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| Effects of nurse-led discharge preparation intervention on symptom control in preschool children with recurrent wheezing |
| MA Yan, JIA Ru, ZHAO Huiyun, WANG Liwei |
| Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China |
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Abstract Objective To investigate the effects of nurse-led discharge preparation intervention on post-discharge symptom control in preschool children with recurrent wheezing. Methods A total of 99 hospitalized preschool children with repeated wheezing and their caregivers from October 2020 to March 2023 were randomly divided into a control group and an intervention group. The control group followed the routine discharge nursing guidance, and the intervention group followed the routine discharge nursing guidance with the nurse-led discharge preparation intervention. The intervention effects of the two groups were evaluated and compared based on the scores of discharge preparation scale-parent version, the improvedChinese version of test for respiratory and asthma control in kids（TRACK）questionnaire, and changes in symptom control indicators of the children. Results The total score of discharge preparation and scores for disease knowledge, self condition, coping strategies after discharge, and available social support were 195.28±5.23, 74.52±1.72, 63.22±1.64, 25.18±2.09, and 32.36±3.71 in the intervention group, and 177.82±7.98, 69.84±6.22, 57.22±5.33, 22.39±2.83, and 28.37±3.95 in the control group, respectively. All scores in the intervention group were significantly higher than those in the control group（P< 0.01）. The TRACK questionnaire scores showed no significant difference in the discharge date between the two groups. At 1 , 3 , and 6 months of follow-up after discharge, the intervention group had scores of 80.60±6.52, 85.60±5.61, and 88.10±5.28, while the control group had scores of 78.47±6.71, 83.47±5.23, and 83.88± 5.52, respectively. The scores of the intervention group were significantly better than those of the control group（P<0.05）. In terms of symptom control indicators such as wheezing attacks and seeking medical attention due to wheezing, results in the intervention group was significantly better than those in the control group（P<0.001）. Conclusion The nurse-led discharge preparation intervention can improve the discharge preparation of the caregivers of preschool children with recurrent wheezing, and is beneficial to the control of wheezing symptoms.
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