title: Importance of education in bronchial asthma treatment - gender differences.
abstract: BACKGROUND
  Despite significant progress in understanding mechanisms and effective treatment there are still therapeutic failures in patients treated for bronchial asthma. Education is vital in the therapeutic process. It improves the control of the disease at the individual level by influencing the adherence and compliance.
  
  
  METHODS
  The study included 100 patients suffering from bronchial asthma and treated according to GINA 2002 guidelines in Allergy Clinic. Asthma control test (ACT), analysis of patients' medical documentation and a self-constructed questionnaire concerning health promotion and education were used in the study. Aim of this work was to assess differences in the influence of education on results of bronchial asthma control between sexes.
  
  
  RESULTS
  Average duration of asthma was similar in women and men (13.0 ± 11.16 vs.12.7 ± 9.74 years). Weaker asthma control was found in women (ACT 17.7 vs. 20.4), as well as lower FEV1 values (80-50% of predicted value in 60.3% of women vs. 43.25 of men). In women an analysis of correlation concerning patients' knowledge and conducted health education with asthma control revealed a statistically significant positive correlation of knowledge acquired from the allergologist with asthma control, information about proceeding in acute attack, whereas negative correlation with asthma control with knowledge passed on by family doctor was found. Among the male respondents positive correlations of knowledge with asthma control within the scope of knowledge from allergologist and information concerning proceeding in asthmatic attack were found, while negative correlation with information coming from family doctor was revealed.
  
  
  CONCLUSIONS
  Health education in patients with asthma should be conducted by a specialist in allergic diseases and well-prepared healthcare professionals.
authors.affiliation: Clinical Nursing Division, P ublic Health Faculty, Medical University of W rocław, Poland. bianko@poczta.onet.pl.
authors.forename: Beata
authors.initials: B
authors.lastname: Jankowska-Polańska
authors.forename: Justyna
authors.initials: J
authors.lastname: Pleśniak
authors.forename: Mariola
authors.initials: M
authors.lastname: Seń
authors.forename: Izabella
authors.initials: I
authors.lastname: Uchmanowicz
authors.forename: Joanna
authors.initials: J
authors.lastname: Rosińczuk
mesh_terms: D000328:Adult; D001249:Asthma / Q000188:drug therapy*; D005260:Female; D005541:Forced Expiratory Volume; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic; D012727:Sex Characteristics; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: asthma control test; effective treatment; quality of life