。主要结果是需要急诊室访问和入住入院的患者的数量。二次结果包括哮喘控制，如哮喘对照试验评分评估，使用全身性皮质类固醇，以及后期测试分数的变化。结果。八十八名患者在研究期间接受群组教育; 82参加了2/2课，6名参加了1/2次会议。研究人口主要是西班牙裔（73％）或非裔美国人（25％），平均年龄为58岁？年。大多数有中度（57％）或严重（25％）持续的哮喘。显着性，较少的患者需要急诊室的急诊室探访，而不是预领取期间（20次访问与42次访问，P = 0.0002）。组教育也与哮喘增加增加有关（P = 0.0043），使用全身皮质类固醇的使用减少（P = 0.0005），较高的后勤试验评分（P = 0.0001）。结论。一名多学科团队在内部城市医院诊所提供的小组哮喘教育是不可行的，当患者受过教育和授权参加哮喘管理时，可能会降低医疗资源的利用。

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