Omara Heba A, Mansour Mervat G, Badr Raffay M
Department of Pediatrics, Pulmonology Division, Faculty of Medicine, Ain Shams University Children's Hospital, Cairo, Egypt.
Department of Pediatrics, Faculty of Medicine, Ain Shams University Children's Hospital, Cairo, Egypt.
J Asthma. 2023 Mar;60(3):588-599. doi: 10.1080/02770903.2022.2082306. Epub 2022 Jun 7.
Asthma education has been shown to improve asthma control. Our goal was to evaluate the efficacy of asthma education on the frequency of utilization of health-care services, lung function results, degree of asthma severity, and quality of life (QOL) level in children with asthma.
A single-arm prospective interventional trial was conducted in a tertiary facility. Thirty children with asthma and their parents were recruited for the research. Following an assessment of the participants' and caregivers' knowledge about asthma using an asthma knowledge questionnaire, degree of asthma control using asthma control test, inhaler technique using standardized inhaler technique checklists, and QOL using pediatric asthma QOL questionnaires, they participated in a three-month education program in the form of monthly live interactive sessions followed by weekly phone interviews. Measures taken before and after the intervention were compared.
The educational intervention improved asthma control dramatically including daytime asthma symptoms, night awakenings, and frequency of use of short-acting beta2- adrenergic receptor agonists. Furthermore, the number of emergency department visits and hospitalizations fell considerably after the intervention ( < 0.001 for all). Asthma education was also linked to better inhalation technique and lung function ( < 0.001). Furthermore, all quality-of-life measures increased ( < 0.001 for all).
Implementing an asthma education program that included both children with asthma and their parents improved asthma control levels, lung function measures, and overall quality of life. Furthermore, it increased asthma awareness, decreased the use of health-care resources, and reduced asthma severity, resulting in better asthma management.
哮喘教育已被证明可改善哮喘控制情况。我们的目标是评估哮喘教育对哮喘儿童医疗服务利用频率、肺功能结果、哮喘严重程度以及生活质量（QOL）水平的疗效。
在一家三级医疗机构进行了一项单臂前瞻性干预试验。招募了30名哮喘儿童及其父母参与研究。使用哮喘知识问卷评估参与者和照顾者对哮喘的了解程度，使用哮喘控制测试评估哮喘控制程度，使用标准化吸入器技术检查表评估吸入器技术，并使用儿童哮喘生活质量问卷评估生活质量。之后，他们参加了为期三个月的教育项目，形式为每月一次的现场互动课程，随后是每周一次的电话访谈。比较干预前后采取的措施。
教育干预显著改善了哮喘控制情况，包括白天哮喘症状、夜间觉醒以及短效β2肾上腺素能受体激动剂的使用频率。此外，干预后急诊就诊次数和住院次数大幅下降（所有均<0.001）。哮喘教育还与更好的吸入技术和肺功能相关（<0.001）。此外，所有生活质量指标均有所提高（所有均<0.001）。
实施一项涵盖哮喘儿童及其父母的哮喘教育项目，改善了哮喘控制水平、肺功能指标和总体生活质量。此外，它提高了哮喘认知度，减少了医疗资源的使用，并降低了哮喘严重程度，从而实现了更好的哮喘管理。
