Use of home visits in pediatric severe asthma: randomized controlled trial*
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Universidade Federal de Minas Gerais
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Artigo de periódico
Título alternativo
O uso da visita domiciliar na asma grave pediátrica: estudo experimental randomizado controlado
Primeiro orientador
Membros da banca
Resumo
Objective: To evaluate the effectiveness of home visits in a group of children and adolescents with severe asthma by using the inhalation technique score and adherence rates to drug treatment. Method: A 12-month randomized controlled trial involving patients aged between three and 17 years under regular follow-up treatment at a pediatric pulmonology outpatient clinic of a university hospital in southeastern Brazil. A group of patients received only outpatient consultations and the other group received home
visits from nurses in addition to outpatient consultations. The differences between groups were analyzed through the outcomes of inhalation technique scores and treatment adherence rate. Results: Participation of 29 patients. In the intervention group, there was
a statistically significant increase in inhalation technique scores (p<0.05) and elimination of critical errors between the first and the second evaluation, and results were maintained in the third evaluation. In the control group, there were no significant changes in
inhalation technique scores. Rates of adherence to drug treatment in both groups did not rise. Conclusion: Home visits were effective for improving inhalation technique scores in patients with severe asthma. Brazilian Registry of Clinical Trials: RBR-8GZWZP
Abstract
Assunto
Asthma, House Calls, Child, Adolescent, Medication Adherence, Inhalation
Palavras-chave
Asthma, Home Calls, Child, Adolescent, Medication Adherence, Inhalation
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Endereço externo
http://dx.doi.org/10.1590/S1980-220X2018039603538