Nursing counseling decreases symptomatology and relapses in pediatric patients with allergic rhinitis

Laura Solís-Flores, Rosalinda Acuña-Rojas, Leobardo López-Medina, G. Meléndez-Mier
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Abstract

Background: Allergic rhinitis (AR) is considered to be a public health problem. Therefore, it is essential to test health education strategies such as nursing counseling (NC) aimed at population groups such as children with allergic rhinitis and their tutors. This study aimed to measure the health benefits of children with this disease for a year. Methods: It is a longitudinal, randomized, comparative study with a sample of 100 pediatric patients of both sexes, aged 6 to 12 years, with a diagnosis of allergic rhinitis, with counseling (study group) and without counseling (control group). In both groups, an informed consent letter signed by both tutors was applied, in addition to knowledge and assessment forms, the second included a scale of symptomatology and a Morisky-Green scale (adherence to treatment). Children in the study group received an intervention based on personalized education, teaching material, support from a multidisciplinary group if necessary (physician, dermatologist, and psychologist). The control group received usual care. In both groups, telephone follow-up was used, which allowed identification of the number of relapses in one year. Results: The Wilcoxon rank-sum test (Mann-Whitney) was used to compare the results, so the presence of relapses in the control group was statistically significant compared to the study group. Conclusions: It was found that the pediatric population that receives NC has improved control of symptomatology and decrease of relapses per year.
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护理咨询减少儿童变应性鼻炎患者的症状和复发
背景:变应性鼻炎(AR)被认为是一个公共卫生问题。因此,有必要针对变应性鼻炎患儿及其导师等人群进行健康教育策略的测试,如护理咨询(NC)。这项研究旨在测量患有这种疾病的儿童一年的健康益处。方法:该研究是一项纵向、随机、比较研究,样本为100例男女儿童,年龄6至12岁,诊断为变应性鼻炎,接受咨询(研究组)和未接受咨询(对照组)。在两组中,除了知识和评估表格外,还应用了两位导师签署的知情同意书,第二组包括症状量表和Morisky-Green量表(治疗依从性)。实验组的儿童接受了基于个性化教育、教材的干预,必要时还接受了多学科小组(医生、皮肤科医生和心理学家)的支持。对照组接受常规护理。在两组中,都使用了电话随访,这可以确定一年内复发的次数。结果:采用Wilcoxon秩和检验(Mann-Whitney)对结果进行比较,对照组的复发情况与研究组比较有统计学意义。结论:发现接受NC治疗的儿童对症状的控制有所改善,每年的复发率也有所下降。
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