哮喘教育计划对哮喘儿童疾病管理的影响:回顾性分析。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
British journal of hospital medicine Pub Date : 2025-03-26 Epub Date: 2025-03-16 DOI:10.12968/hmed.2024.0764
Yansong Lv, Ju Xue, Zhu Meng, Qing Zhang
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引用次数: 0

摘要

目的/背景哮喘作为一种常见的慢性呼吸道疾病,如果控制不好,可导致气道炎症和肺功能加速进行性丧失,对患者的生命和健康构成威胁。本研究评估哮喘教育计划对加强儿童哮喘控制、生活质量和肺功能的影响,解决现有管理方法的差距。方法回顾性研究2022年5月至2023年5月在首都医科大学附属北京世纪坛医院接受常规护理模式的患者60例作为对照组;在排除3例患者后,本研究最终纳入了57例患者。另外,于2023年5月至2024年5月在同一医院常规护理基础上参加儿童哮喘教育项目的患者55例作为观察组;在排除2例患者后,本研究最终纳入了53例患者。比较两组儿童哮喘控制试验(C-ACT)评分、儿童哮喘生活质量问卷(PAQLQ)评分、预测用力肺活量百分比(FVC%)、呼气峰流量(PEF)、1秒用力肺活量/用力肺活量(FEV1/FVC)的肺功能指数水平以及临床症状(呼吸困难、胸闷、咳嗽、喘息)消失时间。结果治疗前,两组患者C-ACT、PAQLQ评分比较,差异无统计学意义(p < 0.05)。治疗后,观察组C-ACT、PAQLQ评分均显著高于对照组(p < 0.001)。两组治疗前FVC%、PEF、FEV1/FVC比较,差异均无统计学意义(p < 0.05)。治疗后观察组FVC%、PEF、FEV1/FVC水平均高于对照组(p < 0.001)。观察组呼吸困难、胸闷、咳嗽、肺喘等临床症状消失时间短于对照组(p < 0.001)。结论以儿童为中心的哮喘教育方案有利于哮喘患儿的疾病管理,改善哮喘控制,改善生活质量,改善肺功能指标,缩短症状消失时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Asthma Education Program on Disease Management in Children with Asthma: A Retrospective Analysis.

Aims/Background As a common chronic respiratory disease, asthma may lead to airway inflammation and accelerated, progressive loss of lung function, if not well controlled, posing risks to patients' life and health. This study evaluates the impact of asthma education program on enhancing asthma control, quality of life, and pulmonary function in children, addressing gaps in existing management approaches. Methods In this retrospective study, 60 patients who had undergone routine nursing mode at Beijing Shijitan Hospital affiliated to Capital Medical University from May 2022 to May 2023 were enrolled for the reference group; after excluding 3 patients, this study finally included 57 patients. Separately, 55 patients who had attended the child-oriented asthma education program on the basis of routine nursing care at the same hospital from May 2023 to May 2024 were enrolled for the observation group; after excluding 2 patients, this study eventually included 53 patients. The Childhood Asthma Control Test (C-ACT) score, the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) score, pulmonary function index levels measured in terms of percentage of predicted forced vital capacity (FVC%), peak expiratory flow (PEF), forced vital capacity in one second/forced vital capacity (FEV1/FVC), and the disappearance time of clinical symptoms (dyspnea, chest tightness, cough, wheezing) were compared between the two groups. Results Before the management, there were no differences in the C-ACT and PAQLQ scores between the two groups (p > 0.05). After management, the C-ACT and PAQLQ scores of the observation group were significantly higher than those of the reference group (p < 0.001). There were no differences in FVC%, PEF, and FEV1/FVC between the two groups before management (p > 0.05). After management, the FVC%, PEF, and FEV1/FVC levels of the observation group were higher than those of the reference group (p < 0.001). The disappearance time of clinical symptoms such as dyspnea, chest tightness, cough and lung wheezing in the observation group was shorter than that in the reference group (p < 0.001). Conclusion The child-oriented asthma education program is beneficial to the disease management in children with asthma, improving asthma control, quality of life, lung function indexes, and shortening the time of symptom disappearance.

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来源期刊
British journal of hospital medicine
British journal of hospital medicine 医学-医学:内科
CiteScore
1.50
自引率
0.00%
发文量
176
审稿时长
4-8 weeks
期刊介绍: British Journal of Hospital Medicine was established in 1966, and is still true to its origins: a monthly, peer-reviewed, multidisciplinary review journal for hospital doctors and doctors in training. The journal publishes an authoritative mix of clinical reviews, education and training updates, quality improvement projects and case reports, and book reviews from recognized leaders in the profession. The Core Training for Doctors section provides clinical information in an easily accessible format for doctors in training. British Journal of Hospital Medicine is an invaluable resource for hospital doctors at all stages of their career. The journal is indexed on Medline, CINAHL, the Sociedad Iberoamericana de Información Científica and Scopus.
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