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书面哮喘行动计划是否能减少儿童的非计划性就诊次数?

Does a written asthma action plan reduce unscheduled doctor visits in children?

机构信息

Department of Pediatrics, University Malaya Medical Centre, Lembah Pantai, 59100 Kuala Lumpur, Malaysia.

出版信息

Indian J Pediatr. 2013 Jul;80(7):590-5. doi: 10.1007/s12098-012-0839-0. Epub 2012 Jul 15.

DOI:10.1007/s12098-012-0839-0
PMID:22798280
Abstract

The aim of this study was to evaluate the impact of a written asthma action plan (WAAP) on reducing unscheduled doctor visits, asthma control and quality of life in children with all severities of asthma. This was a randomised controlled, single-blinded study whereby 80 children with asthma were randomly assigned to be either provided a WAAP or verbally counseled . The number of asthmatic exacerbations requiring unscheduled doctor visits, asthma control and quality of life were monitored over 9 mo. At the end of the study, there was no significant difference in the number of unscheduled doctor visits between the 2 groups (p = 0.352). There was no significant difference in asthma control or quality of life between both groups. Hence, the WAAP did not reduce unscheduled doctor visits, nor improve asthma control or quality of life in children with all severities of asthma.

摘要

本研究旨在评估书面哮喘行动计划(WAAP)对减少不同严重程度哮喘儿童的非计划性就诊次数、哮喘控制和生活质量的影响。这是一项随机对照、单盲研究,80 例哮喘患儿被随机分为给予 WAAP 或口头咨询。在 9 个月的时间里监测哮喘加重需要非计划性就诊的次数、哮喘控制和生活质量。研究结束时,两组之间非计划性就诊次数无显著差异(p=0.352)。两组之间的哮喘控制或生活质量也没有显著差异。因此,WAAP 并不能减少不同严重程度哮喘儿童的非计划性就诊次数,也不能改善哮喘控制或生活质量。

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Arch Pediatr Adolesc Med. 2008 Feb;162(2):157-63. doi: 10.1001/archpediatrics.2007.34.
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Comparing Written Versus Pictorial Asthma Action Plans to Improve Asthma Management and Health Outcomes Among Children and Adolescents: Protocol of a Pilot and Feasibility Randomized Controlled Trial.比较书面与图文并茂的哮喘行动计划以改善儿童和青少年的哮喘管理及健康结局:一项试点与可行性随机对照试验方案
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