Assessing the impact of a family empowerment program on asthma control and medication use in children with asthma: A randomized controlled trial

IF 1.2 4区医学 Q3 NURSING Journal for Specialists in Pediatric Nursing Pub Date : 2021-01-09 DOI:10.1111/jspn.12324

Maha Dardouri ORN, MSc, PhD, Jihene Bouguila MD, MSc, Jihene Sahli MD, MSc, Thouraya Ajmi MD, MSc, Ali Mtiraoui MD, MSc, Chekib Zedini MD, MSc, Manel Mallouli MD, MSc

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引用次数: 6

Abstract

Purpose

In pediatric asthma, family empowerment education has been beneficial for the quality of life, pulmonary function, and family functioning. Few studies addressed the impact of a family empowerment program on asthma symptom control, acute healthcare use (AHCU), and medication use in children with asthma. This study aimed to assess the effect of a family empowerment intervention on asthma symptom control, AHCU, inhaler technique, and controller adherence in children with asthma.

Design and Methods

A single-center study using a randomized controlled design was conducted in a university hospital in the center of Tunisia from May 2018 to September 2019. Eighty-two families were randomly assigned to the intervention group (n = 41) of 8 weeks of group training sessions, or to the control group (n = 41) of usual care education. Thirty-seven families in the intervention group and 39 families in the control group received allocated intervention at baseline. Thirty-four families in each group completed the study at the 12-month follow-up.

Results

At baseline, the intervention and control groups were statistically comparable (p > .05). At follow-up, there were significant differences between the intervention and the control group in asthma symptom control, χ² (1, N = 34) = 9.950, p = .002, and inhalation technique, χ² (1, N = 34) = 5.916, p = .01. For AHCU and adherence to asthma controller, there was no significant difference between groups, χ² (1, N = 34) = 3.219, p = .07, χ² (1, N = 34) = 0.541, p = .46, respectively. The difference within time in asthma symptom control and inhalation technique was significant (p = 10⁻³, p = .001; respectively).

Practice Implications

This study demonstrated that a family empowerment program significantly improved asthma symptom control and inhaler technique in children with asthma aged 7–17 years. This intervention could be clinically useful and time-saving for pediatric nurses.

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评估家庭赋权项目对哮喘控制和哮喘儿童用药的影响:一项随机对照试验

目的:在儿童哮喘中，家庭赋权教育有助于改善儿童的生活质量、肺功能和家庭功能。很少有研究涉及家庭授权计划对哮喘症状控制、急性医疗保健使用(AHCU)和哮喘儿童药物使用的影响。本研究旨在评估家庭赋权干预对哮喘儿童哮喘症状控制、AHCU、吸入器技术和控制者依从性的影响。设计与方法2018年5月至2019年9月在突尼斯中部一所大学医院采用随机对照设计进行单中心研究。将82个家庭随机分为干预组(n = 41)和对照组(n = 41)，分别进行为期8周的小组培训和常规护理教育。干预组37个家庭和对照组39个家庭在基线时接受了干预。在12个月的随访中，每组34个家庭完成了这项研究。结果基线时，干预组与对照组比较，差异有统计学意义(p > 0.05)。随访时，干预组与对照组在哮喘症状控制方面差异有统计学意义，χ2 (1, N = 34) = 9.950, p =。002，吸入技术，χ2 (1, N = 34) = 5.916, p = 0.01。AHCU与哮喘控制者依从性比较，两组间差异无统计学意义，χ2 (1, N = 34) = 3.219, p =。07， χ2 (1, N = 34) = 0.541, p =。46岁的分别。哮喘症状控制和吸入技术在时间内的差异有统计学意义(p = 10−3,p = .001;分别)。实践启示本研究证明家庭赋权计划可显著改善7-17岁哮喘儿童的哮喘症状控制和吸入器技术。对于儿科护士来说，这种干预在临床上是有用的，并且可以节省时间。

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.