A randomized controlled trial of a nurse‐led education pathway for asthmatic children from outpatient to home

Gao, Guozhen; Liao, Yaoji; Mo, Lulu; Gong, Yucui; Shao, Xin; Li, Jinying

doi:10.1111/ijn.12823

Cited by 8 publications

(7 citation statements)

References 33 publications

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“…Three additional full texts are retrieved by going through references of retrieved full texts during primary screening. After final screening against eligibility criteria, the final consensus was reached by including 14 studies (Figure 1) (Chen & Chen, 2021; Cicutto et al, 2013; Gao et al, 2020; Harrington et al, 2018; Horner et al, 2016; Kamps, 2003; Kuethe et al, 2011; Lv et al, 2019; Madge et al, 1997; Ng et al, 2021; Persaud et al, 1996; van Bragt et al, 2015; Wesseldine et al, 1999; Xu et al, 2010).…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of nursing interventions for management of children with bronchial asthma: A systematic review and meta‐analysis

Tao

Fan²,

Hariharan

et al. 2023

Int J of Nursing Practice

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AimNursing interventions include the preventive care that can support and guide the nurse's effort to provide asthma interventions for children. Hence, this review was done to assess the effectiveness of nursing interventions for management of childhood asthma.MethodsWe conducted a search in Medline, the Cochrane library, EMBASE, ScienceDirect and Google Scholar from 1964 until April 2022. Meta‐analysis was done using a random‐effects model and pooled weighted mean difference (WMD) or standardized mean difference (SMD) and/or risk ratio (RR) with 95% confidence intervals (CIs).ResultsFourteen studies were analysed. The pooled RR was 0.49 for emergency visits (95% CI: 0.32 to 0.77) and 0.46 for hospitalizations (95% CI: 0.27 to 0.79). The pooled WMD was −1.20 for number of days with symptoms (95% CI: −3.50 to 1.11), −0.98 for number of nights with symptoms (95% CI: −2.94 to 0.98) and −0.69 for frequency of asthma attacks (95% CI: −1.19 to −0.20). The pooled SMD was 0.39 for quality of life (95% CI: 0.11 to 0.66) and 0.58 for asthma control (95% CI: −0.29 to 1.46).ConclusionNursing interventions were relatively effective in improving the quality of life and reducing asthma related emergencies, acute attacks and hospitalization amongst childhood asthma patients.

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Section: Resultsmentioning

confidence: 99%

Effectiveness of nursing interventions for management of children with bronchial asthma: A systematic review and meta‐analysis

Tao

Fan²,

Hariharan

et al. 2023

Int J of Nursing Practice

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“…With or without a comparison with a non‐exposure group, previous studies involving educational training from supervised nurses were generally conducted in inpatient or emergency departments and addressed the outcomes of medical cost and length of stay in the hospital (Guarnaccia et al, 2017; Lougheed & Olajos‐Clow, 2010). For instance, evidence from a randomized control trial (RCT) on the feasibility of a supervised training in an outpatient department showed that the numbers of unscheduled physician visits and children's school absences were lower in the NSR group than that in the usual‐care group (Gao et al, 2020). However, no significant difference was observed in the numbers of emergency department visiting and hospitalization between two groups in their study (Gao et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…For instance, evidence from a randomized control trial (RCT) on the feasibility of a supervised training in an outpatient department showed that the numbers of unscheduled physician visits and children's school absences were lower in the NSR group than that in the usual‐care group (Gao et al, 2020). However, no significant difference was observed in the numbers of emergency department visiting and hospitalization between two groups in their study (Gao et al, 2020). By contrast, we found that the NSR programme might significantly improve symptom control, respiratory function and systemic inflammation in children with asthma.…”

Section: Discussionmentioning

confidence: 99%

“…By contrast, we found that the NSR programme might significantly improve symptom control, respiratory function and systemic inflammation in children with asthma. The inconsistent results may be attributable to the following reasons: On the one hand, we enrolled patients from an inpatient department whose adherence to the NSR programme could be well monitored, whereas the limited visiting durations that allowed the service to supply might be an obstacle for improving the performance and other results in their study; on the other hand, our study included asthma‐related inflammatory factors, which might objectively reflect the clinical activity of asthma as a crucial supplementary facet, while the noisy environment in the outpatient department in study by Gao et al (2020) might have led to poor asthma management.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of a nurse‐supervised rehabilitation programme on clinical features and systemic inflammation in Chinese children with asthma: A propensity score‐matched analysis

Hong

Chen

et al. 2021

Int J of Nursing Practice

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Aims To evaluate whether a nurse‐supervised rehabilitation programmes could improve respiratory functions and systematic inflammation in children with asthma. Background Children with asthma always suffer from poor life quality, and physical training and pulmonary rehabilitation could be beneficial to asthma. Design A retrospective, observational, single‐centre cohort analysis. Method Baseline characteristics between the nurse‐supervised rehabilitation programme and usual‐care groups were matched by propensity‐score matching (PSM) in a 1:1 ratio. We compared the lung function and inflammatory markers between groups. Results Among 52 pairs of children, differences in lung function were improved in the nurse‐supervised rehabilitation group compared with those in usual‐care group, including the oxygen saturation, forced expiratory volume in 1 second, forced expiratory flow of 25%–75% and peak expiratory flow (all P < 0.05). Two asthma‐related inflammatory markers (hypersensitive C‐reactive protein and immunoglobulin E) also significantly decreased in the nurse‐supervised rehabilitation group (both P < 0.001). Conclusions The results indicate that the nurse‐supervised rehabilitation programme might be effective in improving symptom control, respiratory functions and systemic inflammation in children with asthma. The study suggests that the NSR for asthma merits further research.

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“…Asthma education and training, for both adults and children, can be delivered effectively by a range of health care providers including pharmacists and nurses 426,427,454,455 (Evidence A). Trained lay health workers (also known as community health workers) can deliver discrete areas of respiratory care such as asthma self-management education.…”

Section: Asthma Informationmentioning

confidence: 99%

Peak Flow and Mini-spirometry in the Diagnosis of Obstructive Airway Diseases

Padmanabhan¹,

Nair²,

Babu³

et al. 2023

HAP

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Background: India is initiating measures to address Chronic Obstructive Pulmonary Disease(COPD) and Asthma, major causes of mortality and morbidity, at the primary care level. The efforts are limited by the lack of access to spirometry. Various alternatives are being tried out in resource limited countries. Methods: A hospital based cross-sectional study was done at two tertiary care hospitals in Trivandrum, South India, in patients with a clinical diagnosis of COPD or Asthma. Spirometry was done by a trained spirometry technician, along with peak-flow recording and a recording on portable mini-spirometer (COPD6 ®). The values obtained by the latter two were compared to those obtained by spirometry. Results: The study included 360 patients. PEFR showed a positive correlation with both FEV1/FVC as well as FEV1 (R2 of 0.35 and 0.65, respectively). FEV1/FEV6 and FEV1 on COPD6 also correlated positivity with FEV1 and FEV1/FVC on spirometry (R2 of 0.68 and 0.89, respectively). Sensitivity and specificity of PEFR to diagnose obstruction was best at a cut-off of 74% of predicted, as determined by ROC, giving sensitivity of 84.8% and specificity of 85.1%. Sensitivity and specificity of COPD6 to detect obstruction was 75.9% and 95.7%, respectively. Conclusion: Mini-spirometry (COPD6) and peak-flow measurement may be used as alternatives to spirometry in resource limited settings as in the primary care centers of India for the diagnosis of obstructive airway diseases.

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A randomized controlled trial of a nurse‐led education pathway for asthmatic children from outpatient to home

Cited by 8 publications

References 33 publications

Effectiveness of nursing interventions for management of children with bronchial asthma: A systematic review and meta‐analysis

Effectiveness of nursing interventions for management of children with bronchial asthma: A systematic review and meta‐analysis

Evaluation of a nurse‐supervised rehabilitation programme on clinical features and systemic inflammation in Chinese children with asthma: A propensity score‐matched analysis

Peak Flow and Mini-spirometry in the Diagnosis of Obstructive Airway Diseases

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