| Objective To explore the effect of three methods:regular health education,health education commissioner system and We Chat health education,on the ICS inhalation technique,ICS treatment compliance,ACT control level,knowledge of asthma disease,pulmonary function and satisfaction of patients with health education in outpatients with asthma treated with inhaled corticosteroid,and to provide reference for a long-term mangement and health education of asthma patients.Methods From December 2015 to May 2016,90 patients with bronchial asthma who were admitted to the Department of Respiratory Medicine at Ningxia People's Hospital Xixia Branch were selected as the subjects.Patients were divided into control group,test group 1,test group 2 and there are 30 patients in each group by random number table method.Before the intervention,all patients were evaluated for baseline data,including general data status,knowledge of asthma disease and level of asthma control.Patients in the control group was given the regular health education,the test group 1 was given a three-month intervention in the health education commissioner system on the basis of conventional health education,the test group 2 was given a three-month intervention on WeCha health education on a regular basis based on health education.Before intervention,at 1 month,2 months and 3 months during the intervention,ICS inhalation technique,ICS treatment compliance,ACT level,knowledge of asthma disease,lung function index,and satisfaction of patients with health education were evaluated and compared among the three groups with the general information questionnaire,asthma knowledge questionnaire,ACT scale,ICS inhalation technology evaluation table,the patient's health education satisfaction questionnaire.Results 1.The baseline data of the three groups were compared before the intervention: there were no significant differences in the general data status,the knowledge of asthma disease and the control level of asthma in the three groups(P>0.05).2.For the first time outpatient health education,there was no significant difference in the number of inhalation techniques between the three groups(P>0.05).3.After the intervention,the differences of ICS inhalation technique between the three groups were statistically significant(P<0.05);for comparison between groups,there was no significant difference between the test group 1 and the test group 2(P>0.05);the test group 1 and the test group 2 compared with the control group,the difference was statistically significant(P<0.05).4.Intervening for 1 month,there was no significant difference between the three groups in the ICS treatment compliance(P>0.05);intervention for 2 months,3 months,there was significant difference between the three groups in the ICS treatment compliance(P<0.05);for comparison between groups,there was no significant difference between the test group 1 and the test group 2(P>0.05);the test group 1 and the test group 2 compared with the control group,the difference was statistically significant(P<0.05).5.Intervening for 1 month,2 months,3 months,three groups of patients with ICS treatment compliance were compared within the group,the difference was statistically significant(P<0.05);for comparison within two groups,there was no significant difference between the three groups at intervening for 1 month and the 2 months(P>0.05);the difference was statistically significant between the three groups at intervening for 1 month and the 3 months(P<0.05).6.Intervening for 1 month,there was no significant difference in ACT control level between the three groups(P>0.05);intervention for 2 months,3 months,there was significant difference between the three groups in ACT control level(P<0.05);for comparison between groups,there was no significant difference between the test group 1 and the test group 2(P>0.05);the test group 1 and the test group 2 compared with the control group,the difference was statistically significant(P<0.05).7.Intervening for 1 month,2 months,3 months,the control groups of patients with ACT control level were compared within the group,the difference was not statistically significant(P>0.05);intervening for 1 month,2 months,3 months,the test group 1and the test group 2 with ACT control level were compared,the difference was statistically significant(P<0.05);for comparison within two groups,there was no significant difference between the intervention for 2 months and the intervention for 3 months of the test group 1(P>0.05);the difference was statistically significant between the intervention for 2 months and the intervention for 3 months of the test group 1(P<0.05);there was no significant difference between the intervention for 2 months and the intervention for 3 months of the test group 2(P>0.05);the difference was statistically significant between the intervention for 2 months and the intervention for 3 months of the test group 2(P<0.05).8.Intervening for 3 month,there were significant differences between the three groups in the total knowledge of disease and the nature of the disease,predisposing factors,medication knowledge and self-management(P<0.05);for multiple comparisons,the test group 1 and the test group 2 compared with the control group,the difference was statistically significant(P<0.05);there was no significant difference between the test group 1 and the test group 2(P>0.05);the total score of asthma knowledge and the nature of the disease,predisposing factors,knowledge of medication,self-management of the three groups of patients before and after the intervention were compared,in the control group,there was no significant difference between the two groups before and after the intervention of self-management(P>0.05);the difference was statistically significant between the two groups before and after the intervention of the total score of asthma knowledge,the nature of the disease,predisposing factors and medication knowledge(P<0.05);the total knowledge of disease and the score of various dimensions of the disease nature,predisposing factors,medication knowledge,self-management the test group 1 and the test group 2 before and after intervention,the difference was statistically significant(P<0.05).9.Intervening for 3 month,there were significant differences between the three groups in the FEV1/expected value,FEV1/FVC,PEF/expected value(P<0.05);for multiple comparisons,the test group 1 and the test group 2 compared with the control group,the difference was statistically significant(P<0.05);the difference was statistically significant between the test group 1 and the test group 2(P<0.05).10.Intervening for 3 month,there were significant differences in the satisfaction of health education among the three groups(P<0.05);for comparison between groups,the difference was statistically significant between the test group 1 and the test group 2(P<0.05),the test group 1 and the test group 2 compared with the control group,the difference was statistically significant(P<0.05).Conclusions 1.Asthma patients have a low level of awareness of asthma and asthma control.2.These two kinds of intervention methods: health education commissioner system and We Chat health education,are conducive to patients with a comprehensive grasp of asthma knowledge and to improve the awareness of the disease level.3.These two kinds of intervention methods: health education commissioner system and We Chat health education,can improve the patient's asthma control level.4.These two kinds of intervention methods: health education commissioner system and We Chat health education,can enable patients to effectively grasp the ICS inhalation technology and to improve ICS inhalation rate and ICS treatment compliance.5.These two kinds of intervention methods: health education commissioner system and We Chat health education,can enable patients to recognize the importance of improving their own lung function,while allowing patients to snormatively and correclyt grasp pulmonary function tests,helping to improve lung function.6.These two kinds of intervention methods: health education commissioner system and WeChat health education,can improve the patient's health education satisfaction,help to improve the relationship between doctors and patients,and achieve long-term health education and management of asthma patients to lay the necessary foundation. |
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