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Intervention for ineffective airway clearance in asthmatic children: A controlled and randomized clinical trial
Author(s) -
Lima Luisa Helena de Oliveira,
Lopes Marcos Venícios de Oliveira,
Falcão Rita Tomás de Souza,
Freitas Rebeca Miranda Rocha,
Oliveira Talita Ferreira,
Costa Maria da Conceição Cavalcante
Publication year - 2013
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12033
Subject(s) - medicine , randomized controlled trial , intervention (counseling) , choking , airway , physical therapy , asthma , clinical trial , pediatrics , anesthesia , nursing , anatomy
This study aimed to analyse the effectiveness of an intervention for the nursing diagnosis of ineffective airway clearance in asthmatic children. A blinded, randomized and controlled clinical trial was developed in a paediatric hospital located on northeast of B razil with 42 asthmatic children aged ≤ 36 months. The children were randomly divided into two groups (intervention and control) by means of a simple drawing. The applied intervention included actions related to change of positioning and stimulation of cough. The main findings of this study show that before the intervention, no significant difference was observed in the health status of the children. After the intervention, the indicators of choking (16.83 vs. 26.17, P = 0.007) and adventitious breath sounds (16.4 vs. 26.6, P = 0.005) were higher, on average, in the intervention group. It was observed an improvement in obstructive symptoms in children who received the intervention proposed.