Feasibility study of a combined lifestyle behaviors and asthma self-management intervention for school-aged children.
Feasibility study of a combined lifestyle behaviors and asthma self-management intervention for school-aged children.
复制标题
学龄儿童生活方式行为与哮喘自我管理干预相结合的可行性研究。
DOI：
10.1111/jspn.12224
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
McWilliams,BennieC
中科院分区：
文献类型：
--
作者：
Horner,SharonD;Timmerman,GayleM;McWilliams,BennieC
本研究的目的是验证将体重管理相关的健康生活方式与哮喘自我管理、健康生活与哮喘干预相结合的干预方法的可行性。方法与设计采用混合设计，对一组确诊为哮喘的儿童进行为期12周的哮喘健康生活干预的可行性研究。测试前和测试后收集了与哮喘相关的数据(自我管理、计量吸入器[MDI]技能、哮喘严重程度、生活质量[QOL])和健康生活方式变量(身体质量指数[BMI]、饮食质量)。从另一项研究中抽取匹配的对照样本，测试可行性研究中使用的相同哮喘自我管理成分(单一干预)，以确定哮喘干预对生活健康是否有效，以及单一干预是否能改善儿童哮喘自我管理。BMIz得分显著下降(P=0.007)，蔬菜供应(P=0.03)、MDI技能(P=0.005)、儿童生活质量(P<；0.001)和父母生活质量(P=0.03)均有改善。可行性组与对照组(n=13)比较，干预后哮喘自我管理、MDI技能、哮喘严重程度均无显著差异。实践提示支持实施联合干预的可行性，并不逊色于单一干预，支持护士帮助家庭处理多种健康问题。
PurposeThe purpose of this study is to test the feasibility of delivering an intervention that combines healthy lifestyle behaviors related to weight management with asthma self‐management, the Living Healthy with Asthma intervention, to children who have asthma.Methods and DesignUsing a mixed design, the feasibility study of the 12‐weekLiving Healthy with Asthmaintervention was conducted with a single group of children diagnosed with asthma. Pretest and posttest data were collected on asthma‐related (self‐management, metered dose inhaler [MDI] skill, asthma severity, quality of life [QOL]), and healthy lifestyle variables (body mass index [BMI], dietary quality). A matched comparison sample was drawn from a separate study that tested the same asthma self‐management component (single intervention) used in the feasibility study to determine if the Living Healthy with Asthma intervention worked as well as the single intervention for improving children's asthma self‐management.ResultsThirteen school‐aged children were enrolled in the feasibility study. There were significant reductions in BMIz‐scores (P= 0.007), and improvements in vegetable servings (P= 0.03), MDI skill (P= 0.005), children's QOL (P< 0.001), and parents’ QOL (P= 0.03). When comparing the feasibility group with the matched comparison group (n= 13), there were no significant differences in asthma self‐management, MDI skill, or asthma severity after the interventions.Practice ImplicationsFindings supported the feasibility of implementing the combined intervention, and it was not inferior to the single intervention—which supports nurses’ efforts to help families manage multiple health problems.