[Patient's education in the pneumological rehabilitation raises the therapeutic success].
Original title: Patientenschulung in Der Pneumologischen Rehabilitation Steigert Den Therapeutischen Erfolg
Source: Atemwegs und Lungenkrankheiten 21(1):49-58.
Abstract: The purpose of this study was to examine the effects of educating the patients about obstructive airway disease in pneumologic stationary rehabilitation. In this open study design 178 patients with asthma bronchiole, chronic bronchitis, and lung emphysema were investigated. The subjects were assigned to two groups depending upon the intensity of the education. An intensive education program was provided to 91 subjects, which consisted of 20 lessons in 5 days during two weeks (Model Bad Reichenhall) during the rehabilitation procedure. The remaining 87 subjects underwent the usual rehabilitation procedure and not the intensive education. Data collection was done on the first and last day of the rehabilitation procedure and after a period of one year. The multiple-choice-questionnaire, frequency of symptoms, parenteral therapy, adaptation of dosis by patient, number of hospitalizations, number of hospitalization days, duration of absenteism of work, number of days of absenteism of work, and degree of increase of private and occupational activities was used to measure the theoretical knowledge and data was collected by questioning the subjects, house practitioners, and patients insurances. The findings suggested a significant improvement in the theoretical knowledge, decrease of symptoms and events of parenteral therapy, increase of self-dosage, decrease of hospitalization, hospital days, absenteism of work, and disturbances of private and occupational activities in the patients that underwent education program and rehabilitation. A significant difference was seen in these parameters when the data of the educated group was compared with the non-educated group. The subjects were divided into two groups of asthma and chronic bronchitis. The asthmatics showed significant improvement but the group with chronic bronchitis showed low significant improvement. The inhomogeneities of distribution of age and diagnosis influenced the data evaluation. In conclusion, it is suggested that further research is needed to evaluate the effects of patients' education on the quality of life, intensities and sequences of different education along with the effects of various types of lung diseases in terms of chronicity. (CIRRIE Abstract)
Institution: Fachklinik fur Erkrankungen, Atmungsorgane und Allergien, LVA Niederbayern-Oberpfalz, Salzburger Strasse 8-11, D-83424 Bad Reichenhall, Germany