Scientific study has found that a programme of cognitive behaviour therapy delivered by nurses to children who had asthma and anxiety improved the children’s standard of living scores and reduced the risk of escalation of treatment.
The therapy included techniques like mindfulness, where children were encouraged to center on the actual moment, instead of worry about what might happen or what is happening before.
Basic cognitive restructuring was also used, which involved investigating recurring detrimental thoughts or anxieties experienced by the kids and encouraging those to replace them with better thoughts. Many of the thoughts children said might increase their anxiety were: ‘I do not like walking the dog me take my inhaler’ and ‘the ambulance may well not also come in time’.
Writing inside journal Nursing Children and Young People, the study said early identification from the role of anxiety in asthma could prevent unnecessary escalation of treatment, one example is overuse of oral steroids, which includes uncomfortable side effects.
‘The programme appears to be a cost-effective, rapid access service providing a psychological intervention for all those children showing a clinical need,’ they said. ‘The analysis also highlights the requirement of all nursing staff to be aware of the detrimental outcomes of anxiety on asthma control, so early symptoms might be identified and addressed quickly,’ they added.
Sessions included as well education about anxiety, by way of example, a reason of dysfunctional breathing plus the physiological effects it can produce, including warning signs of hyperventilation. Children were subsequently taught rescue breathing exercises as well as a selection of general relaxation exercises.
The intervention was conducted by way of clinical nurse specialist with basic learning behaviour therapy techniques.
The research would be a prospective cohort pilot study and included children between seven and 16 years old with confirmed asthma who had been told they have health-related anxiety by way of a treating doctor.