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Home Management of Childhood Asthma Exacerbations

机译：儿童哮喘恶化的家庭管理

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IntroductionEffective home management of childhood asthma by caregivers requires education along with a written asthma action plan (AAP), which should outline clear instructions for treatment during exacerbations. However, a large number of asthma exacerbations continue to be managed in the emergency department (ED) and in hospitals, particularly in Canada. The objective of this study was to assess caregiver management of acute asthma at home following the 2015 Global Initiative for Asthma (GINA) guidelines and to identify factors that may be associated with deviations from these guidelines. Methods122 caregivers of children, aged 3–17?years, with physician diagnosed asthma, completed a paper-based questionnaire. Correct caregiver management (defined according to the GINA guidelines) of acute asthma as well as their use of an AAP were assessed. ResultsOut of all caregivers, 74.6% incorrectly treated their child’s asthma exacerbation in a home setting. Among those who used an AAP, we observed significantly more ED visits (0.9?±?1.2 versus 0.5?±?0.9, p =?0.04) and hospitalizations (0.2?±?0.4 versus 0.0?±?0.0, p =?0.02) when compared to non-AAP users in the past 1?year. ConclusionsCaregivers of children with asthma in Canada may still lack skills for proper home management of asthma exacerbations. We found a higher number of ED visits and hospitalizations in those using an AAP compared to those who did not use an AAP. These data suggest that current AAPs may not be sufficient for home asthma management.
机译：简介照顾者对儿童哮喘进行有效的家庭管理需要接受教育，同时要制定书面的哮喘行动计划（AAP），该计划应概述加重期的明确治疗指导。但是，急诊室和医院（尤其是在加拿大）仍继续控制大量哮喘发作。这项研究的目的是根据2015年全球哮喘倡议（GINA）指南评估在家中急性哮喘的看护者管理，并确定可能与偏离这些指南相关的因素。方法对122名年龄在3-17岁之间，经医生诊断为哮喘的儿童进行照护，完成了纸质问卷。评估了急性哮喘的正确护理人员管理（根据GINA指南定义）以及他们对AAP的使用。结果在所有照顾者中，有74.6％在家庭环境中错误地对待了孩子的哮喘加重症。在使用AAP的患者中，我们观察到急诊就诊次数更多（0.9％±1.2相对于0.5％±0.9，p = 0.04）和住院（0.2％±0.4与0.0％±0.0相比，p = 0.02） ）与过去1年中的非AAP用户进行比较。结论在加拿大，哮喘患儿的护理人员可能仍缺乏适当的家庭管理以应对哮喘急性发作的技能。与未使用AAP的患者相比，我们发现使用AAP的患者进行急诊就诊和住院的人数更高。这些数据表明，目前的AAP可能不足以治疗家庭哮喘。

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