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Published on: November 4, 2010
Evaluating the Effectiveness of a Comprehensive Interventional Package on the Quality of Life of Children With Asthma
Deepthi Chakravarthy1, Shuba Sankaranarayanan2, Anita David3
1Child Health Nursing, College of Nursing, Muslim Educational Society (MES) Medical College Hospital, Perinthalmanna, IND.
Insights
A comprehensive intervention package significantly improved quality of life (QoL) in children with asthma. This asthma management approach combines education and breathing exercises for better symptom control and reduced disease burden.
Area of Science:
- Pediatric Pulmonology
- Health Outcomes Research
- Interventional Medicine
Background:
- Asthma significantly impacts children's quality of life (QoL).
- Improving QoL is a primary goal in pediatric asthma management.
- Current management strategies require effective interventions to enhance QoL.
Purpose of the Study:
- To evaluate the effectiveness of a comprehensive interventional package on QoL in pediatric asthma patients.
- To compare QoL outcomes between children receiving the intervention and those receiving standard care.
- To test the hypothesis that the intervention group will demonstrate superior QoL improvements.
Main Methods:
- A quantitative experimental study involving 94 children (aged 10-17) with asthma.
- Participants were randomized into a control group (standard care) and an experimental group (intervention package).
- The intervention included asthma education and Buteyko breathing exercises, assessed over four weeks using validated questionnaires.
Main Results:
- The experimental group receiving the comprehensive interventional package showed a statistically significant improvement in QoL (p < 0.001).
- Repeated measures ANOVA confirmed the effectiveness of the intervention compared to the control group.
- The intervention positively impacted asthma knowledge and symptom control.
Conclusions:
- A comprehensive interventional package, integrating asthma education and breathing exercises, significantly enhances QoL in children with asthma.
- This approach improves asthma knowledge, symptom control, and overall QoL.
- Regular practice of breathing exercises alongside medical treatment can reduce the burden of asthma in children.
Introduction:
Asthma is a chronic lung disease that negatively affects children's quality of life (QoL). Improving QoL is a key outcome in managing children with asthma.
Objectives:
The objective of the study was to evaluate the effectiveness of a comprehensive interventional package on QoL among asthmatic children attending an asthma clinic at a selected hospital.
Hypothesis:
The study hypothesizes that the experimental group will show significant improvement in QoL compared with the control group.
Method:
This quantitative experimental research study was conducted among 94 asthmatic children aged 10-17 years presenting at a pediatric asthma clinic in a selected hospital in Malappuram, Kerala. Participants who met the inclusion criteria were randomized in a single-blind study and allocated to either a control group (N = 47) or an experimental group (N = 47) using allocation concealment methods. Data were collected using three tools: the Asthma Knowledge Questionnaire, the Mini Pediatric Asthma QoL Questionnaire, and the Asthma Control Questionnaire. The control group received no comprehensive interventional package and continued with their medical treatment, while the experimental group received a comprehensive interventional package that included asthma education and Buteyko breathing exercises along with routine medical treatment. Both groups were assessed four times at four-week intervals using the same tools.
Results:
Effectiveness was assessed by using the statistical analysis of repeated measures of analysis of variance. The comprehensive interventional package group showed a significant improvement (p < 0.001) in QoL compared with the control group.
Conclusion:
The comprehensive interventional package, which includes both asthma education and breathing exercises, can significantly improve asthma knowledge, symptom control, and QoL in children with asthma. This study revealed that improving the understanding regarding the asthma and practicing a breathing exercise regularly along with routine medical treatment would help the children to reduce asthma burden.
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