Original Article

A Multi-center Study on Improvement in Life Quality of Pediatric Patients with Asthma via Continuous Care

Abstract

Background: To analyze and summarize the effect of continuous care on the life quality and control of asthma of pediatric patients with asthma discharged from multiple hospitals.

Methods: Retrospective analysis was carried out on 172 pediatric patients with asthma aged between 6 and 11 yr old randomly selected from those admitted to five hospitals between January 2014 and December 2015. Among these 172 patients, only 86 (intervention group) received the continuous care between January 2015 and December 2015, while the rest (control group) did not receive from January 2014 and December 2014.

Results: After the patients in the intervention group were discharged from the hospital, the ratio of practical forced expiratory volume in one second (FEV1) to the expected FEV1 at the 12th month was (90.28±10.35)%, and the ratio of peak expiratory flow to the expected value was (84.24±3.43)%, respectively higher than those [(82.73±8.86)% and (75.80±4.67)%] in the control group. Regarding pediatric asthma quality of life questionnaire (PAQLQ) between the intervention group and the control group, the difference had statistical significance (Z=-7.254, P<0.05). Childhood asthma control test (C-ACT) comparison between the intervention group and the control group indicated that the difference had statistical significance (Z=-7.918, P<0.05).

Conclusion: Continuous care can improve the pediatric patient’s pulmonary function and life quality, and effectively control the asthmatic symptoms.

 

Paganelli F, Spinicci E, Giuli D (2008). ERMHAN: A Context-Aware Service Platform to Support Continuous Care Networks for Home-Based Assistance. Int J Telemed Appl, Volume 2008, Article ID 867639, 13 pages.

Qi GJ, Chao YL, Xi XY, Liu KX, Li WH (2015). Effect analysis of early bedside hemo-filtration in treatment of severe pneumonia with acute renal failure of children. Eur Rev Med Pharmacol Sci, 19(24): 4795-4800.

Rehm RS (2013). Nursing's contribution to research about parenting children with complex chronic conditions: an integrative review, 2002 to 2012. Nurs Outlook, 61(5): 266-290.

Au DH, Macaulay DS, Jarvis JL, Desai US, Birnbaum HG (2015). Impact of a telehealth and care management program for patients with chronic obstructive pulmonary disease. Ann Am Thorac Soc, 12(3): 323-331.

Nishima S, Furusho K (2003). New pediatric guideline for the treatment and management of bronchial asthma in Japan. Pediatr Int, 45(6):759-766.

Kvangarsnes M, Torheim H, Hole T, Ohlund LS (2013). Intensive care unit nurses' perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation: an interview study. J Adv Nurs, 69(2): 425-434.

Ehrs PO, Larsson K (2004). Treatment im-proves quality of life in patients with poor perception of asthma. Prim Care Respir J, 13(1): 42-47.

Liu AH, Gilsenan AW, Stanford RH, Lincourt W, Ziemiecki R, Ortega H (2010). Status of asthma control in pediatric primary care: results from the pediatric Asthma Control Characteristics and Prevalence Survey Study (ACCESS). J Pediatr, 157(2): 276-281.

Prossor J (2007). Continuity of care. Br J Gen Pract, 57(545): 996.

Haggerty JL, Reid RJ, Freeman GK, Starfield BH, Adair CE, McKendry R (2003). Continuity of care: a multidisciplinary review. BMJ, 327(7425): 1219-1221.

Hartigan EG, Brown DJ (1985). Discharge planning for continuity of care. Program design: components and coordination. NLN Publ, (20-1977): 43-50.

Clark A, Nadash P (2004). The effectiveness of a nurse-led transitional care model for patients with congestive heart failure. Home Healthc Nurse, 22(3): 160-162.

Price M, Lau FY (2013). Provider connectedness and communication patterns: extending continuity of care in the context of the circle of care. BMC Health Serv Res, 13: 309.

Bhaumik U, Norris K, Charron G, Walker SP, Sommer SJ, Chan E, Dickerson DU, Nethersole S, Woods ER (2013). A cost analysis for a community-based case management intervention program for pediatric asthma. J Asthma, 50(3): 310-317.

Xu JC, Wu GH, Zhou LL, Yang XJ, Liu JT (2017). Two unilateral puncturation comparative analyses of multiple-level fresh osteoporotic vertebral body compression fractures treated with percutaneous vertebroplasty guided by C-arm fluoroscopy or in senile patients. Eur Rev Med Pharmacol Sci, 21(7): 1456-1461.

Huynh PN, Scott LG, Kwong KY (2010). Long-term maintenance of pediatric asthma: focus on budesonide/formoterol inhalation aerosol. Ther Clin Risk Manag, 6: 65-75.

Swerczek LM, Banister C, Bloomberg GR et al (2013). A telephone coaching intervention to improve asthma self-management behaviors. Pediatr Nurs, 39(3): 125-130, 145.

Alados-Arboledas FJ, Millan-Bueno P, Exposito-Montes JF, de la Cruz-Moreno J, Perez-Parras A, Arevalo-Garrido A (2011). [Safety and efficacy of continuous infusion propofol for diagnostic upper gastrointestinal endscopy in spontaneous breathing]. An Pediatr (Barc), 75(2): 124-128.

Toscani MR, Makkar R, Bottorff MB (2004). Quality improvement in the continuum of care: impact of atherothrombosis in managed care pharmacy. J Manag Care Pharm, 10(6 Suppl A): S2-S12, S13-S16.

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IssueVol 46 No 11 (2017) QRcode
SectionOriginal Article(s)
Keywords
Pediatric patients Asthma Continuous care Multi-center

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How to Cite
1.
CAO J, KAN R, LIU Y, ZHAO L, HU M, ZHANG X. A Multi-center Study on Improvement in Life Quality of Pediatric Patients with Asthma via Continuous Care. Iran J Public Health. 2017;46(11):1521-1527.