Department of Pediatrics, Seth G. S. Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Pediatr Pulmonol. 2020 Mar;55(3):607-615. doi: 10.1002/ppul.24647. Epub 2020 Jan 21.
Research shows positive effects of asthma education in improving parental knowledge, self-management skills, and reducing healthcare costs. Such studies are lacking in resource-limited countries. We studied the effectiveness of educational intervention in improving the knowledge and attitudes of parents/caregivers of asthmatic children.
The study was conducted in the pediatric chest clinic of tertiary hospital (India) over 21 months after ethics committee approval. Recruited parents were randomized into the interventional group (A) receiving education module and control group (B). Parents' asthma knowledge and attitudes were assessed at baseline and 5 months postenrollment using 25-item questionnaire. Detailed demographic data, clinical data, and exacerbations during study were noted.
A total of 75 parents/guardians fulfilling inclusion criteria were analyzed (cases/group A: 37 and controls/group B: 38). 8.3 percent of parents/caregivers were illiterate. Around 36.9% of patients had a family history of allergy/asthma. Mean knowledge scores at follow-up were 12.24 and 9.89 for groups A and B, respectively (P < .05). Parents did better on knowledge items related to chronicity, family history, chronic cough, home administration of steroids in acute severe asthma, and maintaining records of clinical/medications for good control. Intervention group (A) showed significant improvement in most attitude-based questions postintervention as compared with the nonintervention group (B). There was no statistically significant difference in asthma severity and control between the two groups at follow-up.
Small group education on asthma in parents/caregivers improves their knowledge and attitudes. Healthcare plans should invest in pediatric asthma education and identify key personnel/opportunities to impart the same in routine care.
研究表明哮喘教育对提高父母知识、自我管理技能和降低医疗保健成本有积极影响。在资源有限的国家，此类研究尚缺乏。我们研究了教育干预对改善哮喘儿童的父母/照顾者的知识和态度的效果。
该研究在获得伦理委员会批准后，在三级医院的儿科胸科诊所进行了 21 个月。招募的父母被随机分为干预组（A）接受教育模块和对照组（B）。在基线和入组后 5 个月使用 25 项问卷评估父母的哮喘知识和态度。详细的人口统计学数据、临床数据和研究期间的恶化情况均被记录。
共分析了 75 名符合纳入标准的父母/监护人（病例/组 A：37 名，对照组/组 B：38 名）。8.3%的父母/照顾者是文盲。约 36.9%的患者有过敏/哮喘家族史。随访时，组 A 和组 B 的平均知识评分分别为 12.24 和 9.89（P<.05）。与对照组（B）相比，父母在与慢性、家族史、慢性咳嗽、急性重度哮喘中家庭管理类固醇以及保持临床/药物记录以实现良好控制有关的知识项目中表现更好。与非干预组（B）相比，干预组（A）在干预后大多数基于态度的问题上都有显著改善。在随访时，两组之间的哮喘严重程度和控制情况没有统计学上的显著差异。
对父母/照顾者进行哮喘小团体教育可以提高他们的知识和态度。医疗保健计划应投资于儿科哮喘教育，并确定关键人员/机会，以便在常规护理中提供教育。
