TAILIEUCHUNG - Báo cáo y học: "Weekly self-monitoring and treatment adjustment benefit patients with partly controlled and uncontrolled asthma: an analysis of the SMASHING study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học 'Respiratory Research cung cấp cho các bạn kiến thức về ngành y đề tài: "Weekly self-monitoring and treatment adjustment benefit patients with partly controlled and uncontrolled asthma: an analysis of the SMASHING study. | van der Meer et al. Respiratory Research 2010 11 74 http content 11 1 74 RESPIRATORY RESEARCH RESEARCH Open Access Weekly self-monitoring and treatment adjustment benefit patients with partly controlled and uncontrolled asthma an analysis of the SMASHING study Victor van der Meer 1 2 Henk F van Stel1 Moira J Bakker1 Albert C Roldaan3 Willem JJ Assendelft2 Peter J Sterk4 Klaus F Rabe5 Jacob K Sont1 5 for the SMASHING Self-Management of Asthma Supported by Hospitals ICT Nurses and General practitioners Study Group Abstract Background Internet-based self-management has shown to improve asthma control and asthma related quality of life but the improvements were only marginally clinically relevant for the group as a whole. We hypothesized that selfmanagement guided by weekly monitoring of asthma control tailors pharmacological therapy to individual needs and improves asthma control for patients with partly controlled or uncontrolled asthma. Methods In a 1-year randomised controlled trial involving 200 adults 18-50 years with mild to moderate persistent asthma we evaluated the adherence with weekly monitoring and effect on asthma control and pharmacological treatment of a self-management algorithm based on the Asthma Control Questionnaire ACQ . Participants were assigned either to the Internet group n 101 that monitored asthma control weekly with the ACQ on the Internet and adjusted treatment using a self-management algorithm supervised by an asthma nurse specialist or to the usual care group UC n 99 . We analysed 3 subgroups patients with well controlled ACQ partly controlled ACQ or uncontrolled ACQ asthma at baseline. Results Overall monitoring adherence was 67 95 CI 60 to 74 . Improvements in ACQ score after 12 months were p p and p in the Internet group compared to usual care for patients with well partly and uncontrolled asthma at baseline respectively. Daily inhaled corticosteroid dose .

TỪ KHÓA LIÊN QUAN
Đã phát hiện trình chặn quảng cáo AdBlock
Trang web này phụ thuộc vào doanh thu từ số lần hiển thị quảng cáo để tồn tại. Vui lòng tắt trình chặn quảng cáo của bạn hoặc tạm dừng tính năng chặn quảng cáo cho trang web này.