Öz
Bu çalışma astımlı çocuklarda hastalık yönetim programları ile ilgili literatürü incelemek amacı ile yapılmıştır. Literatür incelemesinde “asthma” and “children” and “disease management” and “nursing” anahtar kelimeleri kullanılarak PubMed, ScienceDirect, Cochrane ve Wiley veri tabanlarından tarama yapılmıştır. Toplam 2282 makale belirlenmiştir. Tarama, yayın yılı 2013-2020 arası, yayın dili İngilizce ve tarama alanı başlık, özet ve anahtar kelimeler olarak sınırlandırılmıştır. Dahil edilme ve çıkarılma kriterlerine uygun 10 makale değerlendirilmeye alınmıştır. İncelenen çalışmalar yazar adı-soyadı, yayımlandığı yıl, ülke ve dergi, çalışma tasarımı, amaç, örneklem, yöntem, sonuç ve veri tabanı olarak sentez edilmiştir. Çalışmaların 6’sı randomize kontrollü deneysel çalışma, 3’ü ön test-son test tek gruplu yarı deneysel çalışma, 1’i prospektif randomize kontrollü pilot çalışmadır. Katılımcıların yaşları 2-18 yaş arasında değişmektedir. Çalışmaların büyük kısmı eğitim temelli girişimlerdir. Uygulanan girişimler çocuklarda hastalık şiddetini, fiziksel kısıtlılığı, okul devamsızlığını, acil servis başvurusunu ve hastaneye yatış sıklığını azaltmış; uyku kalitesi, hastalık öz yönetimi, hastalık bilgi düzeyi ve yaşam kalitesini artırmıştır. Sonuç olarak bu veriler astımlı çocuklarda hastalık yönetimini artırmaya yönelik çeşitli müdahalelerin etkili olduğunu göstermektedir. Bu nedenle pediatri hemşireleri ve okul sağlığı hemşirelerinin astımlı çocukların semptom kontrolü ile ilgili yaşadığı sorunları belirleyerek çok yönlü müdahale girişimleri planlaması önerilir.
Anahtar Kelimeler
Kaynakça
- Cicutto L, To T, Murphy S. (2013). A randomized controlled trial of a public health nurse-delivered asthma program to elementary schools. J Sch Health;83(12):876-884. doi: 10.1111/josh.12106.
- Dardouri M, Bouguila J, Sahli J, Ajmi T, Mtiraoui A, Zedini C et al. (2021). Assessing the impact of a family empowerment program on asthma control and medication use in children with asthma: A randomized controlled trial. J Spec Pediatr Nurs.;26(2):e12324. https://doi.org/10.1111/jspn.12324
- Dardouri M, Sahli J, Ajmi T, Mtiraoui A, Bouguila J, Zedini C et al. (2020). Effect of family empowerment education on pulmonary function and quality of life of children with asthma and their parents in Tunisia: A randomized controlled trial. Journal of Pediatric Nursing;54:9-16. https://doi.org/10.1016/j.pedn.2020.04.005
- Ekici B, Cimete G. (2015). Effects of an asthma training and monitoring program on children's disease management and quality of life. Turk Thorac J.;16:158-165. doi: 10.5152/ttd.2015.4869
- Gao G, Liao,Y, Mo L, Gong Y, Shao X, Li J. (2020). A randomized controlled trial of a nurse-led education pathway for asthmatic children from outpatient to home. Int J Nurs Pract.;26(3):e12823. https://doi.org/10.1111/ijn.12823
- Grape A, Rhee H, Sanchez P. (2019). Evaluation of a peer-led asthma self-management group ıntervention for urban adolescents. Journal of Pediatric Nursing;45:1–6. https://doi.org/10.1016/j.pedn.2018.12.011
- Harrington CB, Langhans E, Shelef DQ, Savitz M, Whitmore C, Teach SJ. (2018). A pilot randomized trial of school-based administration of inhaled corticosteroids for at-risk children with asthma. J Asthma;55(2):145-151. https://doi.org/10.1080/02770903.2017.1323915
- Horner SD, Brown A, Brown SA, Rew DL. (2016). Enhancing asthma self-management in rural school-aged children: a randomized controlled trial. J Rural Health;32(3):260-268. doi: 10.1111/jrh.12150.
- Joseph CLM, Ownby DR, Havstad SL, Saltzgaber J, Considine S, Johnson D et al. (2013). Evaluation of a web-based asthma management ıntervention program for urban teenagers: reaching the hard to reach. J Adolesc Health;52(4):419-426. doi: 10.1016/j.jadohealth.2012.07.009
- Kintner EK, Cook G, Marti CN, Allen A, Stoddard D, Harmon P et al. (2015). Effectiveness of a school-and community-based academic asthma health education program on use of effective asthma self-care behaviors in older school-aged students. J Spec Pediatr Nurs;20(1):62-75. doi: 10.1111/jspn.12099.
- Kocaaslan EN, Akgün-Kostak M. (2019). Effect of disease management education on the quality of life and self‐efficacy levels of children with asthma. Spec Pediatr Nurs;24(2):e12241. https://doi.org/10.1111/jspn.12241
- Mammen JR, Java JJ, Rhee H, Butz AM, Halterman JS, Arcoleo K. (2019). Mixed‐methods content and sentiment analysis of adolescents’ voice diaries describing daily experiences with asthma and self‐management decision‐making. Clin Exp Allergy;49:299–207.
- McClure N, Lutenbacher M, O'Kelley E, Dietrich MS. (2017). Enhancing pediatric asthma care and nursing education through an academic practice partnership. Journal of Pediatric Nursing;36:64–69. http://dx.doi.org/10.1016/j.pedn.2017.04.008
- Nichols M, Miller S, Treiber F, Ruggiero K, Dawley E, Teufel R. (2020). Patient and parent perspectives on ımproving pediatric asthma self-management through a mobile health ıntervention: pilot study. JMIR Form Res;4(7):e15295. doi: 10.2196/15295.
- Petsky HL, Li AM, Au CT, Kynaston JA, Turner C, Chang AB. (2015). Management based on exhaled nitric oxide levels adjusted for atopy reduces asthma exacerbations in children: A dual centre randomized controlled trial. Pediatr Pulmonol;50(6):535-543.
- Quaranta JE, Geoghegan R, Gutierrez C, Kim Y, Stala O. (2020). Evaluating outcomes of children's asthma self-management education through sustainable community–university partnerships. Public Health Nurs;37(4):525-532. doi: 10.1111/phn.12739
- Rice JL, Matlacka KM, Simmons MD, Steinfeld J, Laws M.A, Doveya ME. et al. (2015). LEAP: A randomized–controlled trial of a lay-educator inpatient asthma education program. Patient Education and Counseling;98:1585–1591. http://dx.doi.org/10.1016/j.pec.2015.06.020
- Shankar M, Fagnano M, Blaakman SW, Rhee H, Halterman JS. (2019). Depressive symptoms among urban adolescents with asthma: a focus for providers. Acad Pediatr;19(6):608-614. doi:https://doi.org/10.1016/j.acap.2018.12.004
- Sheikh SI, Pitts J, Ryan-Wenger NA, Kotha K, McCoy KS, Stukus DR. (2017). Improved quality of life of caregivers of children with asthma through guideline based management. J Asthma;54(7): 768-776. doi: 10.1080/02770903.2016.1258077.
- Szefler SJ, Cloutier MM, Villarreal M, Hollenbach P, Gleason M, Haas-Howard C. et al. (2018). Building bridges for asthma care: reducing school absence for inner-city children with health disparities. J Allergy Clin Immunol;143(2):747-754.
Öz
This study was conducted to examine the literature on disease management programs in children with asthma. In the literature review, PubMed, ScienceDirect, Cochrane and Wiley databases were searched by using the keywords "asthma" and "children" and "disease management" and "nursing". Toplam 2282 makale belirlenmiştir. The search is limited to the publication year 2013-2020, the publication language is English, and the search area is title, abstract and keywords. Ten articles which met the inclusion and exclusion criteria were evaluated. The analyzed studies were synthesized as author name-surname, year of publication, country and journal, study design, purpose, sample, method, result and database. 6 of the studies were randomized controlled experimental study, 3 were pretest-posttest one-group quasi-experimental study, and 1 was a prospective randomized controlled pilot study. The ages of the participants range from 2 to 18 years. Most of the studies are education-based initiatives. The implemented initiatives reduced the severity of the disease, physical limitation, school absenteeism, emergency service admissions, and the frequency of hospitalization in children; increased sleep quality, disease self-management, disease knowledge level and quality of life. In conclusion, these data show that various interventions to improve disease management in children with asthma are effective. For this reason, it is recommended that pediatric nurses and school health nurses plan multi-faceted intervention attempts by identifying the problems which the children with asthma experience regarding symptom control.
Anahtar Kelimeler
Kaynakça
- Cicutto L, To T, Murphy S. (2013). A randomized controlled trial of a public health nurse-delivered asthma program to elementary schools. J Sch Health;83(12):876-884. doi: 10.1111/josh.12106.
- Dardouri M, Bouguila J, Sahli J, Ajmi T, Mtiraoui A, Zedini C et al. (2021). Assessing the impact of a family empowerment program on asthma control and medication use in children with asthma: A randomized controlled trial. J Spec Pediatr Nurs.;26(2):e12324. https://doi.org/10.1111/jspn.12324
- Dardouri M, Sahli J, Ajmi T, Mtiraoui A, Bouguila J, Zedini C et al. (2020). Effect of family empowerment education on pulmonary function and quality of life of children with asthma and their parents in Tunisia: A randomized controlled trial. Journal of Pediatric Nursing;54:9-16. https://doi.org/10.1016/j.pedn.2020.04.005
- Ekici B, Cimete G. (2015). Effects of an asthma training and monitoring program on children's disease management and quality of life. Turk Thorac J.;16:158-165. doi: 10.5152/ttd.2015.4869
- Gao G, Liao,Y, Mo L, Gong Y, Shao X, Li J. (2020). A randomized controlled trial of a nurse-led education pathway for asthmatic children from outpatient to home. Int J Nurs Pract.;26(3):e12823. https://doi.org/10.1111/ijn.12823
- Grape A, Rhee H, Sanchez P. (2019). Evaluation of a peer-led asthma self-management group ıntervention for urban adolescents. Journal of Pediatric Nursing;45:1–6. https://doi.org/10.1016/j.pedn.2018.12.011
- Harrington CB, Langhans E, Shelef DQ, Savitz M, Whitmore C, Teach SJ. (2018). A pilot randomized trial of school-based administration of inhaled corticosteroids for at-risk children with asthma. J Asthma;55(2):145-151. https://doi.org/10.1080/02770903.2017.1323915
- Horner SD, Brown A, Brown SA, Rew DL. (2016). Enhancing asthma self-management in rural school-aged children: a randomized controlled trial. J Rural Health;32(3):260-268. doi: 10.1111/jrh.12150.
- Joseph CLM, Ownby DR, Havstad SL, Saltzgaber J, Considine S, Johnson D et al. (2013). Evaluation of a web-based asthma management ıntervention program for urban teenagers: reaching the hard to reach. J Adolesc Health;52(4):419-426. doi: 10.1016/j.jadohealth.2012.07.009
- Kintner EK, Cook G, Marti CN, Allen A, Stoddard D, Harmon P et al. (2015). Effectiveness of a school-and community-based academic asthma health education program on use of effective asthma self-care behaviors in older school-aged students. J Spec Pediatr Nurs;20(1):62-75. doi: 10.1111/jspn.12099.
- Kocaaslan EN, Akgün-Kostak M. (2019). Effect of disease management education on the quality of life and self‐efficacy levels of children with asthma. Spec Pediatr Nurs;24(2):e12241. https://doi.org/10.1111/jspn.12241
- Mammen JR, Java JJ, Rhee H, Butz AM, Halterman JS, Arcoleo K. (2019). Mixed‐methods content and sentiment analysis of adolescents’ voice diaries describing daily experiences with asthma and self‐management decision‐making. Clin Exp Allergy;49:299–207.
- McClure N, Lutenbacher M, O'Kelley E, Dietrich MS. (2017). Enhancing pediatric asthma care and nursing education through an academic practice partnership. Journal of Pediatric Nursing;36:64–69. http://dx.doi.org/10.1016/j.pedn.2017.04.008
- Nichols M, Miller S, Treiber F, Ruggiero K, Dawley E, Teufel R. (2020). Patient and parent perspectives on ımproving pediatric asthma self-management through a mobile health ıntervention: pilot study. JMIR Form Res;4(7):e15295. doi: 10.2196/15295.
- Petsky HL, Li AM, Au CT, Kynaston JA, Turner C, Chang AB. (2015). Management based on exhaled nitric oxide levels adjusted for atopy reduces asthma exacerbations in children: A dual centre randomized controlled trial. Pediatr Pulmonol;50(6):535-543.
- Quaranta JE, Geoghegan R, Gutierrez C, Kim Y, Stala O. (2020). Evaluating outcomes of children's asthma self-management education through sustainable community–university partnerships. Public Health Nurs;37(4):525-532. doi: 10.1111/phn.12739
- Rice JL, Matlacka KM, Simmons MD, Steinfeld J, Laws M.A, Doveya ME. et al. (2015). LEAP: A randomized–controlled trial of a lay-educator inpatient asthma education program. Patient Education and Counseling;98:1585–1591. http://dx.doi.org/10.1016/j.pec.2015.06.020
- Shankar M, Fagnano M, Blaakman SW, Rhee H, Halterman JS. (2019). Depressive symptoms among urban adolescents with asthma: a focus for providers. Acad Pediatr;19(6):608-614. doi:https://doi.org/10.1016/j.acap.2018.12.004
- Sheikh SI, Pitts J, Ryan-Wenger NA, Kotha K, McCoy KS, Stukus DR. (2017). Improved quality of life of caregivers of children with asthma through guideline based management. J Asthma;54(7): 768-776. doi: 10.1080/02770903.2016.1258077.
- Szefler SJ, Cloutier MM, Villarreal M, Hollenbach P, Gleason M, Haas-Howard C. et al. (2018). Building bridges for asthma care: reducing school absence for inner-city children with health disparities. J Allergy Clin Immunol;143(2):747-754.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Derleme |
| Yazarlar | |
| Erken Görünüm Tarihi | 29 Ağustos 2022 |
| Yayımlanma Tarihi | 31 Ağustos 2022 |
| Yayımlandığı Sayı | Yıl 2022Cilt: 7 Sayı: 2 |
