三位一体教育管理模式及其对哮喘患者知信行的影响  

Evaluation of a New Education-management Model and its Impact on the Patients' Knowledge,Attitude and Practice of Asthma Prevention and Treatment

作　　者：母双[1] 何权瀛[1] 余兵[1] 崔月莉[1] 王悦真[2] 孙建国[3] 张刚[3] 

机构地区：[1]北京大学人民医院呼吸科,北京100044 [2]北京大学人民医院医务处健康教育科,北京100044 [3]中国疾病预防控制中心健康教育所,北京100010

出　　处：《中国慢性病预防与控制》2006年第5期322-324,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的了解北京大学人民医院三位一体哮喘教育管理模式对哮喘患者医学防治知识、态度和行为水平的影响并评估其效果。方法三位一体哮喘患者教育管理模式由哮喘专科门诊、哮喘宣传教育中心、哮喘患者协会组成。2005年4—6月,连续选取在北京大学人民医院参加过三位一体哮喘教育管理的门诊哮喘患者作为教育组;选取在北京市另外1家三级甲等医院就诊的未接受过系统教育和管理的门诊哮喘患者作为对照组。由医院经过培训的呼吸内科医生,采用由北京大学人民医院和中国疾病预防控制中心健康教育所共同设计的问卷,采用与患者面对面访谈法进行调查,并进行分析。结果教育组73例,对照组30例,两组间性别、病程、文化程度和收入水平比较,差别无统计学意义(P>0.05)。除“预防哮喘重要性”和“信任经治医生”外,教育组中防治哮喘知识、态度、行为水平均高于对照组,经χ2检验,差别有统计学意义(P<0.05)。结论三位一体的哮喘患者教育管理模式可以有效提高患者防治哮喘的知识、态度和行为水平,适宜在国内的大中城市医院中推广。Objective To evaluate the effect of special education ＆ management model, which was proposed by the People＇ s Hospital of Peking University and conducted by a union of asthmatic outpatient clinic, asthma education center and asthmatic patient association, and its impact on the patient＇ s knowledge, attitude and practice of the asthma prevention and treatment. Methods Faceto-face questionnaire was used in two groups of outpatients during April to June in 2005： the educated group （73 patients）, including the cases having taken part in the asthma education program in People＇ s Hospital of Peking University, and the control group （30 patients）, including those having seen a physician in the department of respiratory medicine in another Grade 3A hospital in Beijing; Their knowledge, attitude and practice of the asthma prevention and treatment was investigated; the data between two groups were compared and analyzed. Results The percentages of patients who had understood the relative knowledge of asthma prevention and treatment, could strictly obey the physicians advice, carried out the correct therapy and examination in the educated group were higher than those in the control group （P〈0.05, all）. Conclusion The Education Program for asthmatic patients proposed by People＇ s Hospital of Peking University could significantly change the knowledge, attitude and practice of patients on asthma. It was practical and not complicated to be popularized in hospitals of big or middle cities in China.

关 键 词：病人教育 哮喘 知识-态度-行为 

分 类 号：R193.2[医药卫生—卫生事业管理]