Effects of Symptom Perception Interventions on Trigger Identification and Quality of Life in Children with Asthma.
Effects of Symptom Perception Interventions on Trigger Identification and Quality of Life in Children with Asthma.
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DOI：
10.1155/2015/825137
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发表时间：
2015
影响因子：
4.3
通讯作者：
Harver A
中科院分区：
文献类型：
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作者：
Janssens T;Harver A
背景。在实践中，对单个触发器的管理是次优的。在这个项目中，我们调查了症状感知干预对哮喘诱因识别和自我报告哮喘生活质量的影响。方法。患有哮喘的儿童（n = 227）参加了三次哮喘教育课程，然后随机分配到三种家庭监测条件中的一种（症状监测和有反馈的峰流训练、无反馈的峰流训练或无峰流训练），然后再随机分配到三种抗负荷辨别训练条件中的一种（有反馈的信号检测训练、无反馈的信号检测训练或无训练）。在入组、家庭监测和歧视培训后报告了触发因素；在家庭监测和电阻负荷测试后测量生活质量。结果。症状感知干预导致报告的触发因素增加，作为家庭监测的功能，触发因素可靠地增加，并且在完成有反馈的歧视培训的参与者中进一步增加。报告的哮喘诱因数量的增加与生活质量的下降有关。讨论。患者可能会受益于明确触发症状偶发事件的策略。需要补充策略来解决由于认识到新的哮喘触发因素而引起的哮喘认知负担的变化。
Background. Management of individual triggers is suboptimal in practice. In this project, we investigated the impact of symptom perception interventions on asthma trigger identification and self-reported asthma quality of life. Methods. Children with asthma (n = 227) participated in three asthma education sessions and then were randomized first to one of three home monitoring conditions (symptom monitoring and peak flow training with feedback, peak flow training without feedback, or no peak flow training) and then subsequently to one of three resistive load discrimination training conditions (signal detection training with feedback, signal detection training without feedback, or no training). Triggers were reported at enrollment, following home monitoring, and following discrimination training; quality of life was measured after home monitoring and after resistive load testing. Results. Symptom perception interventions resulted in increases in reported triggers, which increased reliably as a function of home monitoring, and increased further in participants who completed discrimination training with feedback. Increases in the number of reported asthma triggers were associated with decreases in quality of life. Discussion. Patients may benefit from strategies that make trigger-symptom contingencies clear. Complementary strategies are needed to address changes in the perceived burden of asthma which comes from awareness of new asthma triggers.