Bauer E J, Lurie N, Yeh C, Grant E N
Division of Health Services Research, School of Public Health, University of Minnesota, Minneapolis 55455-0381, USA.
J Sch Health. 1999 Jan;69(1):12-6. doi: 10.1111/j.1746-1561.1999.tb02335.x.
To the extent that the asthma morbidity so prevalent in children today is due to underdiagnosis or lack of appropriate treatment, schools are increasingly faced with the issue of defining their role in the care of children with asthma. This paper describes efforts to conduct schoolwide screening for asthma in an inner-city elementary school over the past two years. Screening methodology adopted for the project resulted in a simple and noninvasive approach for identifying children with current asthma in a school setting. While not as medically comprehensive as would be required to conclusively diagnose asthma, the simple screening approach proved efficient in identifying a population of elementary school children with a significant level of asthma morbidity. The paper discusses the effectiveness and feasibility of the screening efforts and proposes how such a screening program might be incorporated into the routine health activities undertaken at any elementary school.
鉴于如今儿童中普遍存在的哮喘发病率是由于诊断不足或缺乏适当治疗，学校越来越多地面临着界定其在哮喘儿童护理中所扮演角色的问题。本文描述了过去两年来在一所市中心小学开展全校范围哮喘筛查的工作。该项目采用的筛查方法产生了一种简单且无创的方法，用于在学校环境中识别患有当前哮喘的儿童。虽然这种简单的筛查方法在医学上不如最终诊断哮喘所需的那样全面，但事实证明它在识别出患有显著哮喘发病率的小学生群体方面是有效的。本文讨论了筛查工作的有效性和可行性，并提出了如何将这样一个筛查项目纳入任何一所小学日常健康活动中的建议。
