Pediatric Respiratory and Immunology, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha 410005, China.
Pediatric Respiratory and Immunology, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha 410005, China.
J Pediatr Nurs. 2024 Nov-Dec;79:e93-e99. doi: 10.1016/j.pedn.2024.10.004. Epub 2024 Oct 19.
Asthma is a common chronic respiratory disease in childhood, requiring effective management strategies.
This study aims to evaluate the effectiveness of a nurse-led WeChat Mini Program in managing asthma among children aged 6 to 11 years.
This randomized controlled trial adhered to the CONSORT checklist and was conducted at a tertiary hospital in China from January 2023 to August 2023. One hundred and eight children with asthma were randomly assigned to two groups, and 81 children completed the 6-month follow-up. All participants received asthma management from specialist nurses, including routine treatments such as inhaled corticosteroids. The experimental group also utilized the WeChat Mini Program for asthma management. Both groups underwent follow-up assessments at 3 and 6 months post-enrollment, which included the Childhood Asthma Control Test (C-ACT), asthma control levels, frequency of exacerbations, and lung function.
At 3 and 6 months, the experimental group showed significantly higher C-ACT scores and a lower exacerbation frequency compared to the control group (p < 0.05). While Peak Expiratory Flow improved, Forced Expiratory Volume in 1 Second Percentage Predicted (FEV1%) and FEV1/FVC did not change significantly.
The WeChat Mini Program significantly improved asthma control and reduced exacerbations but did not substantially enhance all lung function parameters. Further research is required to confirm its long-term effects.
Incorporating a specialist nurse-led digital management tool, such as the WeChat Mini Program, into standard pediatric asthma care may offer an effective management strategy.
哮喘是儿童常见的慢性呼吸道疾病，需要有效的管理策略。
本研究旨在评估护士主导的微信小程序在管理 6 至 11 岁儿童哮喘中的有效性。
这是一项在中国一家三级医院进行的随机对照试验，遵循 CONSORT 清单，于 2023 年 1 月至 8 月进行。将 108 名哮喘患儿随机分为两组，81 名患儿完成了 6 个月的随访。所有参与者均接受了专科护士的哮喘管理，包括吸入皮质激素等常规治疗。实验组还利用微信小程序进行哮喘管理。两组在入组后 3 个月和 6 个月进行随访评估，包括儿童哮喘控制测试（C-ACT）、哮喘控制水平、发作频率和肺功能。
在 3 个月和 6 个月时，实验组的 C-ACT 评分明显高于对照组，发作频率明显低于对照组（p<0.05）。虽然呼气峰流速有所改善，但 1 秒用力呼气量百分比预测值（FEV1%）和 FEV1/FVC 没有明显变化。
微信小程序显著改善了哮喘控制，减少了发作次数，但并没有显著改善所有肺功能参数。需要进一步的研究来证实其长期效果。
将专科护士主导的数字化管理工具，如微信小程序，纳入标准儿童哮喘管理中可能是一种有效的管理策略。
