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  • Title: A preliminary study to evaluate a patient-centred asthma education programme on parental control of home environment and asthma signs and symptoms in children with moderate-to-severe asthma.
    Author: Tzeng LF, Chiang LC, Hsueh KC, Ma WF, Fu LS.
    Journal: J Clin Nurs; 2010 May; 19(9-10):1424-33. PubMed ID: 20500352.
    Abstract:
    AIMS AND OBJECTIVES: To evaluate the effectiveness of a nurse-led patient-centred asthma education programme on home environmental control behaviours of parents of children with moderate or severe asthma. BACKGROUND: Reducing allergic triggers is important self-management behaviour for preventing asthma attacks and patient-centred asthma education has been shown to effectively manage chronic disease. DESIGN: A preliminary quasi-experimental, non-equivalent control group design was used. METHOD: Dyads (n = 75) of parents and their children with moderate or severe asthma (ages 6-14 years) were purposively recruited from the asthma clinics of two hospitals in central Taiwan. The experimental group of 38 children/parents from one hospital received patient-centred asthma education. The comparison group of 37 children/parents from the other hospital received routine individual education. At pretest and at the end of the three-month patient-centred asthma education programme, we measured parents' control of home environmental triggers, children's asthma signs/symptoms and children's pulmonary function. Data were analysed by the general linear model for repeat measures. RESULTS: The level of improvement in dust and cleaning methods was significantly greater among parents in the experimental group than among those in the comparison group (p < 0.05). Children with moderate or severe asthma in the experimental group had fewer signs/symptoms of asthma and better lung function than children in the comparison group. CONCLUSIONS: Our patient-centred asthma education programme improved parents' home environmental control and children's asthma sign/symptoms and lung function. RELEVANCE TO CLINICAL PRACTICE: Nurses can play primary roles as patient educators in asthma clinics. Well-trained patient educators can continuously monitor self-management behaviours to improve patients' compliance with home environmental control, thus leading to better physical outcomes in children with asthma than routine individual asthma education alone.
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