Zhang Yanhan, Lu Yanming, Li Yaqin, et al. Application Value of Intelligent Devices in Improving the Compliance of Inhaled Corticosteroid in Children with Recurrent Wheezing. [J]. 27(8):21-25(2021)
DOI:
Zhang Yanhan, Lu Yanming, Li Yaqin, et al. Application Value of Intelligent Devices in Improving the Compliance of Inhaled Corticosteroid in Children with Recurrent Wheezing. [J]. 27(8):21-25(2021) DOI: 10.13407/j.cnki.jpp.1672.108X.2021.08.006.
Application Value of Intelligent Devices in Improving the Compliance of Inhaled Corticosteroid in Children with Recurrent Wheezing
Objective: To preliminarily explore the significance of intelligent devices in improving the compliance of inhaled corticosteroid (ICS) in children with recurrent wheezing. Methods: Children with recurrent wheezing (≤5 years old) admitted into our hospital from Sept. 2017 to Sept. 2018 and received long-term asthma control drug therapy were extracted. According to the willingness of the guardians
all children were divided into the intelligent group and the conventional group under the condition of family atomization. Among them
the intelligent group installed intelligent devices to implement remote monitoring and management
that is
according to the clinical monitoring and evaluation elements of childhood asthma management
the asthma housekeeper APP based on IOS and Android mobile operating system was developed
and the ICS tracker was provided. Intelligent devices connected with BLE 4.0 were used for data exchange
assessing the condition of the children and realizing timely communication
medication reminder
disease exchange and intervention. Children in both groups were given budesonide inhalation treatment and were followed up by WeChat for 6 months with monthly assessments. Treatment compliance
asthma control rate
scores of the modified Chinese version of the Pediatric Respiratory and Asthma Control Test (TRACK)
outpatient and emergency department visits
respiratory infections
antibiotics and systemic glucocorticoids were compared. Results: Follow-up was completed in 33 cases in the intelligent group and 37 cases in the conventional group. After follow-up of 6 months
the medication compliance rate of the intelligent group was 57.6%
higher than that of the conventional group (32.4%). The complete control rate of asthma-like symptoms was 63.6%
higher than that of the conventional group (48.6%). And the symptom control rate of TRACK score was 69.7%
higher than that of the conventional group (45.9%). The total number of outpatient and emergency visits
the total number of respiratory tract infections
the application of antibiotics and systemic hormone in the intelligent group were lower than those in the conventional group (P<0.05). Conclusion: The application of intelligent devices can improve the compliance of ICS treatment in children with recurrent wheezing
improve the asthma-like symptoms in children
promote the control level of asthma
and reduce the number of outpatient and emergency visits
the number of respiratory infections and the application of antibiotics and systemic glucocorticoids
which is worthy of clinical promotion and application.
Meta-Analysis of Influencing Factors of Treatment Compliance in Children with Asthma in China
A Case Report of Post-Infection Bronchiectasis in Children and Literature Review
Related Author
Luo Nan
Wang Ling
Yuan Xiaoping
郭蓉
Xu Qianqian
Huang Yongjian
Related Institution
Children’s Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology