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哮喘教育项目对儿童哮喘疾病管理的影响:一项回顾性分析。

The Effect of Asthma Education Program on Disease Management in Children with Asthma: A Retrospective Analysis.

作者信息

Lv Yansong, Xue Ju, Meng Zhu, Zhang Qing

机构信息

Department of Pediatrics, Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing, China.

出版信息

Br J Hosp Med (Lond). 2025 Mar 26;86(3):1-12. doi: 10.12968/hmed.2024.0764. Epub 2025 Mar 16.

Abstract

As a common chronic respiratory disease, asthma may lead to airway inflammation and accelerated, progressive loss of lung function, if not well controlled, posing risks to patients' life and health. This study evaluates the impact of asthma education program on enhancing asthma control, quality of life, and pulmonary function in children, addressing gaps in existing management approaches. In this retrospective study, 60 patients who had undergone routine nursing mode at Beijing Shijitan Hospital affiliated to Capital Medical University from May 2022 to May 2023 were enrolled for the reference group; after excluding 3 patients, this study finally included 57 patients. Separately, 55 patients who had attended the child-oriented asthma education program on the basis of routine nursing care at the same hospital from May 2023 to May 2024 were enrolled for the observation group; after excluding 2 patients, this study eventually included 53 patients. The Childhood Asthma Control Test (C-ACT) score, the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) score, pulmonary function index levels measured in terms of percentage of predicted forced vital capacity (FVC%), peak expiratory flow (PEF), forced vital capacity in one second/forced vital capacity (FEV1/FVC), and the disappearance time of clinical symptoms (dyspnea, chest tightness, cough, wheezing) were compared between the two groups. Before the management, there were no differences in the C-ACT and PAQLQ scores between the two groups ( > 0.05). After management, the C-ACT and PAQLQ scores of the observation group were significantly higher than those of the reference group ( < 0.001). There were no differences in FVC%, PEF, and FEV1/FVC between the two groups before management ( > 0.05). After management, the FVC%, PEF, and FEV1/FVC levels of the observation group were higher than those of the reference group ( < 0.001). The disappearance time of clinical symptoms such as dyspnea, chest tightness, cough and lung wheezing in the observation group was shorter than that in the reference group ( < 0.001). The child-oriented asthma education program is beneficial to the disease management in children with asthma, improving asthma control, quality of life, lung function indexes, and shortening the time of symptom disappearance.

摘要

哮喘作为一种常见的慢性呼吸道疾病,如果控制不佳,可能导致气道炎症以及肺功能加速、进行性丧失,对患者的生命健康构成风险。本研究评估哮喘教育项目对提高儿童哮喘控制、生活质量和肺功能的影响,以弥补现有管理方法的不足。在这项回顾性研究中,选取2022年5月至2023年5月在首都医科大学附属北京世纪坛医院接受常规护理模式的60例患者作为参照组;排除3例患者后,本研究最终纳入57例患者。另外,选取2023年5月至2024年5月在同一家医院接受常规护理的基础上参加儿童哮喘教育项目的55例患者作为观察组;排除2例患者后,本研究最终纳入53例患者。比较两组的儿童哮喘控制测试(C-ACT)评分、儿童哮喘生活质量问卷(PAQLQ)评分、以预计用力肺活量百分比(FVC%)、呼气峰值流速(PEF)、一秒用力呼气量/用力肺活量(FEV1/FVC)衡量的肺功能指标水平以及临床症状(呼吸困难、胸闷、咳嗽、喘息)消失时间。管理前,两组的C-ACT和PAQLQ评分无差异(>0.05)。管理后,观察组的C-ACT和PAQLQ评分显著高于参照组(<0.001)。管理前,两组的FVC%、PEF和FEV1/FVC无差异(>0.05)。管理后,观察组的FVC%、PEF和FEV1/FVC水平高于参照组(<0.001)。观察组中呼吸困难、胸闷、咳嗽和肺部喘息等临床症状的消失时间短于参照组(<0.001)。以儿童为导向的哮喘教育项目有利于哮喘患儿的疾病管理,改善哮喘控制、生活质量、肺功能指标,并缩短症状消失时间。

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