Lv Shaoxia, Ye Xiaohong, Wang Zhijiang, Xia Wenfen, Qi Yajuan, Wang Weihan, Chen Yuehua, Cai Xiaohong, Qian Xubo
Nursing Department, Jiangnan Community Healthcare Center, Jinhua, China.
Pediatrics Department, Xiguan Community Healthcare Center, Jinhua, China.
J Adv Nurs. 2019 Nov;75(11):3058-3067. doi: 10.1111/jan.14143. Epub 2019 Aug 12.
To evaluate the effectiveness of a mobile application-assisted nurse-led management model in childhood asthma.
Studies have shown that a nurse-led asthma management model can improve asthma outcomes. However, the role of a mobile application-assisted nurse-led model in paediatric asthma management has not been studied well.
A multi-centre randomized clinical trial.
The trial was conducted between March 2017-March 2018. A total of 152 children (6 to 11.9 years old) were enrolled, with 77 children in the experimental group and 75 in the control group. All children received nurse-led asthma management and other routine treatment measures, including inhaled corticosteroids. Meanwhile, a mobile application was used to manage asthma only for children in the experimental group. Primary outcome was frequency of asthma exacerbations. All outcomes were evaluated twice a month for 12 months.
Compared with the pre-enrollment period, frequency of asthma exacerbations decreased in the post-enrollment period in the two groups, with a greater decrease in the experimental group. Compared with children in the control group, children in the experimental group had better secondary outcomes, such as improved adherence, higher Childhood Asthma Control Test scores, decreased respiratory tract infections, days of antibiotic use, days of school absence, parental work loss, and medical expenses.
A mobile application-assisted nurse-led management model decreased asthma exacerbations and improved secondary outcomes in children with asthma. Further research is needed to verify its validity in larger population samples.
Children with asthma benefited from a nurse-led asthma management model when combined with mobile application. This trial suggested that computer and Internet technologies should be incorporated into nurse-led asthma strategy in paediatric asthma management.
The current trial was registered online with the Chinese Clinical Trial Registry (registration number: ChiCTR1800016726).
评估移动应用程序辅助护士主导的管理模式在儿童哮喘管理中的有效性。
研究表明，护士主导的哮喘管理模式可改善哮喘治疗效果。然而，移动应用程序辅助护士主导模式在儿科哮喘管理中的作用尚未得到充分研究。
一项多中心随机临床试验。
试验于2017年3月至2018年3月进行。共纳入152名6至11.9岁的儿童，其中实验组77名，对照组75名。所有儿童均接受护士主导的哮喘管理及其他常规治疗措施，包括吸入糖皮质激素。同时，仅对实验组儿童使用移动应用程序管理哮喘。主要结局指标为哮喘急性发作频率。所有结局指标在12个月内每月评估两次。
与入组前相比，两组入组后哮喘急性发作频率均降低，实验组降低幅度更大。与对照组儿童相比，实验组儿童的次要结局更好，如依从性提高、儿童哮喘控制测试得分更高、呼吸道感染减少、抗生素使用天数、缺课天数、家长误工天数及医疗费用降低。
移动应用程序辅助护士主导的管理模式可减少哮喘患儿的急性发作次数，并改善次要结局。需要进一步研究以在更大规模人群样本中验证其有效性。
哮喘患儿在结合移动应用程序的护士主导哮喘管理模式中受益。该试验表明，应将计算机和互联网技术纳入儿科哮喘管理的护士主导哮喘策略中。
本试验在中国临床试验注册中心在线注册（注册号：ChiCTR1800016726）。
