关键词: Bronchial asthma Multifaceted health education mode Outpatient service Pediatrics

来  源:   DOI:10.12998/wjcc.v12.i19.3708   PDF(Pubmed)

Abstract:
BACKGROUND: Pediatric asthma is a significant public health issue that impacts the quality of life of children globally. Traditional management approaches focus on symptom control and medication adherence but often overlook the comprehensive educational needs of patients and their families. A multifaceted health education approach may offer a more holistic strategy in managing pediatric asthma, especially in outpatient settings.
OBJECTIVE: To evaluate the efficacy of a comprehensive health education strategy in improving disease management, medication adherence, and quality of life among children with asthma in outpatient settings.
METHODS: In total, 100 pediatric patients with severe asthma were enrolled from January 2021 to November 2022 and randomly allocated to a control group (n = 50) or an observation group (n = 50). The control group received standard nursing care, including basic nursing interventions and health education upon admission. In contrast, the observation group was exposed to a broad spectrum of health education methodologies, including internet-based hospital systems, social media channels, one-on-one verbal education, informational brochures, slide presentations, telephone check-ins, animated videos, and illustrated health education manuals. Data on asthma management knowledge, symptom control, quality of life [St. George\'s Respiratory Questionnaire (SGRQ)], treatment adherence, and nursing satisfaction were collected and analyzed.
RESULTS: The scores of the observation group in knowledge areas, such as medication, home care, disease understanding, symptom management, prevention strategies, and nutritional guidance, were significantly higher than those of the control group (P < 0.05). In addition, the observation group exhibited greater symptom control, improved quality of life based on their SGRQ scores, and higher treatment adherence post-intervention (P < 0.05). Nursing satisfaction was also rated higher in the observation group across all evaluated areas (P < 0.05).
CONCLUSIONS: Implementing a diversified health education approach in pediatric asthma management significantly enhances disease understanding, symptom management, and treatment adherence, leading to improved quality of life for affected children. These findings underscore the importance of multifaceted clinical health education in augmenting disease awareness and facilitating continuous improvements in asthma control rates, highlighting the potential benefits of incorporating comprehensive educational strategies into pediatric asthma care protocols.
摘要:
背景:小儿哮喘是影响全球儿童生活质量的重大公共卫生问题。传统的管理方法侧重于症状控制和药物依从性,但往往忽视了患者及其家人的全面教育需求。多方面的健康教育方法可能为管理小儿哮喘提供更全面的策略。尤其是在门诊。
目的:评价综合健康教育策略在改善疾病管理方面的效果,药物依从性,和门诊哮喘患儿的生活质量。
方法:总共,从2021年1月至2022年11月纳入100例重症哮喘患儿,随机分为对照组(n=50)或观察组(n=50)。对照组给予标准护理,包括基础护理干预和入院时的健康教育。相比之下,观察组接受了广泛的健康教育方法,包括基于互联网的医院系统,社交媒体渠道,一对一的口头教育,信息手册,幻灯片演示文稿,电话签到,动画视频,和插图健康教育手册。哮喘管理知识数据,症状控制,生活质量[圣乔治呼吸问卷(SGRQ)],治疗依从性,收集并分析护理满意度。
结果:观察组在知识领域的得分,比如药物,家庭护理,疾病的理解,症状管理,预防策略,和营养指导,显著高于对照组(P<0.05)。此外,观察组表现出更好的症状控制,根据他们的SGRQ分数提高了生活质量,干预后治疗依从性较高(P<0.05)。在所有评估区域中,观察组的护理满意度也较高(P<0.05)。
结论:在小儿哮喘管理中实施多元化的健康教育方法可显著提高对疾病的认识,症状管理,和治疗依从性,改善受影响儿童的生活质量。这些发现强调了多方面的临床健康教育在提高疾病意识和促进持续改善哮喘控制率方面的重要性。强调将全面的教育策略纳入小儿哮喘护理方案的潜在益处。
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