Effectiveness of Asthma Education with and Without a Self-Management Plan in Hospitalized Children

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dc.contributor.authorEspinoza Palma, Tatiana
dc.contributor.authorZamorano, Alejandra
dc.contributor.authorArancibia, Francisca
dc.contributor.authorBustos, Maria Francisca
dc.contributor.authorJose Silva, Maria
dc.contributor.authorCardenas, Consuelo
dc.contributor.authorDe La Barra, Pedro
dc.contributor.authorPuente, Victoria
dc.contributor.authorCerda, Jaime
dc.contributor.authorCastro Rodriguez, Jose A.
dc.contributor.authorPrado, Francisco
dc.date.accessioned2024-01-10T13:12:31Z
dc.date.available2024-01-10T13:12:31Z
dc.date.issued2009
dc.description.abstractBackground. Formal education in primary care can reduce asthma exacerbations. However, there are few studies in hospitalized children, with none originating in Latin America. Methods. A prospective randomized study was designed to evaluate whether a full education with self-management plan (ESM) was more effective than an education without self-management plan (E) in reducing asthma hospitalization. Children (5 to 15 years of age) who were hospitalized for an asthma attack were divided in two groups. Children in the E group received general instructions based on a booklet. Those in the ESM group received the same booklet plus a self-management guide and a puzzle game that reinforces the lessons learned in the booklet. Patients were interviewed every 3 months, by telephone, for one year. Interviewers recording the number of hospitalizations, exacerbations, and emergency visits for asthma and oral steroid burst uses. Results. From 88 children who met the inclusion criteria, 77 (86%) completed one year of follow-up (41 from E and 36 from ESM group). Overall, after one year, the hospitalization decreased by 66% and the inhaled corticosteroids therapy increased from 36% to 79%. At the end of the study, there was no difference in exacerbations, emergency visits, oral steroid burst uses, or hospitalizations between the two groups. Conclusions. Asthma education with or without a self-management plan during asthma hospitalization were effective in reducing exacerbations, emergency visits, oral steroid burst uses, and future rehospitalizations. This evidence supports the importance of providing a complete asthma education plan in any patient who is admitted for asthma exacerbation.
dc.fechaingreso.objetodigital2024-05-23
dc.format.extent5 páginas
dc.fuente.origenWOS
dc.identifier.doi10.3109/02770900903199979
dc.identifier.eissn1532-4303
dc.identifier.issn0277-0903
dc.identifier.pubmedidMEDLINE:19905916
dc.identifier.urihttps://doi.org/10.3109/02770900903199979
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/78197
dc.identifier.wosidWOS:000271918400008
dc.information.autorucMedicina;Arancibia F;S/I;15895
dc.information.autorucMedicina;Bustos MF;S/I;126884
dc.information.autorucMedicina;Castro-Rodríguez JA;S/I;113247
dc.information.autorucMedicina;Cerda J;S/I;3935
dc.information.autorucMedicina;Cárdenas C;S/I;132739
dc.information.autorucMedicina;Espinoza-Palma T;S/I;175112
dc.information.autorucMedicina;Prado FJ;S/I;1003925
dc.information.autorucMedicina;Silva MJ;S/I;132786
dc.issue.numero9
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final910
dc.pagina.inicio906
dc.publisherTAYLOR & FRANCIS LTD
dc.revistaJOURNAL OF ASTHMA
dc.rightsacceso restringido
dc.subjectasthma education program
dc.subjecthospitalized
dc.subjectasthma attack
dc.subjectself-management
dc.subjectLatin America
dc.subjectCHILDHOOD ASTHMA
dc.subjectEMERGENCY-DEPARTMENT
dc.subjectUNITED-STATES
dc.subjectEXACERBATIONS
dc.subjectVISITS
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleEffectiveness of Asthma Education with and Without a Self-Management Plan in Hospitalized Children
dc.typeartículo
dc.volumen46
sipa.codpersvinculados15895
sipa.codpersvinculados126884
sipa.codpersvinculados113247
sipa.codpersvinculados3935
sipa.codpersvinculados132739
sipa.codpersvinculados175112
sipa.codpersvinculados1003925
sipa.codpersvinculados132786
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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