Source: International Congress 2014 – Management of asthma and other respiratory diseases in primary care
Disease area: Airway diseases

Abstract

Mild asthmatics are usually observed only by general practitioners.The aim was to find out whether there are any initiatives effective and suitable for gaining control among mild asthma patients in General Practice.We enrolled 95 mild atopic asthmatic patients (age 43.3±15.6 yrs, 64.9% female). We observed the patients during one year. Patients were encouraged by their general practitioners to pass education patients schools (group or/and distant electronic one), undertake regular physician observation every 3 month and follow the personal written asthma action plan. We used criteria of effectiveness: results of ACT and ACQ-5, FEV₁ data, frequency of use of reliever medicine and etc.During the research period 54.7% of patients passed group asthma-school (correlation with age r=-0.04), 43.6% - passed distant electronic asthma-school (correlation with age r=-0.77, p<0.05), 24.2% did not pass any education. We had found out that increasing of asthma control level depends on passing any type of educational program. Asthma control was assessed by either ACT (with group education r=0.42, p<0.05; with distant education r=0.22, p<0.05.) or ACQ-5 results (with group education r= - 0.39, p<0.05; with distant education r= - 0.21, p<0.05). Only 30.5% of patients were able to make regular visits to their physicians and there was found dependence on type of chosen education. Among mild asthmatics only 43.2% of patients followed written asthma plan obtaining higher control level (p<0.05).Conclusion: In spite of variety of initiatives, each patient with mild asthma needs personal written asthma action plan and obligatory passing any type of patients' education.

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Citations should be made in the following way:
O. Nagatkina, V. Kupaev, J. Bogdanova, D. Nagatkin (Samara, Russian Federation). Whether all general practice initiatives are effective in gaining asthma control in mild asthmatics?. Eur Respir J 2014; 44: Suppl. 58, 3016

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