The Effect of Home-Based Pulmonary Rehabilitation on Asthmatic Pediatric Quality of Life

Raziye Mazroei, Elnaz Monemi Gohari, Maedeh Ghadermazi, Niku Latifi, H. Hojjati, N. Hekmati Pour
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Abstract

Background: Children with asthma have a low quality of life because they cannot adequately be physically active. Asthmatic children can benefit from home-based pulmonary rehabilitation because it is available, inexpensive, and easy to use. Objectives: This study aimed to determine the effect of home-based pulmonary rehabilitation on the quality of life of children with asthma. Methods: This experimental study was conducted in 2022 on 60 asthmatic children in Gorgan, Iran, with two intervention and control groups by convenient method. Children in the intervention group received eight pulmonary rehabilitation sessions at home after randomly assigning the participants to two intervention (30-person) and control (30-person) groups. The data collection tools included a demographic characteristic form and a pediatric quality of life questionnaire (PedsQl). Results: The mean quality of life before the intervention was 54.6 ± 7.13 in the intervention and 53.76 ± 7.12 in the control group, and the independent t-test did not show a significant difference between the two groups. The mean quality of life after the intervention increased to 59.9 ± 7.69 in the intervention and 55.3 ± 7.36 in the control group, and the independent t-test showed a significant difference between the two groups (P = 0.01). Conclusions: Based on the results, home-based pulmonary rehabilitation effectively improved the asthmatic pediatric quality of life. Therefore, the healthcare system should consider home-based pulmonary rehabilitation as part of the treatment protocol.
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家庭肺康复对哮喘患儿生活质量的影响
背景:哮喘患儿的生活质量较低,因为他们不能充分地进行身体活动。哮喘儿童可以从家庭肺部康复中受益,因为它是可获得的,便宜的,并且易于使用。目的:本研究旨在探讨以家庭为基础的肺部康复对哮喘儿童生活质量的影响。方法:本实验研究于2022年对伊朗戈尔根市60例哮喘患儿进行实验研究,采用简易法分为干预组和对照组。干预组的儿童在被随机分配到两个干预组(30人)和对照组(30人)后,在家中接受了8次肺部康复治疗。数据收集工具包括人口统计学特征表和儿科生活质量问卷(PedsQl)。结果:干预组患者干预前平均生活质量为54.6±7.13,对照组为53.76±7.12,经独立t检验,两组间差异无统计学意义。干预组患者干预后平均生活质量为59.9±7.69,对照组为55.3±7.36,经独立t检验,两组间差异有统计学意义(P = 0.01)。结论:基于结果的家庭肺部康复有效地改善了哮喘患儿的生活质量。因此,医疗保健系统应考虑以家庭为基础的肺部康复作为治疗方案的一部分。
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