The Influence of High-quality Nursing Care on the Treatment and Control of Asthma_West China Medical Journal

Authors：

 LIHui , DUYu-han

The Fourth Ward of Internal Medicine Department, the First People's Hospital of Shuangliu County, Chengdu, Sichuan 610200, P. R. China;

Corresponding?author：

Keywords：

High-quality nursing care; Asthma; Therapeutic effect; Disease control; Prevention

DOI：

10.7507/1002-0179.20150147

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Objective To analyze the impact of high-quality nursing care on adult patients with asthma and asthma control. Methods We randomly chose 100 patients with asthma from June 2012 to July 2013, and the patients were randomly divided into experimental group (n=50) and control group (n=50). Patients in both the two groups received treatments based on the characteristics of the patients' condition. The control group received conventional care, while the experimental group received high-quality nursing care aimed to help them establish the concept of Asthma Prevention on the basis of the conventional care. Then, we analyzed the effect of nursing intervention in both groups. Results Before the treatment, the forced expiratory volume in 1 second (%) and peak expiratory flow were not significantly different between the two groups (P>0.05). After treatment, both groups had improvement in their lung function. However, improvement in lung function of the experimental group was significantly better than the control group (P<0.05). The disease remission level in the experiment group and the control group was respectively 86.0% (43/50) and 64.0% (32/50) (χ²=6.453, P=0.011). According to the Asthma Control Questionnare (5-item version), in the experimental group, 46 patients completed the assessment and the total control of asthma accounted for 34.8% (16/46), well-controlled asthma accounted for 50.0% (23/46), and uncontrolled asthma accounted for 15.2% (7/46); while in the control group, 48 patients completed the assessment and the total control of asthma accounted for 18.8% (9/48), well-controlled asthma accounted for 43.8% (21/48), and uncontrolled asthma accounted for 37.5% (18/48) (Z=-2.533, P=0.011). The average hospital stay for the experimental group and the control group was respectively 11.24 days and 12.16 days. Conclusion High-quality nursing care can improve the quality of life of adult asthma patients, improve the patients' lung function, and enhance the control of asthma.

Citation： LIHui, DUYu-han. The Influence of High-quality Nursing Care on the Treatment and Control of Asthma. West China Medical Journal, 2015, 30(3): 515-518. doi: 10.7507/1002-0179.20150147 Copy

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1. Bateman ED, Hurd SS, Barnes PJ, et al. Global strategy for asthma management and prevention:GINA executive summary[J]. Eur Respir J, 2008, 31(1):143-178.
2. Masoli M, Fabian D, Holt S, et al. The global burden of asthma:executive summary of the GINA Dissemination Committee report[J]. Allergy, 2004, 59(5):469-478.
3. Braman SS. The global burden of asthma[J]. Chest, 2006, 130(Suppl 1):4-12.
4. 中華醫學會呼吸病學分會哮喘學組. 支氣管哮喘控制的中國專家共識[J]. 中華內科雜志, 2013, 52(5):440-443.
5. Lai CK, Ko FW, Bhome A, et al. Relationship between asthma control status, the Asthma Control Test^TM and urgent health-care utilization in Asia[J]. Respirology, 2011, 16(4):688-697.
6. Demoly P, Annunziata K, Gubba E, et al. Repeated cross-sectional survey of patient-reported asthma control in Europe in the past 5 years[J]. Eur Respir Rev, 2012, 21(123):66-74.
7. 中華醫學會呼吸病學分會哮喘學組. 支氣管哮喘防治指南[J]. 中華結核和呼吸雜志, 2008, 31(3):177-185.
8. 中華醫學會呼吸病學分會哮喘學組中華醫學會全科醫學分會. 中國支氣管哮喘防治指南(基層版)[J]. 中華結核和呼吸雜志, 2013, 36(5):331-336.
9. 蔡柏薔, 李龍蕓. 協和呼吸病學[M]. 北京:中國協和醫科大學出版社, 2011:1115-1159.
10. 郭燕紅. 轉變護理模式,推薦優質護理服務[J]. 中華現代護理雜志, 2011, 17(1):1-5.
11. Boulet LP, FitzGerald JM, Levy ML, et al. A guide to the translation of the Global Initiative for Asthma (GINA) strategy into improved care[J]. Eur Respir J, 2012, 39(5):1220-1229.
12. 王長征. 改善支氣管哮喘控制現狀, 需要重視患者的長期管理[J]. 中華肺部疾病雜志, 2013, 6(4):296-298.

West China Medical Journal

The Influence of High-quality Nursing Care on the Treatment and Control of Asthma

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