Ekici Behice, Cimete Güler
Department of Children's Health and Diseases Nursing, Maltepe University, School of Nursing, İstanbul, Turkey.
Department of Nursing, Cyprus International University, Faculty of Health Science, Nicosia, Turkish Republic of Northern Cyprus.
Turk Thorac J. 2015 Oct;16(4):158-165. doi: 10.5152/ttd.2015.4869. Epub 2015 Oct 1.
To determine the effects of an asthma training and monitoring program on children's disease management and quality of life.
The sample consisted of 120 children and their parents. Data were collected during, at the beginning, and at the end of the 3-month monitoring period using four forms and a quality of life scale. After an initial evaluation, approaches to control symptoms and asthma triggers and measures that might be taken for them were taught to the children and parents. The children recorded the conditions of trigger exposure, experience of disease symptoms, their effects on daily activities, and therapeutic implementations on a daily basis.
During the 3-month monitoring period, the number of days when the children were exposed to triggers (p=0.000) and experienced disease symptoms decreased to a statistically significant level (p=0.006). Majority of domestic triggers disappeared, but those stemming from the structure of the house and non-domestic triggers indicated no change (p>0.05). Moreover, 30.8% of the children applied to a physician/hospital/emergency service, 4.2% of the children were hospitalized, and 30% of them could not go to school. The number of times when the children applied to a physician/hospital/emergency (p=0.013), the number of times they used medicines (p=0.050), and the number of days they could not go to school (p=0.002) decreased at a statistically significant level, and their quality of life increased (p=0.001).
Asthma training and monitoring program decreased children's rate of experiencing asthma symptoms and implementations of therapeutic purposes and increased their life quality.
确定哮喘培训与监测项目对儿童疾病管理及生活质量的影响。
样本包括120名儿童及其父母。在3个月的监测期内、开始时及结束时,使用四种表格及生活质量量表收集数据。经过初步评估后,向儿童及其父母传授控制症状和哮喘触发因素的方法以及针对这些因素可采取的措施。儿童每天记录触发因素暴露情况、疾病症状体验、其对日常活动的影响以及治疗实施情况。
在3个月的监测期内,儿童接触触发因素的天数(p = 0.000)及出现疾病症状的天数降至具有统计学意义的水平(p = 0.006)。大多数家庭触发因素消失,但源于房屋结构的触发因素和非家庭触发因素无变化(p>0.05)。此外,30.8%的儿童就医/住院/前往急诊服务机构,4.2%的儿童住院,30%的儿童无法上学。儿童就医/住院/前往急诊的次数(p = 0.013)、用药次数(p = 0.050)以及无法上学的天数(p = 0.002)均降至具有统计学意义的水平,且他们的生活质量有所提高(p = 0.001)。
哮喘培训与监测项目降低了儿童出现哮喘症状的几率及治疗目的的实施情况,并提高了他们的生活质量。