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Asthma is the most common chronic respiratory disease in children. It has a serious impact on children's physical and mental health. Pulmonary rehabilitation is a multidisciplinary and comprehensive intervention for patients with chronic respiratory disease, whose major components include breathing training, inspiratory muscle training and exercise training. Pulmonary rehabilitation is a multidisciplinary and comprehensive intervention for patients with chronic respiratory diseases, the main components of which are breathing training, inspiratory muscle training and exercise training. Pulmonary rehabilitation can improve the physical and mental condition of patients with chronic respiratory diseases and promote healthy behaviors. However, there is little research on pulmonary rehabilitation in children with asthma. This review comprehensively evaluated the effect of pulmonary rehabilitation in children with asthma at home and abroad, aiming to provide reference for clinical research on pulmonary rehabilitation in children with asthma. [ABSTRACT FROM AUTHOR]

Objective To investigate the effect of a motivational nursing intervention in measurement of exhaled nitric oxide among school-aged children. Methods Totally 81 school-aged children with bronchial asthma were randomly divided into the observation group (n = 40) and the control group (n = 41). All children received routine care and guidance for measurement of exhaled nitric oxide, and those in the observation group were given a motivational nursing intervention. The one-time success rates of factional exhaled nitric oxide and nasal nitric oxide, duration of measurement were observed and compared between two groups. Results The one-time success rate of factional exhaled nitric oxide was higher in the observation group than that in the control group (60.00% vs. 36.59%, P <0.05). The one-time success rate of nasal nitric oxide was higher in the observation group than that in the control group (65.00% vs. 41.50%, P <0.05). The duration of measurement was shorter in the observation group than that in the control group (3.38 ±0.70 min vs. 2.16 ±0.97, P <0.05). Conclusion The motivational nursing intervention can improve the compliance of school-aged children with measurement of exhaled nitric oxide. [ABSTRACT FROM AUTHOR]

Objective: The objective of this systematic review and meta-analysis was to assess the effectiveness of TIMT on pulmonary function in children and adolescents with asthma., Method: We searched for randomized controlled clinical trials in the MEDLINE, Embase, the Cochrane Library, Web of Science, CINAHL, Sino Med, Wan fang, CNKI, and VIP until March 2024. In addition, the references included in the literature and the relevant systematic evaluation were manually traced in order to avoid the omission of any relevant literature. These trials compared TIMT against blank TIMT and conventional care. Eligible studies were assessed in terms of risk of bias and quality of evidence using RoB II tool. Where feasible, data were pooled and subjected to meta-analysis. The mean difference (MD) and 95% confidence interval (CI) were estimated by fixed effect models or random effect models., Result: Six studies were included in the present meta-analysis involving 337 children and adolescents ranged from 4 to 18 years. The meta-analysis showed that TIMT could significantly improve lung function. Compared to the control group, TIMT can significantly improve FEV1 (MD 4.63 mL, 95% CI 2.64 to 6.62 mL, I 2 = 4%), FVC (to the control group (MD 7.46 mL, 95% CI 5.09 to 9.82 mL, I 2 = 0%), FEV1/FVC (MD 7.33%, 95% CI: 5.01 to 9.65%) and ACT (MD 1.86, 95% CI 0.96 to 2.75 mL, I 2 = 12%) of patients at the end of intervention. There was no significant heterogeneity in these meta-analyses., Conclusion: In conclusion, the results of this systematic review and meta-analysis support the effectiveness of TIMT training in restoring lung function and relieving asthma symptoms of asthmatic children. More high-quality and RCTs with large sample size are urgently required to verify the conclusion., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (© 2024 Wu et al.)