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Use of home visits in pediatric severe asthma: randomized controlled trial

Daniela Soares Rosa Bresolini1, Mônica Versiani Nunes Pinheiro de Queiroz1, Guilherme Rache Gaspar1

  • 1Universidade Federal de Minas Gerais, Faculdade de Medicina, Belo Horizonte, MG, Brazil.

Revista Da Escola De Enfermagem Da U S P
|March 19, 2020
PubMed

Insights

Home visits significantly improved inhalation technique scores for children and adolescents with severe asthma. Adherence rates to medication did not change in either the home visit or control groups.

Area of Science:

  • Pediatric Pulmonology
  • Asthma Management
  • Home Healthcare

Background:

  • Severe asthma in children and adolescents requires effective management strategies.
  • Inhalation technique and medication adherence are crucial for controlling asthma symptoms.
  • Home visits represent a potential intervention to enhance treatment outcomes.

Purpose of the Study:

  • To assess the impact of home visits on inhalation technique and medication adherence in pediatric severe asthma patients.
  • To compare outcomes between patients receiving standard outpatient care and those receiving additional home visits.

Main Methods:

  • A 12-month randomized controlled trial was conducted with 29 children and adolescents (3-17 years) with severe asthma.
  • The intervention group received home visits from nurses alongside standard outpatient consultations.
  • The control group received only standard outpatient consultations.

Main Results:

  • The home visit group showed a statistically significant improvement in inhalation technique scores.
  • Critical errors in inhalation technique were eliminated in the intervention group post-visit.
  • No significant changes in inhalation technique scores were observed in the control group.
  • Adherence rates to drug treatment did not improve in either group.

Conclusions:

  • Home visits are an effective strategy for enhancing inhalation technique in pediatric patients with severe asthma.
  • Further research may be needed to address medication adherence challenges in this population.
Abstract

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