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Published on: November 4, 2010
A Multi-center Study on Improvement in Life Quality of Pediatric Patients with Asthma via Continuous Care
Ying Cai1, Junhua Cao1, Ruixue Kan1
1Nursing Dept., Xuzhou Children's Hospital, Xuzhou 221006, China.
Insights
Continuous care significantly improves pulmonary function and quality of life in pediatric asthma patients. This approach effectively controls asthma symptoms, enhancing overall patient well-being.
Area of Science:
- Pediatric Pulmonology
- Health Services Research
Background:
- Asthma is a chronic respiratory condition affecting children.
- Effective management strategies are crucial for improving pediatric asthma outcomes.
Purpose of the Study:
- To evaluate the impact of continuous care on pediatric asthma patients post-hospital discharge.
- To assess improvements in quality of life and asthma control.
Main Methods:
- Retrospective analysis of 172 pediatric asthma patients (6-11 years old).
- Comparison between an intervention group receiving continuous care and a control group without it.
- Data collected over a two-year period across five hospitals.
Main Results:
- The intervention group showed significantly higher ratios of forced expiratory volume in one second (FEV1) and peak expiratory flow compared to the control group.
- Statistically significant improvements were observed in the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) scores for the continuous care group.
- The Childhood Asthma Control Test (C-ACT) scores were also significantly better in the intervention group, indicating superior asthma control.
Conclusions:
- Continuous care is an effective strategy for enhancing pulmonary function in pediatric asthma patients.
- Continuous care significantly improves the quality of life for children with asthma.
- This model of care leads to better control of asthmatic symptoms.
Background:
To analyze and summarize the effect of continuous care on the life quality and control of asthma of pediatric patients with asthma discharged from multiple hospitals.
Methods:
Retrospective analysis was carried out on 172 pediatric patients with asthma aged between 6 and 11 yr old randomly selected from those admitted to five hospitals between January 2014 and December 2015. Among these 172 patients, only 86 (intervention group) received the continuous care between January 2015 and December 2015, while the rest (control group) did not receive from January 2014 and December 2014.
Results:
After the patients in the intervention group were discharged from the hospital, the ratio of practical forced expiratory volume in one second (FEV1) to the expected FEV1 at the 12th month was (90.28±10.35)%, and the ratio of peak expiratory flow to the expected value was (84.24±3.43)%, respectively higher than those [(82.73±8.86)% and (75.80±4.67)%] in the control group. Regarding pediatric asthma quality of life questionnaire (PAQLQ) between the intervention group and the control group, the difference had statistical significance (Z=-7.254, P<0.05). Childhood asthma control test (C-ACT) comparison between the intervention group and the control group indicated that the difference had statistical significance (Z=-7.918, P<0.05).
Conclusion:
Continuous care can improve the pediatric patient's pulmonary function and life quality, and effectively control the asthmatic symptoms.
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