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Patient evaluations of asthma counselling quality in primary health care — a cross-sectional survey

Katariina Mäkelä, Mira Rajala, Kirsi Kivelä, Maria Kääriäinen & Pirjo Kaakinen

Thematic Area
Patients’ perspective
Summary
Background: Healthcare staff have a key role in counselling patients. This study describes asthma patients’ evaluations of primary care counselling quality.
Methods: The research applied a cross-sectional study design, with data collected from adult asthma patients (n = 73). Data were analysed by descriptive statistics.
Results: Most of participating patients were women (73%) and over 60 years old (67%). The patients were generally satisfied with the counselling. Subjection to an asthma test (p = 0.009) and smoking (p = 0.019) were found to significantly positively affect patient perceptions of counselling quality. The patients also felt that support services should be covered more (74%). Patients with comprehensive education (p = 0.039) and smokers (p = 0.015) were more likely to be satisfied with the counselling than other patients. Counselling was client-oriented (53%) and most patients reported experiencing positive interactions (92%). Most patients agreed that counselling benefitted adherence to self-care (75%) and health promotion (67%). Moreover, almost all of the patients were satisfied with the staff members’ knowledge and skills (97%). Subjection to an asthma test (p = 0.043), age (p = 0.030), smoking (p = 0.014), and duration of illness (p = 0.002) influenced satisfaction with counselling resources.
Conclusion: The results indicate that counselling benefits asthma patients. Performing an asthma test, as well as considering smoking habits and educational level, can improve patient perceptions of counselling.
Relevance
When developing patient education and promoting patients’ quality of life, the results of this study should be acknowledged to better respond to the unmet needs of patients
Keywords
Asthma, Counselling, Education, Quality of counselling, Primary healthcare