Mallett Lea H, Soto Angela, Govande Janhavi, Ogborn Char, Sagar Malvika
Department of Pediatrics, Texas A&M Health Science Center, Baylor Scott & White McLane Children's Medical CenterTempleTexas.
Proc (Bayl Univ Med Cent). 2019 Jan 15;32(1):54-57. doi: 10.1080/08998280.2018.1533309. eCollection 2019 Jan.
This study sought to evaluate the benefit of asthma camp for patients who attended Baylor Scott & White McLane Children's Medical Center's Camp Wheeze Away in July 2016. Data were collected on children aged 8 to 15 years who were diagnosed with asthma and attended asthma camp. Information on body mass index, hospital admissions, and emergency department visits was collected 1 year before and 1 year after camp. Asthma control tests, exhaled nitric oxide tests, and pulmonary function tests were administered at the beginning and end of camp. A total of 34 children with asthma (mean age 11 [±2] years) were included in this study. Postcamp asthma-related hospitalizations and emergency department visits decreased. Mean asthma control scores improved from 20.4 (±3.2) before camp to 23.4 (±2.8) after camp ( < 0.0001). Forced expiratory volume during the first breath and forced expiratory flow at 25% to 75% of the pulmonary volume improved during the weeklong camp ( = 0.04 and 0.0007, respectively). Forced expiratory volume during the first breath further improved 6 to 12 months after camp compared to values before camp ( = 0.047). Exhaled nitric oxide levels improved from the first to last day of camp by decreasing an average of 39% ( = 0.0009). This study showed the positive effect that a short-term educational intervention in a camp setting had on asthma control scores and asthma knowledge.
本研究旨在评估2016年7月参加贝勒·斯科特与怀特·麦克莱恩儿童医学中心“喘息营”的哮喘患者所获得的益处。收集了8至15岁被诊断为哮喘且参加了哮喘营的儿童的数据。在营会开始前1年和结束后1年收集了体重指数、住院情况和急诊就诊情况的信息。在营会开始和结束时进行了哮喘控制测试、呼出一氧化氮测试和肺功能测试。本研究共纳入了34名哮喘儿童(平均年龄11[±2]岁)。营会后与哮喘相关的住院和急诊就诊次数减少。哮喘控制平均得分从营会前的20.4(±3.2)提高到营会后的23.4(±2.8)(<0.0001)。在为期一周的营会期间,第1秒用力呼气量和肺容积25%至75%时的用力呼气流量有所改善(分别为=0.04和0.0007)。与营会前的值相比,营会后6至12个月第1秒用力呼气量进一步改善(=0.047)。呼出一氧化氮水平从营会第一天到最后一天有所改善,平均下降了39%(=0.0009)。本研究表明,在营地环境中进行的短期教育干预对哮喘控制得分和哮喘知识有积极影响。