Teach back educational model combined with zinc supplementation improves clinical symptoms and immunity in children with asthma

Yuexiang Qin(1), Yan Lin(2), Jun Han(3), Xinxing Zhang(4), Jing Li(5),


(1) Department of Nursing Administration, Children’s Hospital of Soochow University, Suzhou 215003, China
(2) Department of Respiratory Diseases, Children’s Hospital of Soochow University, Suzhou 215003, China
(3) Department of Respiratory Diseases, Children’s Hospital of Soochow University, Suzhou 215003, China
(4) Department of Respiratory Diseases, Children’s Hospital of Soochow University, Suzhou 215003, China
(5) Department of Nursing Administration, Children’s Hospital of Soochow University, Suzhou 215003, China
Corresponding Author

Abstract


This study assessed the impact of teach back educational model plus zinc supplementation on asthma children. Eighty-one asthma children hospitalized in Children’s Hospital of Soochow University, Suzhou, China from September 2020 to October 2021 were selected, and randomly allocated to a control group and an observation group. The control group took routine treatment, and routine educational modalities. By contrast, the Teach back mode of health education and zinc supplementation were added to the observation group. The results showed significant improvement in time to clinical symptom relief and immunological levels in both groups. However, asthma knowledge score, medication adherence, and asthma symptom control were significantly higher in observation group one month following discharge than in control group. We conclude that teach-back health education improved caregivers’ asthma knowledge, children’s medication compliance, and asthma symptom control scores in the short term.

References


Zhou Z, Torres M, Sha H, Halbrook CJ, Van den Bergh F,

Reinert RB, Yamada T, Wang S, Luo Y, Hunter AH,

Wang C, Sanderson TH, Liu M, Taylor A, Sesaki H,

Lyssiotis CA, Wu J, Kersten S and Beard DA, Qi L.

Endoplasmic

reticulum-associated

regulates

mitochondrial

degradation

dynamics in brown

adipocytes. Science. 2020; 368(6486):54-60.

Epps F, Skemp L and Specht JK. How Do We Promote

Health?: From the Words of African American Older

Adults With Dementia and Their Family Members.

Res Gerontol Nurs. 2016; 9(6):278-287.

Poowuttikul P and Seth D. New Concepts and Technological

Resources in Patient Education and Asthma Self

Management. Clin Rev Allergy Immunol. 2020;

(1):19-37.

Guo S, Wang Y, Chen H, Huang N, Li W, Ma D, Yang Y,

Zhang S and Zhu R. A Questionnaire Survey on the

Prevalence and Parents' Perceptions of Respiratory

Allergies in a 3- to 16-Year-Old Population in

Wuhan, China. J Clin Med. 2022; 11(16)

Tzeng YF and Gau BS. Suitability of asthma education

materials for school-age children: Implications for

health literacy. J Clin Nurs. 2018; 27(5-6):e921-e930.

Himes BE, Leszinsky L, Walsh R, Hepner H and Wu AC.

Mobile Health and Inhaler-Based Monitoring

Devices for Asthma Management. J Allergy Clin

Immunol Pract. 2019; 7(8):2535-2543.

Prochnow JA, Meiers SJ and Scheckel MM. Improving

Patient and Caregiver New Medication Education

Using an Innovative Teach-back Toolkit. J Nurs Care

Qual. 2019; 34(2):101-106.

Kitamura H, Morikawa H, Kamon H, Iguchi M, Hojyo S,

Fukada T, Yamashita S, Kaisho T, Akira S,

Murakami M and Hirano T. Toll-like receptor

mediated regulation of zinc homeostasis influences

dendritic cell function. Nat Immunol. 2006; 7(9):971

Hönscheid A, Rink L and Haase H. T-lymphocytes: a target

for stimulatory and inhibitory effects of zinc ions.

Endocr Metab Immune Disord Drug Targets. 2009;

(2):132-44.

Mohamed NA, Rushdy M, Abdel-Rehim ASM. The

immunomodulatory role of zinc in asthmatic patients.

Cytokine. 2018; 110:301-305.

Hassan A, Sada KK, Ketheeswaran S, Dubey AK and Bhat

MS. Role of Zinc in Mucosal Health and Disease: A

Review of Physiological, Biochemical, and

Molecular Processes. Cureus. 2020; 12(5):e8197.

Xue M, Wang Q, Pang B, Zhang X, Zhang Y, Deng X,

Zhang Z and Niu W. Association Between

Circulating Zinc and Risk for Childhood Asthma and

Wheezing: A Meta-analysis on 21 Articles and 2205

Children. Biol Trace Elem Res. 2024; 202(2):442

Bousquet J, Schünemann HJ, Togias A, Bachert C, Erhola

M, Hellings PW, Klimek L, Pfaar O, Wallace D,

Ansotegui I, Agache I, Bedbrook A, Bergmann KC,

Bewick M, Bonniaud P, Bosnic-Anticevich S, Bossé

I, Bouchard J, Boulet LP, Brozek J, Brusselle G,

Calderon MA, Canonica WG, Caraballo L, Cardona

V, Casale T, Cecchi L, Chu DK, Costa EM, Cruz AA,

Czarlewski W, D'Amato G, Devillier P, Dykewicz M,

Ebisawa M, Fauquert JL, Fokkens WJ, Fonseca JA,

Fontaine JF, Gemicioglu B, van Wijk RG, Haahtela

T, Halken S, Ierodiakonou D, Iinuma T, Ivancevich

JC, Jutel M, Kaidashev I, Khaitov M, Kalayci O,

Kleine Tebbe J, Kowalski ML, Kuna P, Kvedariene

V, La Grutta S, Larenas-Linnemann D, Lau S, Laune

D, Le L, Lieberman P, Lodrup Carlsen KC, Lourenço

O, Marien G, Carreiro-Martins P, Melén E, Menditto

E, Neffen H, Mercier G, Mosgues R, Mullol J,

Muraro A, Namazova L, Novellino E, O'Hehir R,

Okamoto Y, Ohta K, Park HS, Panzner P,

Passalacqua G, Pham-Thi N, Price D, Roberts G,

Roche N, Rolland C, Rosario N, Ryan D, Samolinski

B, Sanchez-Borges M, Scadding GK, Shamji MH,

Sheikh A, Bom AT, Toppila-Salmi S, Tsiligianni I,

Valentin-Rostan M, Valiulis A, Valovirta E, Ventura

MT, Walker S, Waserman S, Yorgancioglu A and

Zuberbier T. Next-generation Allergic Rhinitis and

Its Impact on Asthma (ARIA) guidelines for allergic

rhinitis based on Grading of Recommendations

Assessment, Development and Evaluation (GRADE)

and real-world evidence. J Allergy Clin Immunol.

; 145(1):70-80.e3.

Xu Huizi QY and Chan Yuying. Construction of systematic

health education content for children asthma. Modern

Medicine & Hygiene. 2021; 37(19):3406-3410.

Roncada C, Cardoso TA, Bugança BM, Bischoff LC,

Soldera K and Pitrez PM. Levels of knowledge about

asthma of parents of asthmatic children. Einstein (Sao

Paulo). 2018; 16(2):eAO4204.

Gavrilova A, Bandere D, Rutkovska I, Šmits D, Mauriņa B,

Poplavska E, Urtāne AI. Knowledge about Disease,

Medication Therapy, and Related Medication

Adherence Levels among Patients with Hypertension.

Medicina (Kaunas). 2019; 55(11)

Rhew K, Choi J, Kim K, Choi KH, Lee SH and Park HW.

Increased Risk of Anemia in Patients with Asthma.

Clin Epidemiol. 2023; 15:31-38.

Wei Y, Sun L, Liu C and Li L. Causal association between

iron deficiency anemia and chronic obstructive

pulmonary disease: A bidirectional two-sample

Mendelian randomization study. Heart Lung. 2023;

:217-222.

Suzuki M, Suzuki T, Watanabe M, Hatakeyama S, Kimura

S, Nakazono A, Honma A, Nakamaru Y, Vreugde S

and Homma A. Role of intracellular zinc in molecular

and cellular function in allergic inflammatory

diseases. Allergol Int. 2021; 70(2):190-200.

Rerksuppaphol S and Rerksuppaphol L. Zinc

Supplementation in Children with Asthma

Exacerbation. Pediatr Rep. 2016; 8(4):6685.

Imanipour M, Molazem Z, Rakhshan M, Fallahi MJ and

Sadaf AMA. The effect of Teach-back method

education on the control of asthma and family care

pressure of patients in Iran. Invest Educ Enferm.

; 40(1)

Chatziparasidis G and Kantar A. COVID-19 in Children

with Asthma. Lung. 2021; 199(1):7-12.

Skevaki C, Karsonova A, Karaulov A, Xie M and Renz H.

Asthma-associated risk for COVID-19 development.

J Allergy Clin Immunol. 2020; 146(6):1295-1301.

Zhou X and Hong J. Pediatric Asthma Management in

China: Current and Future Challenges. Paediatr

Drugs. 2018; 20(2):105-110.

Yucel E, Suleyman A, Hizli Demirkale Z, Guler N, Tamay

ZU and Ozdemir C. 'Stay at home': Is it good or not

for

house dust mite sensitized children with

respiratory allergies? Pediatr Allergy Immunol. 2021;

(5):963-970.

26. Sheehan WJ, Patel SJ, Margolis RHF, Fox ER, Shelef

DQ, Kachroo N, Pillai D and Teach SJ. Pediatric

asthma exacerbations during the COVID-19

pandemic: Absence of the typical fall seasonal spike

in Washington, DC. J Allergy Clin Immunol Pract.

; 9(5):2073-2076.


Full Text: PDF

Article Metrics

Abstract View : 981 times
PDF Download : 263 times

Refbacks

  • There are currently no refbacks.