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Application of nursing based on the authorization theory in asthmatic children aged 7 to 14 years
Chuanfeng Pei1, Weiyu Wu1, Xingmei Zhou1
1Department of Nursing, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine (Shanghai First People's Hospital) Shanghai, China.
Insights
Authorization theory-based nursing significantly improved asthma management in children. This approach enhanced treatment compliance, lung function, and patient satisfaction while reducing hospital stays.
Area of Science:
- Pediatric Nursing
- Respiratory Medicine
- Health Psychology
Background:
- Asthma management in children (7-14 years) requires effective nursing interventions.
- The authorization theory offers a framework for patient empowerment and treatment adherence.
Purpose of the Study:
- To evaluate the impact of authorization theory-based nursing on pediatric asthma patients.
- To compare outcomes between standard nursing care and the novel intervention.
Main Methods:
- A randomized controlled trial involving 200 children with asthma in remission.
- Intervention group received routine care plus authorization theory-based nursing; control group received routine care.
- Outcomes measured included treatment compliance, symptom resolution time, hospitalization duration, lung function (FEV1, FVC, FEV1/FVC), self-efficacy (GSES), health status (SF-36), and parental satisfaction.
Main Results:
- The experimental group showed significant improvements in lung function (FEV1, FVC, FEV1/FVC), self-efficacy (GSES), and health status (SF-36) compared to the control group.
- Symptom duration and length of hospitalization were significantly reduced in the experimental group.
- Treatment compliance and parental satisfaction with nursing care were significantly higher in the experimental group.
Conclusions:
- Authorization theory-based nursing is effective in improving pediatric asthma management.
- This nursing model enhances treatment compliance, lung function, health status, and patient satisfaction.
- The intervention leads to shorter hospitalizations and better overall outcomes for children with asthma.
Objective:
To investigate the effect of a nursing model based on the authorization theory of asthma in children aged 7 to 14 years.
Methods:
In total, 200 children who were 7 to 14 years with asthma in remission were recruited in this study. These children were admitted to our hospital and were randomly divided into the control group (n=100) and the experimental group (n=100). Patients in the control group received routine nursing, while those in the experimental group received routine nursing and nursing based on the authorization theory. Treatment compliance, the time of disappearance of symptoms (like sputum, cough, wheeze, and wet rales), the length of hospitalization, lung function, including forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC, general self-efficacy scale (GSES) score, MOS 36-item short form health survey (SF-36) score, and parents' satisfaction with nursing were compared between the two groups.
Results:
FEV1, FVC, FEV1/FVC, GSES score, and SF-36 scores in all aspects in the two groups after intervention were increased when compared with before intervention; in addition, FEV1, FVC, FEV1/FVC, GSES score, and SF-36 scores in all aspects in the experimental group after intervention were significantly higher than those in the control group (all P<0.05). The time of disappearance of symptoms (like sputum, cough, wheeze, and wet rales) and length of hospitalization in the experimental group were shorter than those in the control group (all P<0.05). Compared with the control group, treatment compliance and satisfaction in nursing in the experimental group were increased (both P<0.05).
Conclusion:
Nursing based on the authorization theory can effectively improve treatment compliance, lung function, SF-36 scores, and satisfaction in nursing, and shorten the length of hospitalization.
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