Bronchial asthma patient training with consulative follow-up

Abstract

The asthma patient training is one of the most important goals for health service. The objective of this study was to create training program and investigate its efficacy in the asthma out-patient group. Data were collected from patients questionnaire, physical examination, analysis of case histories, and lung function tests. The patients were examined before and 1 year after intervention. 60 asthma patients were in the actual group and 29 patients in the control group. The program included 12 subjects, concerning of main principals of asthma self-management and self-control. The course was conducted 2 times a week during 1.5 months in the asthmatic groups. The number of the patients in the each group was 10–15 patients. The duration of the each session was 1–1.5 hours in the asthmatic groups. The main results of the program were significant improvement of knowledge about disease, decreasing of hospitalisation rate in 2.3 times, emergency visits in 2 times, exacerbation in 1.6 times. Significant improvement in MDI technique and adherence to maintenance drug therapy was showed. The number of patients, using peakflowmeters, spacers and individual nebulisers increased substantially. Thus, achieved results showed high efficacy of suggested program and necessity of wide application.