Virtual care for paediatric asthma: A randomized controlled trial

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2024-08-06 DOI:10.1111/ijn.13290

Merve Gümüş PhD, Figen Yardimci PhD, Handan Duman Şenol MD, Esen Demir MD

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引用次数: 0

Abstract

Aims

This work aims to investigate whether virtual care can improve clinical outcomes for children with asthma, similar to face-to-face specialty care.

Design

The study used a randomized controlled trial design, with participants allocated to either a virtual care group (n = 47) or a control group (n = 50) using simple randomization.

Methods

The study was conducted from March to August 2021, and a sample of 97 children with asthma was recruited. Children in the virtual care group received online training in four modules within the first month and support through virtual meetings and phone or video calls, while the control group received standard care. The primary outcome of the study was the Asthma Control Test and Child Asthma Control Test.

Results

The virtual care group had significantly better outcomes than the control group in terms of C-ACT scores for children aged 7–11 years, fewer days under 80% of the optimum level of peak expiratory flow, lower peak expiratory flow variability, fewer rescue medication uses, and more symptom-free days. The virtual care group also had a lower number of unscheduled hospital visits and a greater improvement in quality of life compared with the control group.

Conclusion

This study demonstrated that virtual care can improve disease management and quality of life for children with asthma.

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小儿哮喘的虚拟治疗：随机对照试验。

目的：本研究旨在探讨虚拟医疗是否能改善哮喘患儿的临床疗效，与面对面的专科医疗类似：研究采用随机对照试验设计，通过简单的随机化方法将参与者分配到虚拟护理组（n = 47）或对照组（n = 50）：研究于 2021 年 3 月至 8 月进行，共招募了 97 名哮喘儿童。虚拟护理组的儿童在第一个月内接受四个模块的在线培训，并通过虚拟会议、电话或视频通话获得支持，而对照组则接受标准护理。研究的主要结果是哮喘控制测试和儿童哮喘控制测试：结果：就 7-11 岁儿童的 C-ACT 分数、低于最佳呼气峰值流量 80% 的天数、较低的呼气峰值流量变异性、较少使用抢救药物以及较多的无症状天数而言，虚拟护理组的结果明显优于对照组。与对照组相比，虚拟护理组的计划外医院就诊次数也更少，生活质量得到了更大改善：这项研究表明，虚拟护理可以改善哮喘患儿的疾病管理和生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.