Objective:

To evaluate the association between nurse-led health guidance and self-management skills, disease awareness, and quality of life among outpatients with asthma.

Approach:

• Study Design: Retrospective cohort study involving 159 stable asthma outpatients at Yongkang First People’s Hospital from January 2021 to January 2023.
• Intervention: Participants were divided into a control group receiving standard care and an intervention group receiving a 12-week structured nurse-led health guidance program.
• Outcome Measures: Health literacy, self-care abilities, disease awareness, quality of life, and patient satisfaction were assessed.
• Statistical Analysis: Between-group differences were examined using ANCOVA and multivariable linear regression.

Key Findings:

• The intervention group showed significant improvements in health literacy (NVS, TOFHLA, HLS-EU, eHEALS scores), self-care abilities, and disease awareness (AKQ scores) compared to controls (p < 0.05).
• Quality of life indices (SF-36 scores) and patient satisfaction were significantly higher in the intervention group (p < 0.05).
• Improvements persisted after adjusting for age, sex, education level, disease duration, and asthma severity.

Interpretation:

Nurse-led health guidance is associated with improved self-management skills, disease awareness, and quality of life in asthma outpatients.

Limitations:

• The study is retrospective and may be subject to biases inherent in such designs.
• Findings are based on a single hospital's patient population, limiting generalizability.

Conclusion:

Nurse-led health guidance may enhance chronic disease management in asthma patients.