Meng A
School of Nursing, University of Texas Medical Branch, Galveston, TX 77555-1029, USA.
Nurse Pract Forum. 2000 Mar;11(1):38-47.
Childhood asthma is a major public health problem. It is the leading cause of childhood hospitalizations and school absences despite recent advances in management. Current standards of care call for client education as partners in disease management. In pediatrics, this calls for shared decision making between health care provider, parent, and child. Traditional care delivery systems often fall short of meeting this standard. This article describes a nurse practitioner-run school-based asthma clinic, designed as a pilot study, to fill these gaps. Characteristics of the community that affected outcomes are described.
儿童哮喘是一个重大的公共卫生问题。尽管在管理方面取得了最新进展,但它仍是儿童住院和缺课的主要原因。当前的护理标准要求将患者教育作为疾病管理的合作伙伴。在儿科领域,这需要医疗保健提供者、家长和儿童之间共同做出决策。传统的护理提供系统往往无法达到这一标准。本文介绍了一家由执业护士管理的、作为试点研究设计的校内哮喘诊所,以填补这些空白。文中描述了影响结果的社区特征。