KMID : 1044520170800020169
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Tuberculosis and Respiratory Diseases 2017 Volume.80 No. 2 p.169 ~ p.178
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The Need for a Well-Organized, Video-Assisted Asthma Education Program at Korean Primary Care Clinics
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Kim Yee-Hyung
Yoo Kwang-Ha Yoo Jee-Hong Kim Tae-Eun Kim Deog-Kyeom Park Yong-Bum Rhee Chin-Kook Kim Tae-Hyung Kim Young-Sam Yoon Hyoung-Kyu Um Soo-Jung Park I-Nae Ryu Yon-Ju Jung Jae-Woo Hwang Yong-Il Lee Heung-Bum Lim Sung-Chul Jung Sung-Soo Kim Eun-Kyung Kim Woo-Jin Lee Sung-Soon Lee Jae-Chun Kim Ki-Uk Kim Hyun-Kuk Kim Sang-Ha Park Joo-Hun Shin Kyeong-Cheol Choe Kang-Hyeon Yum Ho-Kee
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Abstract
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Background: The purpose of this study was to assess the effect of our new video-assisted asthma education program on patients' knowledge regarding asthma and asthma control.
Methods: Adult asthmatics who were diagnosed by primary care physicians and followed for at least 1 year were educated via smart devices and pamphlets. The education sessions were carried out three times at 2-week intervals. Each education period lasted at most 5 minutes. The effectiveness was then evaluated using questionnaires and an asthma control test (ACT).
Results: The study enrolled 144 patients (mean age, 56.7¡¾16.7 years). Half of the patients had not been taught how to use their inhalers. After participating in the education program, the participants' understanding of asthma improved significantly across all six items of a questionnaire assessing their general knowledge of asthma. The proportion of patients who made errors while manipulating their inhalers was reduced to less than 10%. The ACT score increased from 16.6¡¾4.6 to 20.0¡¾3.9 (p<0.001). The number of asthmatics whose ACT score was at least 20 increased from 45 (33.3%) to 93 (65.3%) (p<0.001). The magnitude of improvement in the ACT score did not differ between patients who received an education session at least three times within 1 year and those who had not. The majority of patients agreed to the need for an education program (95.8%) and showed a willingness to pay an additional cost for the education (81.9%).
Conclusion: This study indicated that our newly developed education program would become an effective component of asthma management in primary care clinics.
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KEYWORD
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Asthma, Education, Primary Health Care
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