Effect of quality control circle and interactive health education on FeNO and disease control in children with severe bronchial asthma

doi:10.3877/cma.j.issn.2095-9133.2025.01.003

Abstract

Abstract:

Objective

To observe the effect of quality control circle and interactive health education in children with severe bronchial asthma.

Methods

A total of 152 children with severe bronchial asthma admitted to the Third Affiliated Hospital of Nanjing Medical University from January 2022 to May 2024 were selected as the research subjects； there were 82 males and 70 females， aged 5～11 years， with mean （8.10±2.00） years.They were divided into control group （routine care， n=76） and observation group （interactive health education， n=76）.FeNO， pulmonary function （FVC， FEV1， PEF）， psychological state （HAMD，HAMA）， caring ability （MCEM）， and disease control effect （C-ACT） were compared.

Results

The level of FeNO in two groups at 1 month and 3 months was lower than that before intervention （P＜0.05）.The FeNO levels of the children in the observation group were lower than those in the control group after 1 month and 3 months of intervention （P＜0.05）.After intervention， the scores of FVC， FEV1， PEF and parents' MCEM scores were higher than those before intervention （P＜0.05）.After intervention， FVC， FEV1， PEF and parents'MCEM scores of the observation group were higher than those of the control group （P＜0.05）.HAMD and HAMA scores after intervention were lower than those before intervention （P＜0.05）.After intervention，HAMD and HAMA scores in the observation group were lower than those in the control group （P＜0.05）.After intervention， the C-ACT score of the observation group was higher than that of the control group （P＜0.05）.

Conclusions

The corresponding application of quality control circle and interactive health education in children with severe bronchial asthma can improve the lung function of children， reduce the level of FeNO，improve the psychological state of children and the ability of parents to take care of children， and thus increase the control effect of severe bronchial asthma.

Key words: Severe bronchial asthma, Quality control circle, Health education, FeNO, prognosis

Shuqin Hu, Hongyan Xu, Dan Cao, Yayan Ding. Effect of quality control circle and interactive health education on FeNO and disease control in children with severe bronchial asthma[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2025, 11(01): 10-15.

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URL: https://zhwsyjdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-9133.2025.01.003

https://zhwsyjdzzz.cma-cmc.com.cn/EN/Y2025/V11/I01/10

Figures/Tables 6

主题	真因	解决对策	评价			总分	判定实施	地点	对策编号
主题	真因	解决对策	可行性	经济性	效益性	总分	判定实施	地点	对策编号
	缺少适合儿童用药工具	设计并研发适合儿童用药工具	36	36	32	104	*	门诊	对策一
		帮助家长监测用药次数	38	36	32	106	*	门诊	对策一
降低重症支气管哮喘患儿FeNO	缺乏便捷有效医患沟通平台	基于医联体开设儿童哮喘护理门诊	40	38	26	104	*	门诊	对策二
		制定护理门诊相关流程、职责、制度	36	40	38	114	*	门诊	对策二
		搭载互联网门诊无缝衔接	36	40	38	114	*	门诊	对策二
	缺少儿童呼吸康复技术	开展儿童呼吸康复技术	36	40	38	114	*	门诊	对策三
		制定相关评估、执行表	36	38	40	114	*	门诊	对策三
		建立电子档案，规范哮喘诊疗全过程	36	38	40	114	*	门诊	对策三

组别	例数	干预前	干预1个月	干预3个月
观察组	76	36.59±7.24	23.36±5.08^ac	15.21±4.25^abc
对照组	76	36.03±7.18	28.84±6.10^a	20.82±5.19^ab
F值		F _（组别）=23.52、F_（时点）=168.12、F_（交互）=2.61
P值		P _（组别）=0.000、P_（时点）=0.000、P_（交互）=0.020

组别	例数	FVC（L）		FEV1（L）		PEF（L/min）
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后
观察组	76	1.02±0.21	2.46±0.37^a	2.43±0.54	3.70±0.69^a	159.02±33.19	187.41±43.30^a
对照组	76	0.99±0.16	1.93±0.29^a	2.46±0.58	3.15±0.55^a	157.42±32.74	170.76±40.11^a
t 值		0.99	9.83	0.29	5.41	0.30	2.46
P值		＞0.05	＜0.05	＞0.05	＜0.05	＞0.05	＜0.05

组别	例数	HAMD		HAMA
组别	例数	干预前	干预后	干预前	干预后
观察组	76	30.21±1.27	15.21±0.84^a	27.78±2.99	13.03±1.08^a
对照组	76	30.07±1.24	20.70±1.11^a	27.63±2.96	20.49±1.10^a
t 值		0.71	34.44	0.30	42.11
P值		＞0.05	＜0.05	＞0.05	＜0.05

组别	例数	个人资源		照顾主体性		照顾信念		照顾知识与技能		照顾结果的期待
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
观察组	76	15.58±2.34	22.47±3.28^a	15.03±2.27	21.25±2.30^a	12.74±1.64	17.79±2.22^a	6.41±1.00	11.50±2.04^a	15.75±2.35	24.36±4.11^a
对照组	76	15.92±2.45	19.24±2.10^a	15.49±2.29	18.51±2.50^a	12.95±1.45	15.20±2.29^a	6.61±1.20	9.47±1.26^a	16.16±2.20	20.34±3.52^a
t 值		0.88	7.24	1.25	7.03	0.84	7.09	1.10	7.38	1.11	6.47
P值		＞0.05	＜0.05	＞0.05	＜0.05	＞0.05	＜0.05	＞0.05	＜0.05	＞0.05	＜0.05

组别	例数	C-ACT分级（例）			C-ACT评分（分， $\overset{ˉ}{x}$ ± s ）
组别	例数	控制不良	基本控制	完全控制	C-ACT评分（分， $\overset{ˉ}{x}$ ± s ）
观察组	76	12（15.79）	35（46.05）	29（38.16）	22.37±3.44
对照组	76	27（35.53）	33（43.42）	16（21.05）	20.36±4.77
Z值			2.64		2.99
P值			＜0.05		＜0.05

组别	例数	C-ACT分级（例）			C-ACT评分（分， $\overset{ˉ}{x}$ ± s ）
组别	例数	控制不良	基本控制	完全控制	C-ACT评分（分， $\overset{ˉ}{x}$ ± s ）
观察组	76	12（15.79）	35（46.05）	29（38.16）	22.37±3.44
对照组	76	27（35.53）	33（43.42）	16（21.05）	20.36±4.77
Z值			2.64		2.99
P值			＜0.05		＜0.05

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