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评估一项教学计划对哮喘儿童的知识水平、生活质量及症状的影响。

Evaluating the Impact of a Teaching Program on the Knowledge, Quality of Life, and Symptoms Among Asthmatic Children.

作者信息

Chakravarthy Deepthi, Sankaranarayanan Shuba, V Nirmala, David Anita

机构信息

Child Health Nursing, MES College of Nursing, Perinthalmanna, IND.

Pediatric Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.

出版信息

Cureus. 2025 Mar 23;17(3):e81022. doi: 10.7759/cureus.81022. eCollection 2025 Mar.

Abstract

Asthma is a prevalent chronic respiratory condition that affects millions of children worldwide, often disrupting their daily activities, academic performance, and overall well-being. Despite its impact, many children, along with their families and caregivers, have limited knowledge about asthma, its triggers, and effective management strategies. Implementing a structured teaching program is crucial to improving asthma awareness, fostering self-management through action plans, minimizing emergency incidents, and empowering children with the confidence and independence needed to manage their condition effectively. The specific objectives were to assess the baseline levels of knowledge, quality of life, and asthma symptoms, and to determine the effect of the teaching program in improving these outcomes. This randomized controlled trial was conducted among 94 participants from an asthma clinic, with 47 subjects in the experimental group and 47 in the control group, using an allocation concealment technique. The study assessed participants' knowledge, quality of life, and asthma symptoms using the Asthma Knowledge Questionnaire, the Mini Pediatric Asthma Quality of Life Questionnaire (MiniPAQLQ), and the Asthma Control Questionnaire (ACQ). After administering a pretest to both groups, the experimental group received structured education on various aspects of asthma management. Post-intervention assessments were conducted four times at four-week intervals using the same questionnaires as the pretest. The collected data were tabulated and analyzed using descriptive and inferential statistics. The findings of the study indicate that the teaching program effectively improved participants' knowledge, quality of life, and asthma symptoms. The effectiveness of the intervention was assessed using repeated measures ANOVA. Posttest results demonstrated a statistically significant improvement in knowledge, quality of life, and asthma symptoms (P < 0.001). The study concludes that an educational program on various aspects of asthma can help children with asthma better understand their condition, reduce anxiety, enhance coping mechanisms, and encourage responsibility in managing their disease. Therefore, alongside routine medical treatment, asthma education plays a crucial role in improving children's knowledge, quality of life, and symptom management.

摘要

哮喘是一种普遍存在的慢性呼吸道疾病,影响着全球数百万儿童,常常扰乱他们的日常活动、学业表现和整体健康状况。尽管哮喘有这些影响,但许多儿童及其家人和照顾者对哮喘、其诱发因素以及有效的管理策略了解有限。实施一个结构化的教学计划对于提高哮喘认知、通过行动计划促进自我管理、减少紧急事件以及赋予儿童有效管理自身病情所需的信心和独立性至关重要。具体目标是评估知识的基线水平、生活质量和哮喘症状,并确定教学计划对改善这些结果的效果。这项随机对照试验在一家哮喘诊所的94名参与者中进行,实验组有47名受试者,对照组有47名受试者,采用了分配隐藏技术。该研究使用哮喘知识问卷、小儿哮喘生活质量问卷简表(MiniPAQLQ)和哮喘控制问卷(ACQ)评估参与者的知识、生活质量和哮喘症状。在对两组进行预测试后,实验组接受了关于哮喘管理各个方面的结构化教育。干预后评估使用与预测试相同的问卷,每隔四周进行四次。收集的数据进行列表并使用描述性和推断性统计进行分析。研究结果表明,教学计划有效地提高了参与者的知识、生活质量和哮喘症状。使用重复测量方差分析评估干预的有效性。后测结果显示,在知识、生活质量和哮喘症状方面有统计学上的显著改善(P < 0.001)。该研究得出结论,一个关于哮喘各个方面的教育计划可以帮助哮喘儿童更好地了解自己的病情,减轻焦虑,增强应对机制,并鼓励他们对疾病管理负责。因此,除了常规医疗治疗外,哮喘教育在提高儿童知识、生活质量和症状管理方面起着至关重要的作用。

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