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结构化哮喘教育项目对住院哮喘儿童的影响:一项随机对照研究。

Effect of a structured asthma education program on hospitalized asthmatic children: a randomized controlled study.

作者信息

Ng Daniel K K, Chow Pok-Yu, Lai Wai-Ping, Chan Kit-Ching, And Bo-Ling Tsang, So Hang-Yin

机构信息

Department of Paediatrics, Kwong Wah Hospital, Kowloon, Hong Kong, China.

出版信息

Pediatr Int. 2006 Apr;48(2):158-62. doi: 10.1111/j.1442-200X.2006.02185.x.

Abstract

BACKGROUND

The aim of this study was to compare the effectiveness of an intensive asthma education program (group B) with that of a standard asthma education program (group A).

METHODS

A prospective randomized single blinded study was conducted in the pediatric department of a public hospital in Hong Kong. Children aged 2-15 years admitted to the pediatric department with an acute attack of asthma were recruited. A standard asthma education program (group A) or an intensive asthma education program (group B) for children were offered. The main outcome measures include the number of visits to the emergency department and the number of hospitalization for asthma during the 3 month follow-up period.

RESULTS

A total of 45 children were in group A and 55 in group B. Group B had statistically significant reductions in the number of visits to the emergency department and the number of hospitalizations. Drug compliance was also significantly improved in group B. Parents' satisfaction rate was also higher in group B.

CONCLUSION

The intensive asthma education program might be more cost effective than the standard asthma education program in the management of asthmatic children admitted to hospital in Hong Kong.

摘要

背景

本研究旨在比较强化哮喘教育项目(B组)与标准哮喘教育项目(A组)的效果。

方法

在香港一家公立医院的儿科进行了一项前瞻性随机单盲研究。招募了因哮喘急性发作入住儿科的2至15岁儿童。为儿童提供标准哮喘教育项目(A组)或强化哮喘教育项目(B组)。主要结局指标包括在3个月随访期内急诊就诊次数和哮喘住院次数。

结果

A组共有45名儿童,B组有55名。B组在急诊就诊次数和住院次数上有统计学意义的减少。B组的药物依从性也显著提高。B组家长的满意度也更高。

结论

在香港,对于住院的哮喘儿童,强化哮喘教育项目在管理方面可能比标准哮喘教育项目更具成本效益。

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