Thach Caroline, Lafont Charlotte, Epaud Ralph, Tahiri Kenza, Sauvage Floriane, Sagorin Virginie, Sérabian Virginie, Delestrain Céline
Service de pédiatrie, Groupe hospitalier Sud Ile de France, 77000 Melun, France.
Univ Paris Est Creteil, INSERM, IMRB, F-94010 Creteil, France.
Heliyon. 2024 Jul 26;10(15):e35356. doi: 10.1016/j.heliyon.2024.e35356. eCollection 2024 Aug 15.
To assess the feasibility and effectiveness of a pediatric asthma education program delivered in the context of a French suburban general hospital.
Monocentric retrospective study including children with asthma in Melun, Île-de-France, from January to December 2019. Data collected concerned asthma management, symptoms, education, and knowledge.
We included 262 patients with a median age of 4.5 years. Asthma education (AE) was taught to 226 (86 %) children, 36 with minimal education (ME), 155 (69 %) with an unstructured asthma education program (USEP) and 71 (31 %) a structured asthma education program (SEP). Patients with an SEP had better knowledge of the disease and its treatment as compared with those with a USEP or ME (p < 0.05). Lung function was evaluated for 70 % of children with ME, 90 % with a USEP (p = 0.144) and 77 % an SEP (p = 0.455). Allergy testing was assessed for 42 % of children with ME, 69 % a USEP (p = 0.020) and 57 % an SEP (p = 0.185). Almost all children with USEP (93 %) and SEP (94 %) also had a written asthma action plan as compared with 49 % of the children with ME (p < 0.001). Also, 76 % of children with ME did not have an asthma follow-up as compared with 37 % with a USEP and 52 % an SEP. Overall, 69 % of children with ME had at least one hospitalization within the year as compared with 32 % with a USEP (p = 0.001) and 59 % an SEP (p = 0.506).
An asthma education program delivered in a general hospital resulted in increased disease knowledge for children and their caregivers, together with reduced acute interventions.
评估在法国郊区综合医院开展的儿童哮喘教育项目的可行性和有效性。
单中心回顾性研究，纳入了2019年1月至12月在法国法兰西岛省梅伦市患有哮喘的儿童。收集的数据涉及哮喘管理、症状、教育和知识。
我们纳入了262例患者，中位年龄为4.5岁。226名（86%）儿童接受了哮喘教育（AE），其中36名接受的教育最少（ME），155名（69%）接受了非结构化哮喘教育项目（USEP），71名（31%）接受了结构化哮喘教育项目（SEP）。与接受USEP或ME的患者相比，接受SEP的患者对疾病及其治疗的了解更好（p<0.05）。对70%的ME儿童、90%的USEP儿童（p=0.144）和77%的SEP儿童（p=0.455）进行了肺功能评估。对42%的ME儿童、69%的USEP儿童（p=0.020）和57%的SEP儿童（p=0.185）进行了过敏测试。几乎所有接受USEP（93%）和SEP（94%）的儿童都有书面哮喘行动计划，而接受ME的儿童中这一比例为49%（p<0.001）。此外，76%的ME儿童没有哮喘随访，而接受USEP的儿童中这一比例为37%，接受SEP的儿童中这一比例为52%。总体而言，69%的ME儿童在一年内至少住院一次，而接受USEP的儿童中这一比例为32%（p=0.001），接受SEP的儿童中这一比例为59%（p=0.506）。
在综合医院开展的哮喘教育项目提高了儿童及其照顾者对疾病的认识，并减少了急性干预。
