Horner Sharon D, Timmerman Gayle M, McWilliams Bennie C
School of Nursing, The University of Texas at Austin, Austin, Texas.
Dell Medical School, The University of Texas at Austin, Austin, Texas.
J Spec Pediatr Nurs. 2018 Jul;23(3):e12224. doi: 10.1111/jspn.12224. Epub 2018 Jul 4.
The purpose of this study is to test the feasibility of delivering an intervention that combines healthy lifestyle behaviors related to weight management with asthma self-management, the Living Healthy with Asthma intervention, to children who have asthma.
Using a mixed design, the feasibility study of the 12-week Living Healthy with Asthma intervention was conducted with a single group of children diagnosed with asthma. Pretest and posttest data were collected on asthma-related (self-management, metered dose inhaler [MDI] skill, asthma severity, quality of life [QOL]), and healthy lifestyle variables (body mass index [BMI], dietary quality). A matched comparison sample was drawn from a separate study that tested the same asthma self-management component (single intervention) used in the feasibility study to determine if the Living Healthy with Asthma intervention worked as well as the single intervention for improving children's asthma self-management.
Thirteen school-aged children were enrolled in the feasibility study. There were significant reductions in BMI z-scores (P = 0.007), and improvements in vegetable servings (P = 0.03), MDI skill (P = 0.005), children's QOL (P < 0.001), and parents' QOL (P = 0.03). When comparing the feasibility group with the matched comparison group (n = 13), there were no significant differences in asthma self-management, MDI skill, or asthma severity after the interventions.
Findings supported the feasibility of implementing the combined intervention, and it was not inferior to the single intervention-which supports nurses' efforts to help families manage multiple health problems.
本研究旨在测试将与体重管理相关的健康生活方式行为与哮喘自我管理相结合的干预措施（“哮喘健康生活”干预）应用于哮喘儿童的可行性。
采用混合设计，对一组被诊断为哮喘的儿童进行了为期12周的“哮喘健康生活”干预的可行性研究。收集了干预前后与哮喘相关的数据（自我管理、定量吸入器[MDI]使用技巧、哮喘严重程度、生活质量[QOL]）以及健康生活方式变量（体重指数[BMI]、饮食质量）。从另一项单独研究中抽取了一个匹配的对照样本，该研究测试了可行性研究中使用的相同哮喘自我管理组件（单一干预），以确定“哮喘健康生活”干预在改善儿童哮喘自我管理方面是否与单一干预效果相同。
13名学龄儿童参与了可行性研究。BMI z评分显著降低（P = 0.007），蔬菜摄入量增加（P = 0.03），MDI使用技巧提高（P = 0.005），儿童生活质量改善（P < 0.001），家长生活质量改善（P = 0.03）。将可行性研究组与匹配的对照组（n = 13）进行比较，干预后哮喘自我管理、MDI使用技巧或哮喘严重程度方面无显著差异。
研究结果支持了实施联合干预的可行性，且联合干预并不逊色于单一干预——这支持了护士帮助家庭管理多种健康问题的努力。
