Construction and effect evaluation of the respiratory rehabilitation calisthenics for school-age children with bronchial asthma

doi:10.3761/j.issn.0254-1769.2025.09.003

Abstract

Abstract:

Objective To construct the respiratory rehabilitation calisthenics for school-age children with asthma，and evaluate its effects，in order to provide a guidance for the scientific and effective implementation of respiratory rehabilitation in clinical work. Methods By convenience sampling method，the school-age children with asthma treated in the respiratory outpatient department of a tertiary specialized children’s hospital in Chongqing from December 2023 to February 2024 were selected. The children were randomly divided into an experimental group and the control group（25 of each group） by a random number table. Both groups were given routine asthma drug inhalation treatment and health education. Additionally，the experimental group received respiratory rehabilitation calisthenics training and the control group received conventional aerobic exercise training. After 3-month intervention，the effects of adherence to respiratory rehabilitation training，lung functions，exercise capacity，inspiratory muscle strength and occurrence of adverse events were evaluated between 2 groups. Results 24 children of each group completed the study. After 3-month intervention，the adherence to respiratory rehabilitation training，exercise capacity and inspiratory muscle strength were improved in the experimental group compared with those in the control group，and all differences were statistically significant（P<0.05）. There were no adverse events in both groups. Conclusion The respiratory rehabilitation calisthenics for school-age children with asthma constructed in this study was scientific，feasible and safe，and could improve exercise capacity and inspiratory muscle strength for children with asthma.

Key words: School-Age Children, Bronchial Asthma, Respiratory Rehabilitation, Breathing Exercise, Exercise Training, Pediatric Nursing

摘要：

目的研制学龄期支气管哮喘患儿呼吸康复操并探究其应用效果，为临床中科学有效地进行呼吸康复提供参考。方法采用便利抽样法，选取2023年12月—2024年2月于重庆市某三级甲等儿童专科医院呼吸科门诊就诊的学龄期支气管哮喘患儿作为研究对象，使用随机数字表法分为试验组和对照组，每组各25例。两组均接受规范化哮喘药物吸入治疗和健康教育，在此基础上，试验组进行呼吸康复操训练，对照组进行常规有氧运动训练。比较两组干预3个月后的呼吸康复训练依从性、肺功能、运动能力、吸气肌肌力和不良事件发生情况。结果试验组和对照组各有24例支气管哮喘患儿完成研究。干预3个月后试验组呼吸康复训练依从性、运动能力和吸气肌肌力较对照组均有所提高，差异具有统计学意义（P<0.05）；两组均未发生不良事件。结论该研究研制的学龄期支气管哮喘患儿呼吸康复操具有科学性、可行性和安全性，可改善患儿的运动能力和吸气肌肌力。

关键词: 学龄期儿童, 支气管哮喘, 呼吸康复, 呼吸训练, 运动训练, 儿科护理学

LIU Xixuan, LIU Yulin, LIU Sha, YANG Fan, XIE Xiaohong, WANG Zijuan, LIU Lifang, WEI Hongyu. Construction and effect evaluation of the respiratory rehabilitation calisthenics for school-age children with bronchial asthma[J]. Chinese Journal of Nursing, 2025, 60(9): 1043-1049.

刘曦璇, 刘玉琳, 刘莎, 杨帆, 谢晓虹, 王紫娟, 刘丽芳, 魏红雨. 学龄期支气管哮喘患儿呼吸康复操的研制及效果评价[J]. 中华护理杂志, 2025, 60(9): 1043-1049.

Figures/Tables 4

Table 1 The respiratory rehabilitation calisthenics for school-age children with bronchial asthma

Table 2 Comparison of general data between the 2 groups[case（percentage，%）]

Table 3 Comparison of lung functions between the 2 groups before and after intervention

Table 4 Comparison of exercise ability and inspiratory muscle strength between the 2 groups before and after intervention

References 18

[1]	中华儿科杂志编辑委员会, 中华医学会儿科学分会呼吸学组,中国医师协会儿科医师分会儿童呼吸专业委员会. 儿童支气管哮喘规范化诊治建议(2020年版)[J]. 中华儿科杂志, 2020, 58(9):708-717.
	The Editorial Board, Chinese Journal of Pediatrics,the Subspecialty Group of Respiratory Diseases,the Society of Pediatrics, Chinese Medical Association,the Children’s Respiratory Professional Committee,the Society of Pediatrics of Chinese Medical Doctor Association. Recommendations for diagnosis and management of bronchial asthma in children(2020)[J]. Chin J Pediatr, 2020, 58(9):708-717.
[2]	Global Initiative for Asthma. Global strategy for asthma management and prevention(2024 update)[EB/OL]. (2024-05) [2024-08-10]. https://ginasthma.org/wp-content/uploads/2024/05/GINA-2024-Strategy-Report-24_05_22_WMS.pdf.
[3]	Jin GP, Jiang Y, Shao HQ, et al. The effect of pulmonary rehabilitation on childhood asthma:a systematic review and meta-analysis[J]. Minerva Pediatr, 2023, 75(4):604-613.
[4]	谭小艳. 基于循证的哮喘儿童肺康复方案构建[D]. 长沙: 湖南中医药大学, 2023.
	Tan XY. Construction of evidence-based pulmonary rehabilita-tion program for asthmatic children[D]. Changsha: Hunan University of Chinese Medicine, 2023.
[5]	Liu YR, Zhao Y, Liu F, et al. Effects of physical exercises on pulmonary rehabilitation,exercise capacity,and quality of life in children with asthma:a meta-analysis[J]. Evid Based Com-plement Alternat Med, 2021,2021:5104102.
[6]	吴迪, 殷稚飞, 陈潇冰, 等. 远程居家监控八段锦对慢性阻塞性肺疾病患者的影响[J]. 中国康复医学杂志, 2024, 39(5):628-633.
	Wu D, Yin ZF, Chen XB, et al. Efficacy of remote home-monitored Baduanjin in patients with chronic obstructive pulmonary disease[J]. Chin J Rehabil Med, 2024, 39(5):628-633.
[7]	中国医药教育协会儿科专业委员会, 中华医学会儿科学分会呼吸学组哮喘协作组, 中国医师协会呼吸医师分会儿科呼吸工作委员会, 等. 中国哮喘儿童运动处方专家共识[J]. 中华实用儿科临床杂志, 2022, 37(8):563-571.
	China Medicine Education Association Committee on Pedi-atrics,Cooperative Group of Asthma,the Subspecialty Group of Respiratory,the Society of Pediatrics, Chinese Medical Associ-ation, Chinese Medical Doctor Association Committee on Res-pirology Pediatrics, et al. Evidence-based guideline for dust mite allergen immunotherapy in children with allergic asthma[J]. Chin J Appl Clin Pediatr, 2022, 37(8):563-571.
[8]	Ma XJ, Zhang ZZ, Peng MS, et al. Face-to-face mentoring,remotely supervised home exercise prehabilitation to improve physical function in patients awaiting kidney transplantation:a randomized clinical trial[J]. Front Psychol, 2022,13:831445.
[9]	Kadam S, Prem V, Ughreja RA. Effect of breathing retraining on end-tidal carbon-dioxide in patients with asthma:a systematic review and meta-analysis[J]. J Asthma, 2023, 60(8):1493-1502.
[10]	黄磊, 胡晔, 尹存林, 等. 中文版Morisky用药依从性问卷在儿童哮喘中的信效度评价与应用[J]. 中国中西医结合儿科学, 2023, 15(1):76-80.
	Huang L, Hu Y, Yin CL, et al. Evaluation of reliability and validity of Chinese Morisky Medication Adherence Scale and its application in childhood asthma[J]. Chin Pediatr Integr Tradit West Med, 2023, 15(1):76-80.
[11]	Elnaggar RK. A randomized placebo-controlled study investigating the efficacy of inspiratory muscle training in the treatment of children with bronchial asthma[J]. J Asthma, 2021, 58(12):1661-1669.
[12]	上海市医学会儿科分会呼吸学组, 上海儿童医学中心儿科医疗联合体. 儿童哮喘常用吸入装置使用方法及质控专家共识[J]. 中华实用儿科临床杂志, 2020, 35(14):1041-1050.
	Respiratory Group of Pediatric Branch of Shanghai Medical Association,Shanghai Children Medical Center Pediatric Medical Complex. Expert consensus on usage and quality control of common inhalation devices in children with asthma[J]. Chin J Appl Clin Pediatr, 2020, 35(14):1041-1050.
[13]	Hassan J, van der Net J, Helders PM, et al. Six-minute walk test in children with chronic conditions[J]. Br J Sports Med, 2010, 44(4):270-274.
[14]	杨姝晖. 基于跨理论模型的呼吸康复在支气管哮喘患儿中的应用研究[D]. 重庆: 重庆医科大学, 2023.
	Yang SH. Study on the application of respiratory rehabilitation based on cross-theoretical model in children with bronchial asthma[D]. Chongqing: Chongqing Medical University, 2023.
[15]	范晓波, 姜艳萍, 张晓燕, 等. 上肢康复操在维持性血液透析患者中的应用研究[J]. 中华护理杂志, 2022, 57(21):2572-2578.
	Fan XB, Jiang YP, Zhang XY, et al. Application of upper limb rehabilitation exercise in maintenance hemodialysis patients[J]. Chin J Nurs, 2022, 57(21):2572-2578.
[16]	尹悦, 蔡倩, 罗雯, 等. 学龄期肥胖哮喘患儿及其父母运动恐惧体验的质性研究[J]. 中华护理杂志, 2022, 57(24):3011-3016. DOI
	Yin Y, Cai Q, Luo W, et al. Qualitative analysis on the status and factors of the fear of physical activity in school-age obese children with asthma and their parents[J]. Chin J Nurs, 2022, 57(24):3011-3016. DOI
[17]	王英杰, 刘薇, 朱宏伟, 等. 老年衰弱患者肌力训练干预方案的构建及应用研究[J]. 中华护理杂志, 2024, 59(14):1669-1677.
	Wang YJ, Liu W, Zhu HW, et al. Construction and application of muscle strength training program for the elderly frail patients[J]. Chin J Nurs, 2024, 59(14):1669-1677.
[18]	Elnaggar RK, Osailan AM, Elbanna MF. The rationale of applying inspiratory/expiratory muscle training within the same respiratory cycle in children with bronchial asthma:a placebocontrolled randomized clinical investigation[J]. J Asthma, 2023, 60(5):900-911.