Chest
Clinical Investigations: AsthmaAssessment of Practical Knowledge of Self-Management of Acute Asthma
Section snippets
Patients
Subjects aged 14 years and older and diagnosed as having asthma, on the basis of demonstrable reversible airflow obstruction, were recruited from a hospital-based asthma clinic. The lower age limit is the age at which patients are transferred to adult clinics and are considered to be of sufficient maturity to take responsibility for their own health. The asthma clinic is located at a major public hospital that is the regional center for respiratory medicine.
Although general practitioners may
Subjects
Eighty subjects aged between 14 and 76 years (mean=41.2 years) were recruited from the asthma clinic. Forty-four percent were male. Eighty-nine percent were European and 9% were Maori or Pacific Islanders. Subjects had attended the clinic an average of 9.8 occasions, 3.8 in the previous year. On each occasion, they had received instruction from a physician and the nurse educator and all had received a written action plan, a peak flowmeter, and instructions on PFM. Virtually all had
DISCUSSION
We have developed scenarios to assess practical knowledge of asthma self-management. Despite considerable education, our patients were surprisingly poor at applying knowledge to action in this scenario situation. Furthermore, the deficiencies in conceptional plans reflected in the suboptimal responses to scenarios correspond surprisingly well with the types of self-management deficiencies that are encountered in actual clinical medicine. The data suggest that scenarios may be a tool that can be
Asthma Knowledge
Hypothetical Asthma Attacks (Based on Sibbald4)
Now I am going to ask you some questions about the kind of experiences that some people with asthma may have and I would like you to talk about the sorts of things you would do if they were to happen to you.
I will begin by describing to you a short scene about a particular situation. Then I will ask you some questions and then go on to the next scene.
Some of your answers may cover all the stages. I must read you every scene so if that happens just
ACKNOWLEDGMENTS
We thank the staff of Asthma Clinic for their patience and tolerance, all the subjects who participated for their time and effort, and Kathy Gallimore, Josephine Ratnasabapathy, and Margaret McKinlay for their assistance in preparing the manuscript.
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Supported by a grant from the Health Research Council of New Zealand.