Reduction in asthma morbidity following a community-based asthma self-management programme in Tonga

被引:0
|
作者
Foliaki, S. [1 ,2 ]
Fakakovikaetau, T. [1 ]
D'Souza, W. [2 ,3 ]
Latu, S. [1 ]
Tutone, V. [4 ]
Cheng, S. [2 ]
Pearce, N. [2 ]
机构
[1] Minist Hlth, Nukualofa, Tonga
[2] Massey Univ, Ctr Publ Hlth Res, Wellington, New Zealand
[3] Univ Melbourne, St Vincents Hosp, Dept Med, Melbourne, Vic, Australia
[4] Middlemore Hosp, Auckland 6, New Zealand
基金
英国惠康基金;
关键词
asthma; self-management; management; PEAK EXPIRATORY FLOW; CREDIT CARD ASTHMA; TRADITIONAL TREATMENT; CHILDHOOD ASTHMA; RANDOMIZED-TRIAL; GENERAL-PRACTICE; MAORI COMMUNITY; LUNG-FUNCTION; ADULT ASTHMA; PLAN;
D O I
暂无
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
BACKGROUND: The Tonga Asthma Self-management Project assessed whether the introduction of an asthma self-management plan would reduce asthma morbidity. METHODS: The project involved a 'before and after' trial, with each participant serving as his/her own control. Asthma patients used the self-management plan to manage their asthma medication or obtain medical help based on their peak expiratory flow (PEF) rate and/or asthma symptoms. RESULTS: The 110 participants initially had relatively high asthma morbidity: 68% had had an emergency medical visit for asthma in the previous 12 months. Ninety-two (84%) completed the 12-month programme. Emergency doctor visits fell from 66% in the previous 12 months to 18% (P < 0.001) in the following 12 months. Other measures also Improved, including hospital admissions (from 19% to 3%, P = 0.001), having 14 days or more,out of action' (from 29% to 4%, P < 0.001), waking >= 2 nights a week (from 40% to 13%, P < 0.001), severe asthma attacks (from 54% to 18%, P < 0.001) and mean PEF rates (from 341 l/min to 417 l/min, a 22% increase, P < 0.001). CONCLUSIONS: The potential benefits of asthma self-management plans and community-based asthma education are supported by the findings of the Tonga study. Their implementation is essential in the resource-scarce Pacific health setting.
引用
收藏
页码:142 / 147
页数:6
相关论文
共 50 条
  • [11] USE OF FOCUS GROUP METHODOLOGY TO DEVELOP AN ASTHMA SELF-MANAGEMENT PROGRAM USEFUL FOR COMMUNITY-BASED MEDICAL PRACTICES
    KOHLER, CL
    DOLCE, JJ
    MANZELLA, BA
    HIGGINS, D
    BROOKS, CM
    RICHARDS, JM
    BAILEY, WC
    [J]. HEALTH EDUCATION QUARTERLY, 1993, 20 (03): : 421 - 429
  • [12] SELF-MANAGEMENT IN ASTHMA AND COPD
    Younis, I.
    Roberts, N. J.
    Partridge, M. R.
    [J]. THORAX, 2009, 64 : A165 - A165
  • [13] Self-management improves asthma
    Ciaccio, Christina E.
    Portnoy, Jay M.
    [J]. CURRENT ALLERGY AND ASTHMA REPORTS, 2009, 9 (06) : 411 - 411
  • [14] ASTHMA SELF-MANAGEMENT IN PEDIATRICS
    BONFANTI, R
    GUCCI, M
    ARZILLI, P
    GOTTI, A
    BALDINI, G
    [J]. ANNALS OF ALLERGY, 1988, 60 (02): : 169 - 169
  • [15] Supported self-management for asthma
    Pinnock, Hilary
    [J]. BREATHE, 2015, 11 (02) : 99 - 109
  • [16] Self-management improves asthma
    Christina E. Ciaccio
    Jay M. Portnoy
    [J]. Current Allergy and Asthma Reports, 2009, 9
  • [17] ASTHMA - GUIDED SELF-MANAGEMENT
    PARTRIDGE, MR
    [J]. BRITISH MEDICAL JOURNAL, 1994, 308 (6928): : 547 - 548
  • [18] Self-management in adults with asthma
    Partridge, MR
    [J]. PATIENT EDUCATION AND COUNSELING, 1997, 32 : S1 - S4
  • [19] Education for asthma self-management
    Keeley, D
    [J]. PRACTITIONER, 2000, 244 (1606) : 32 - +
  • [20] Self-management plans in asthma
    Neville, R
    [J]. PRACTITIONER, 1998, 242 (1584) : 212 - 215