臺灣人文及社會科學引文索引資料庫系統

:::

詳目顯示

回上一頁
第 1 筆 / 總合 1 筆   第一頁 上一頁 下一頁 最後一頁
/1頁
題名：Impact of an Integrative Healthcare Quality Improvement Program for Asthmatic Children and Primary Care-Givers: A Hospital-Based Observational Preliminary Report
書刊名：中醫藥雜誌
作者：賴琬郁／林沛穎／余兆蕙／曾旭民 引用關係／楊賢鴻／歐良修／姚宗杰／陳俊良
作者(外文)：Lai, Wan-yu／Lin, Pei-ying／Yu, Chao-hui／Tseng, Hsu-min／Yang, Sien-hung／Ou, Liang-shiou／Yao, Tsung-chieh／Chen, Jiun-liang
出版日期：2016
卷期：27:1
頁次：頁(1)1-(1)11
主題關鍵詞：針灸；氣喘；另類及替代醫學；穴位敷貼；中醫；中藥；Acupuncture；Asthma；Complementary and alternative medicine；Herbal paste；Pediatrics；Traditional Chinese medicine
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:0
  • 點閱點閱:3
氣喘在台灣是常見的過敏性疾病之一，盛行率逐年增加。為了提供氣喘患童更全面性的治療來加強氣喘控制，本院自2006年施行健保給付小兒氣喘中醫整合型健康照護計畫，此計畫實施已久但仍缺乏實際臨床客觀的療效評估，本研究目的在評估此計畫之療效成果，對患童氣喘的控制程度、患童與主要照顧者的生活品質是否有幫助。本研究為前瞻性觀察型研究，於2013年2月～2013年12月收入43位年紀4-11歲氣喘患童接受此健康照護計畫，進入計畫後共接受治療療程三個月。介入前、進入療程後第1,2,3個月後使用兒童氣喘控制測驗(C-ACT)評估患童哮喘控制程度，另外使用簡式小兒氣喘生活品質量表(ITG-CASF)與主要照顧者生活品質量表(PACQLQ)評估生活品質改善程度。最後共有33位患童完成治療療程，接受治療各個月的平均C-ACT分數與治療前相比較均有顯著增加(p < 0.05)、且治療第1,2個月平均C-ACT分數與前月份相比較亦有顯著增加(p < 0.05)。患童生活品質在活動受限與白天症狀部分較治療前顯著改善(P < 0.05)。主要照顧者生活品質在活動與情緒部分較治療前必較亦有顯著改善(P < 0.05)。中醫整合型健康照護計畫可助患童的氣喘控制與改善患童與主要照顧者生活品質。未來將進行更大規模並有隨機對照組之前瞻性臨床療效試驗。
Asthma has been a common allergic disorder with increasing prevalence and morbidity in Taiwan. To provide a comprehensive management integrating Traditional Chinese Medicine, we initiated a government-sponsored Integrative Healthcare Quality Improvement Program (IHQIP) for children with asthma in 2006. However, the clinical objective evaluation for the impact of IHQIP on asthmatic children is still lacking. The aim of this study was to investigate the impact of this program on asthma control and quality of life among asthmatic children and their care-givers. Forty-three children aged 4-11 years, who were diagnosed with asthma and had acute asthma exacerbation over the past 6 months were enrolled since February 2013 to December 2013. The study subjects received the IHQIP for 3 months. The Childhood Asthma Control Test (C-ACT) was used to evaluate the asthma control before treatment and monthly for 3 months. Two questionnaires, the Integrated Therapeutics Group Child Asthma Short Form (ITG-CASF) and the Pediatric Asthma Caregiver’s Quality of Life Questionnaire (PACQLQ) were used to assess the quality of life of patients and caregivers before and after treatment. Overall, 33 children completed the study. The mean score of C-ACT had significantly increased on each month (P<0.05) and significantly increased in 1 and 2 month compared to previous month (P<0.05). Asthmatic children had significant improvement in functional limitation (P<0.05) and daytime symptoms (P<0.05) in ITG-CASF. Primary caregivers had significant improvement in activity (P<0.005) and emotion (P<0.005) in PACQLQ. None of the patients complained of severe adverse effects. Integration with Traditional Chinese Medicine ameliorated symptoms of childhood asthma and improved quality of life in asthmatic children and caregivers. Further randomized controlled clinical trial is warranted.
期刊論文
1.Tai, C. J.、Chien, L. Y.(2004)。The treatment of allergies using Sanfujiu: A method of applying Chinese herbal medicine paste to acupoints on three peak summer days。American Journal of Chinese Medicine，32(6)，967-976。  new window
2.Asher, M. I.、Montefort, S.、Bjorksten, B.、Lai, C. K.、Strachan, D. P.、Weiland, S. K.、Williams, H.(2006)。Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys。Lancet，368，733-743。  new window
3.Yao, T. C.、Ou, L. S.、Yeh, K. W.、Lee, W. I.、Chen, L. C.、Huang, J. L.(2011)。Associations of age, gender, and BMI with prevalence of allergic diseases in children。PATCH study. J. Asthma，48，503-510。  new window
4.O'Connell, E. J.(2004)。The burden of atopy and asthma in children。Allergy，59(78)，7-11。  new window
5.Townsend, M.、Feeny, D. H.、Guyatt, G. H.、Furlong, W. J.、Seip, A. E.、Dolovich, J.(1991)。Evaluation of the burden of illness for pediatric asthmatic patients and their parents。Ann. Allergy，67，403-408。  new window
6.Bener, A.、Janahi, I. A.、Sabbah, A.(2005)。Genetics and environmental risk factors associated with asthma in schoolchildren。Eur. Ann. Allergy Clin. Immunol.，37，163-168。  new window
7.(2007)。Expert Panel Report 3 (EPR-3): Guidelines for the diagnosis and management of asthma-summary report 2007。J. Allergy Clin. Immunol.，120，S94-S138。  new window
8.Li, X. M.、Brown, L.(2009)。Efficacy and mechanisms of action of traditional Chinese medicines for treating asthma and allergy。J. Allergy Clin. Immunol.，123，297-306。  new window
9.Torres-Llenza, V.、Bhogal, S.、Davis, M.、Ducharme, F.(2010)。Use of complementary and alternative medicine in children with asthma。Can. Respir. J.，17，183-187。  new window
10.Huang, T. P.、Liu, P. H.、Lien, A. S.、Yang, S. L.、Chang, H. H.、Yen, H. R.(2014)。A nationwide population-based study of traditional Chinese medicine usage in children in Taiwan。Complement. Ther. Med.，22，500-510。  new window
11.Huang, T. P.、Liu, P. H.、Lien, A. S.、Yang, S. L.、Chang, H. H.、Yen, H. R.(2013)。Characteristics of traditional Chinese medicine use in children with asthma: a nationwide population-based study。Allergy，68，1610-1613。  new window
12.Hung, Y. C.、Hung, I. L.、Sun, M. F.、Muo, C. H.、Wu, B. Y.、Tseng, Y. J.、Hu, W. L.(2014)。Integrated traditional Chinese medicine for childhood asthma in Taiwan: a Nationwide cohort study。BMC Complement. Altern. Med.，14，389。  new window
13.Liu, A. H.、Zeiger, R.、Sorkness, C.、Mahr, T.、Ostrom, N.、Burgess, S.、Rosenzweig, J. C.、Manjunath, R.(2007)。Development and cross-sectional validation of the Childhood Asthma Control Test。J. Allergy Clin. Immunol.，119，817-825。  new window
14.Liu, A. H.、Zeiger, R. S.、Sorkness, C. A.、Ostrom, N. K.、Chipps, B. E.、Rosa, K.、Watson, M. E.、Kaplan, M. S.、Meurer, J. R.、Mahr, T. A.、Blaiss, M. S.、Piault-Louis, E.、McDonald, J.(2010)。The Childhood Asthma Control Test: retrospective determination and clinical validation of a cut point to identify children with very poorly controlled asthma。J. Allergy Clin. Immunol.，126，267-273。  new window
15.Juniper, E. F.、Guyatt, G. H.、Feeny, D. H.、Ferrie, P. J.、Griffith, L. E.、Townsend, M.(1996)。Measuring quality of life in the parents of children with asthma。Qual. Life Res.，5，27-34。  new window
16.Usherwood, T. P.、Scrimgeour, A.、Barber, J. H.(1990)。Questionnaire to measure perceived symptoms and disability in asthma。Arch. Dis. Child.，65，779-781。  new window
17.Bukstein, D. A.、McGrath, M. M.、Buchner, D. A.、Landgraf, J.、Goss, T. F.(2000)。Evaluation of a short form for measuring health-related quality of life among pediatric asthma patients。J. Allergy Clin. Immunol.，105，245-251。  new window
18.Voorend-van Bergen, S.、Vaessen-Verberne, A. A.、Landstra, A. M.、Brackel, H. J.、van den Berg, N. J.、Caudri, D.、de Jongste, J. C.、Merkus, P. J.、Pijnenburg, M. W.(2014)。Monitoring childhood asthma: webbased diaries and the asthma control test。J. Allergy Clin. Immunol.，133，1599-1605。  new window
19.董秀蘭、楊向娜、王麗清、莊禮興(2011)。益氣活血貼外敷治療小兒哮喘非急性發作期30例臨床研究。黑龍江中醫藥，4，18-19。  延伸查詢new window
20.趙杜鵑、謝菁、潘善根(2009)。內外合治綜合療法治療支氣管哮喘臨床研究。上海中醫藥雜誌，43，44-46。  延伸查詢new window
21.Cornell, A.、Shaker, M.、Woodmansee, D. P.(2008)。Update on the pathogenesis and management of childhood asthma。Curr. Opin. Pediar.，20，597-604。  new window
22.Lemmens, K. M.、Nieboer, A. P.、Huijsman, R.(2009)。A systematic review of integrated use of disease-management interventions in asthma and COPD。Respir. Med.，103，670-691。  new window
23.Gorelick, M. H.、Brousseau, D. C.、Stevens, M. W.(2004)。Validity and responsiveness of a brief, asthma-specific quality-of-life instrument in children with acute asthma。Ann. Allergy Asthma Immunol.，92，47-51。  new window
24.Kwok, M. Y.、Walsh-Kelly, C. M.、Gorelick, M. H.、Grabowski, L.、Kelly, K. J.(2006)。National Asthma Education and Prevention Program severity classification as a measure of disease burden in children with acute asthma。Pediatrics，117，S71-S77。  new window
25.Eichenberger, P. A.、Diener, S. N.、Kofmehl, R.、Spengler, C. M.(2013)。Effects of exercise training on airway hyperreactivity in asthma: a systematic review and meta-analysis。Sports medicine，43(11)，1157-1170。  new window
26.Cramer, H.、Posadzki, P.、Dobos, G.、Langhorst, J.(2014)。Yoga for asthma: a systematic review and meta-analysis。Ann. Allergy Asthma Immunol.，112，503-510+e505。  new window
27.Julian, V.、Amat, F.、Petit, I.、Pereira, B.、Fauquert, J. L.、Heraud, M. C.、Labbe, G.、Labbe, A.(2014)。Impact of a short early therapeutic education program on the quality of life of asthmatic children and their families。Pediatr. Pulmonol.，50，213-221。  new window
28.Wong, G. W.、Kwon, N.、Hong, J. G.、Hsu, J. Y.、Gunasekera, K. D.(2013)。Pediatric asthma control in Asia: phase 2 of the Asthma Insights and Reality in Asia-Pacific (AIRIAP 2) survey。Allergy，68，524-530。  new window
29.Li, X. M.(2007)。Traditional Chinese herbal remedies for asthma and food allergy。J. Allergy Clin. Immunol.，120，25-31。  new window
30.Guiney, P. A.、Chou, R.、Vianna, A.、Lovenheim, J.(2005)。Effects of osteopathic manipulative treatment on pediatric patients with asthma: a randomized controlled trial。J. Am. Osteopath. Assoc.，105，7-12。  new window
31.Li, S.、Wang, Y.、Shi, Y.、Yu, J.、Sun, W.、Hu, H.、Zhang, Y.(2013)。Regulatory effects of stage-treatment with established Chinese herbal formulas on inflammatory mediators in pediatric asthma。J. Tradit. Chin. Med.，33，727-732。  new window
32.Hsieh, K. H.(1996)。Evaluation of efficacy of traditional Chinese medicines in the treatment of childhood bronchial asthma: clinical trial, immunological tests and animal study。Taiwan Asthma Study Group. Pediatr. Allergy Immunol.，7，130-140。  new window
33.Clark, C. E.、Arnold, E.、Lasserson, T. J.、Wu, T.(2010)。Herbal interventions for chronic asthma in adults and children: a systematic review and metaanalysis。Prim. Care Respir. J.，19，307-314。  new window
34.Yeh, K. W.、Fang, W.、Huang, J. L.(2008)。Increasing the hospitalization of asthma in children not in adults--from a national survey in Taiwan 1996-2002。Pediatric Allergy and Immunology，19(1)，13-19。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE

臺灣人文及社會科學引文索引資料庫

目前上線人數：687（臺灣：664，外國：23） ／ 本年度總使用人次：2178223 ／ 訪客人次（自102年09月）：67970327
國家圖書館著作權聲明 Copyright © 2013 All rights reserved.
本館地址: 100201臺北市中山南路20號． 本館地圖及交通資訊．
總機：(02)23619132．最佳瀏覽解析度為1024x768以上