Article

The holistic self-management plan includes lifelong actions that enable patients
to cope with their disease. The present study was designed to evaluate the effect
of a holistic self-management plan on asthma control. A 12-month controlled study
was conducted. Adult patients with mild-to-moderate asthma (n = 24) who attended
the emergency asthma department were randomized to two groups: One group followed
four educational sessions and three personal home sessions (n = 12), while a
second group received a short manual with asthma information (n = 12). The main
measure was the asthma control test (ACT), while secondary outcomes were
self-efficacy (general self-efficacy scale, GSE), end-tidal carbon dioxide
(ETCO2), respiratory rate (RR), breathing hold time (BHT), the Nijmegen
Questionnaire (NQ), and spirometry (FEV1% predicted (forced expiratory volume in
1 second % predicted)) scores. The 2 x 4 ANOVA showed a significant interaction
effect between intervention and time in ACT (p = 0.001), GSE (p < 0.001), ETCO2
(p < 0.001), RR (p < 0.001), BHT (p < 0.001), NQ (p = 0.05), and FEV1% predicted
(p < 0.001). Predictors of asthma control were self-efficacy and ETCO2. In
conclusion, this exploratory study provided support for the effectiveness of
holistic self-management in asthma control. Behavioral changes, as indicated by
the development of self-efficacy and the reduction of hyperventilation,
contributed to the effectiveness of the intervention.

Langue : ANGLAIS