Paris Descartes University, Paris, France.
Pediatric Pulmonology, University Hospital Necker-Enfants Malades, AP-HP, Paris, France.
Pediatr Pulmonol. 2018 Sep;53(9):1193-1199. doi: 10.1002/ppul.24070. Epub 2018 Jun 12.
The objective of this pilot study was to evaluate if animated cartoons could increase the cooperation of young children with asthma during the delivery of their inhaled corticosteroids (ICS).
Subjects were children aged 6-47 months having a physician diagnosis of asthma, who required an ICS therapy delivered through a pMDI/spacer twice a day for at least 2 months. Families who reported on a questionnaire that their child was frequently crying or moving during treatment delivery were asked to participate in a prospective, cross-over, randomized study. After a first week of run-in, children watched alternatively, during the delivery of ICS, either an animated cartoon for 7 days and a black screen video for another 7 days. The main outcome was the median percentage of time of non-cooperation, defined by the length of time the child was crying and/or moving divided by the length of time required for delivering ICS.
Parents of 50 children out of 113 (44%) reported that their child was frequently crying or moving during treatment delivery. Among these 50 children, 11 (22%) completed the study. The median percentages of time of non-cooperation (IQR 1-3) were 0% (0-3) and 56% (40-97) during the distraction and control periods, respectively, in the first group, and 100% (98-100) and 0% (0-5) during the control and distraction periods, respectively, in the second group. Animated cartoons increased cooperation up to 97% (55-100%) (P = 0.008).
Bad cooperation among young children with asthma during the delivery of their treatment can be dramatically improved by the use of animated cartoons.
本研究旨在评估动画片是否可以提高哮喘患儿在吸入皮质激素（ICS）治疗时的配合度。
研究对象为年龄在 6-47 个月、有哮喘医生诊断、需要每天使用 pMDI/储雾罐吸入两次 ICS 治疗至少 2 个月的患儿。在问卷调查中报告其孩子在治疗过程中经常哭闹或乱动的家庭被邀请参加前瞻性、交叉、随机研究。在最初的 1 周适应期后，孩子们在接受 ICS 治疗时，轮流观看 7 天的动画片和 7 天的黑屏视频。主要结局指标是非配合时间的中位数百分比，定义为孩子哭闹和/或移动的时间与吸入 ICS 所需时间的比值。
113 名患儿中有 50 名（44%）的家长报告其孩子在治疗过程中经常哭闹或乱动。在这 50 名患儿中，有 11 名（22%）完成了研究。在第一组中，分心期和对照期的非配合时间中位数百分比（IQR 1-3）分别为 0%（0-3）和 56%（40-97），在第二组中，对照期和分心期的非配合时间中位数百分比分别为 100%（98-100）和 0%（0-5）。动画片将配合度提高了 97%（55-100%）（P=0.008）。
使用动画片可以显著提高哮喘患儿在接受治疗时的配合度。
