BRONCHIAL ASTHMA: MONITORING THE QUALITY OF DISPENSIONIZATION OF PATIENTS BY THE ALLEROLOGIST-IMMUNOLOGY

Abstract

The article is devoted to monitoring the quality of medical examination of patients with asthma. Goal. Development of objective long-term monitoring of patients, assessment of the quality of educational programs suffering from bronchial asthma during the follow-up. Materials and methods. For a comprehensive assessment of the dynamic step-by-step monitoring of patients with a diagnosis of bronchial asthma, questionnaires from three blocks of questions were used, as well as analysis of assessments in the framework of clinical examples with targeted repeated questioning of patients. The first stage of the assessment was carried out before the start of the educational program. The second stage of assessment - after the completion of the educational process on the same questionnaire, in order to identify the final level of their knowledge to correct the learning process during the implementation of the subsequent chain of educational programs. The third stage is carried out after 1 year, on re-testing and to ensure differentiated tactics for further management of patients. Results. On the clinical example of a patient with bronchial asthma, the results of the questionnaire were calculated at the first, second and third stages of the study in a patient with an initially low level of preparedness for all three blocks of knowledge, skills, assessing the quality of life, and achieving a high level of competence as a result of a training course, the patient was recognized not in need of re-training, and she was offered the continuation of only dispensary observation. Conclusion. The technical result when using the technique is to improve the quality of life of patients with bronchial asthma. Phased questioning of patients to identify their level of awareness allows you to build a harmonious differentiated system of their education in “Asthma-school”, which is not feasible by other diagnostic methods.

Keywords

• бронхиальная астма
• астма-школа
• качество обучения пациента
• трудовые функции врача аллерголога-иммунолога