专科护士主导的微信小程序管理对哮喘疾病控制的效果：随机对照研究。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-11-01 DOI:10.1016/j.pedn.2024.10.004

Ji-Mei Wu, Tu-Hong Yang, Xia Qin, Dan Liu, Yan He

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引用次数: 0

摘要

背景：哮喘是儿童时期常见的慢性呼吸道疾病，需要有效的管理策略：目的：本研究旨在评估以护士为主导的微信小程序在管理6至11岁儿童哮喘方面的有效性：本随机对照试验遵循 CONSORT 检查表，于 2023 年 1 月至 2023 年 8 月在中国一家三甲医院进行。108 名哮喘儿童被随机分配到两组，其中 81 名儿童完成了 6 个月的随访。所有参与者都接受了专科护士的哮喘管理，包括吸入皮质类固醇等常规治疗。实验组还使用微信小程序进行哮喘管理。实验组和实验组均在入组后 3 个月和 6 个月进行了随访评估，评估内容包括儿童哮喘控制测试（C-ACT）、哮喘控制水平、哮喘加重频率和肺功能：结果：与对照组相比，实验组在 3 个月和 6 个月后的 C-ACT 分数明显提高，恶化频率明显降低（p 结论：微信小程序显著改善了实验组的哮喘控制水平：微信小程序明显改善了哮喘控制并减少了病情恶化，但并未大幅提高所有肺功能指标。需要进一步研究以确认其长期效果：实践应用：将专科护士主导的数字化管理工具（如微信小程序）纳入标准的儿科哮喘护理中，可能会提供一种有效的管理策略。

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Effectiveness of specialist nurse-led WeChat mini program management for disease control in asthma: A randomized controlled study

Background

Asthma is a common chronic respiratory disease in childhood, requiring effective management strategies.

Purpose

This study aims to evaluate the effectiveness of a nurse-led WeChat Mini Program in managing asthma among children aged 6 to 11 years.

Methods

This randomized controlled trial adhered to the CONSORT checklist and was conducted at a tertiary hospital in China from January 2023 to August 2023. One hundred and eight children with asthma were randomly assigned to two groups, and 81 children completed the 6-month follow-up. All participants received asthma management from specialist nurses, including routine treatments such as inhaled corticosteroids. The experimental group also utilized the WeChat Mini Program for asthma management. Both groups underwent follow-up assessments at 3 and 6 months post-enrollment, which included the Childhood Asthma Control Test (C-ACT), asthma control levels, frequency of exacerbations, and lung function.

Results

At 3 and 6 months, the experimental group showed significantly higher C-ACT scores and a lower exacerbation frequency compared to the control group (p < 0.05). While Peak Expiratory Flow improved, Forced Expiratory Volume in 1 Second Percentage Predicted (FEV1%) and FEV1/FVC did not change significantly.

Conclusions

The WeChat Mini Program significantly improved asthma control and reduced exacerbations but did not substantially enhance all lung function parameters. Further research is required to confirm its long-term effects.

Application to practice

Incorporating a specialist nurse-led digital management tool, such as the WeChat Mini Program, into standard pediatric asthma care may offer an effective management strategy.

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.