Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2024; 12(19): 3708-3716
Published online Jul 6, 2024. doi: 10.12998/wjcc.v12.i19.3708
Enhancing pediatric asthma management through multifaceted health education
Guang-Qun Lin, Zu-Qiong Ye, En-Lian Song, Yu-Nan Lin
Guang-Qun Lin, En-Lian Song, Department of Pediatrics, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China
Zu-Qiong Ye, Day Surgery Ward, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China
Yu-Nan Lin, Anesthesia & Operation Center, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China
Co-first authors: Guang-Qun Lin and Zu-Qiong Ye.
Author contributions: Lin GQ and Ye ZQ designed the research study; Lin GQ, Ye ZQ and Song EL performed the research; Lin GQ, Ye ZQ and Lin YN analyzed the data and wrote the manuscript; Guang-Qun Lin and Zu-Qiong Ye contributed equally to the study; and all authors have read and approve the final manuscript.
Supported by Self-raised project of Health and Health Commission of Guangxi Zhuang Autonomous Region, NO. Z-A20220429, Guangxi Natural Science Foundation, NO. 2020JJA140193.
Institutional review board statement: The study was ethically approved by First Affiliated Hospital of Guangxi Medical University.
Informed consent statement: The data used in the study were not involved in the patients’ privacy information, and all patient data obtained, recorded, and managed only used for this study, without any harm to the patient. So the informed consent was waived by the ethics committee of First Affiliated Hospital of Guangxi Medical University.
Conflict-of-interest statement: There are no conflicts of interest involved in this study.
Data sharing statement: All data can be requested by contacting the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu-Nan Lin, MD, Chief Doctor, Doctor, Anesthesia & Operation Center, First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangzhong Road, Qingxiu District, Nanning 530021, Guangxi Zhuang Autonomous Region, China. linyunannn@163.com
Received: February 29, 2024
Revised: April 24, 2024
Accepted: May 16, 2024
Published online: July 6, 2024
Processing time: 121 Days and 2 Hours
Abstract
BACKGROUND

Pediatric asthma is a significant public health issue that impacts the quality of life of children globally. Traditional management approaches focus on symptom control and medication adherence but often overlook the comprehensive educational needs of patients and their families. A multifaceted health education approach may offer a more holistic strategy in managing pediatric asthma, especially in outpatient settings.

AIM

To evaluate the efficacy of a comprehensive health education strategy in improving disease management, medication adherence, and quality of life among children with asthma in outpatient settings.

METHODS

In total, 100 pediatric patients with severe asthma were enrolled from January 2021 to November 2022 and randomly allocated to a control group (n = 50) or an observation group (n = 50). The control group received standard nursing care, including basic nursing interventions and health education upon admission. In contrast, the observation group was exposed to a broad spectrum of health education methodologies, including internet-based hospital systems, social media channels, one-on-one verbal education, informational brochures, slide presentations, telephone check-ins, animated videos, and illustrated health education manuals. Data on asthma management knowledge, symptom control, quality of life [St. George’s Respiratory Questionnaire (SGRQ)], treatment adherence, and nursing satisfaction were collected and analyzed.

RESULTS

The scores of the observation group in knowledge areas, such as medication, home care, disease understanding, symptom management, prevention strategies, and nutritional guidance, were significantly higher than those of the control group (P < 0.05). In addition, the observation group exhibited greater symptom control, improved quality of life based on their SGRQ scores, and higher treatment adherence post-intervention (P < 0.05). Nursing satisfaction was also rated higher in the observation group across all evaluated areas (P < 0.05).

CONCLUSION

Implementing a diversified health education approach in pediatric asthma management significantly enhances disease understanding, symptom management, and treatment adherence, leading to improved quality of life for affected children. These findings underscore the importance of multifaceted clinical health education in augmenting disease awareness and facilitating continuous improvements in asthma control rates, highlighting the potential benefits of incorporating comprehensive educational strategies into pediatric asthma care protocols.

Keywords: Multifaceted health education mode; Pediatrics; Outpatient service; Bronchial asthma

Core Tip: This study highlights the benefits of a multifaceted health education approach in pediatric asthma management in outpatient settings. By integrating digital and traditional educational tools, significant improvements in disease knowledge, symptom control, and treatment adherence were observed. The involvement of patients and families is crucial for effective management. Increased nursing satisfaction indicates the acceptability of this comprehensive strategy, suggesting that such educational methods should be integrated into standard care protocols to enhance holistic asthma management.