Chakravarthy Deepthi, Sankaranarayanan Shuba, David Anita, V Nirmala
Child Health Nursing, College of Nursing, Muslim Educational Society (MES) Medical College Hospital, Perinthalmanna, IND.
Pediatric Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus. 2024 Dec 21;16(12):e76135. doi: 10.7759/cureus.76135. eCollection 2024 Dec.
Asthma is a chronic lung disease that negatively affects children's quality of life (QoL). Improving QoL is a key outcome in managing children with asthma.
The objective of the study was to evaluate the effectiveness of a comprehensive interventional package on QoL among asthmatic children attending an asthma clinic at a selected hospital.
The study hypothesizes that the experimental group will show significant improvement in QoL compared with the control group.
This quantitative experimental research study was conducted among 94 asthmatic children aged 10-17 years presenting at a pediatric asthma clinic in a selected hospital in Malappuram, Kerala. Participants who met the inclusion criteria were randomized in a single-blind study and allocated to either a control group (N = 47) or an experimental group (N = 47) using allocation concealment methods. Data were collected using three tools: the Asthma Knowledge Questionnaire, the Mini Pediatric Asthma QoL Questionnaire, and the Asthma Control Questionnaire. The control group received no comprehensive interventional package and continued with their medical treatment, while the experimental group received a comprehensive interventional package that included asthma education and Buteyko breathing exercises along with routine medical treatment. Both groups were assessed four times at four-week intervals using the same tools.
Effectiveness was assessed by using the statistical analysis of repeated measures of analysis of variance. The comprehensive interventional package group showed a significant improvement (p < 0.001) in QoL compared with the control group.
The comprehensive interventional package, which includes both asthma education and breathing exercises, can significantly improve asthma knowledge, symptom control, and QoL in children with asthma. This study revealed that improving the understanding regarding the asthma and practicing a breathing exercise regularly along with routine medical treatment would help the children to reduce asthma burden.
哮喘是一种慢性肺部疾病，会对儿童的生活质量产生负面影响。改善生活质量是哮喘患儿管理的关键成果。
本研究的目的是评估一套综合干预方案对在某选定医院哮喘门诊就诊的哮喘患儿生活质量的有效性。
该研究假设，与对照组相比，实验组的生活质量将有显著改善。
本定量实验研究在喀拉拉邦马拉普拉姆某选定医院的儿科哮喘门诊对94名10 - 17岁的哮喘患儿进行。符合纳入标准的参与者在单盲研究中随机分组，并使用分配隐藏方法分配到对照组（N = 47）或实验组（N = 47）。使用三种工具收集数据：哮喘知识问卷、小儿哮喘生活质量迷你问卷和哮喘控制问卷。对照组未接受综合干预方案，继续其药物治疗，而实验组接受包括哮喘教育、布泰科呼吸练习以及常规药物治疗的综合干预方案。两组均使用相同工具每隔四周评估四次。
通过重复测量方差分析的统计分析评估有效性。与对照组相比，综合干预方案组的生活质量有显著改善（p < 0.001）。
包括哮喘教育和呼吸练习的综合干预方案可显著提高哮喘患儿的哮喘知识、症状控制和生活质量。本研究表明，提高对哮喘的认识并定期进行呼吸练习以及常规药物治疗将有助于儿童减轻哮喘负担。
