MeGhan S L, Wong E, Jhangri G S, Wells H M, Michaelchuk D R, Boechler V L, Befus A D, Hessel P A
Alberta Asthma Centre, Faculty of Nursing, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
J Asthma. 2003;40(5):523-33. doi: 10.1081/jas-120018785.
To evaluate the effectiveness of a comprehensive asthma management education program for 7- to 12-year-old children with asthma, entitled Roaring Adventures of Puff (RAP), 18 elementary schools in Edmonton were randomized to intervention and control groups. Participating in the program were 76 students with asthma in the intervention schools and 86 in the control schools. Children in the intervention schools had statistically significant improvements in unscheduled doctor visits, missed school days, moderate-to-severe parent rating of severity, severity of shortness of breath, limitations in the kind of play, and correct use of medications. Unscheduled doctor visits and missed school days were the only significant improvements in the control group; however, improvements were about half that of the intervention group. The results showed that a comprehensive, school-based asthma education program is feasible and improves outcomes.
为评估一项名为“气喘小精灵的咆哮冒险”(RAP)的针对7至12岁哮喘儿童的综合哮喘管理教育项目的有效性,埃德蒙顿的18所小学被随机分为干预组和对照组。干预学校中有76名哮喘学生参与了该项目,对照学校中有86名。干预学校的儿童在非计划就医次数、缺课天数、家长对病情严重程度的中度至重度评分、呼吸急促严重程度、玩耍类型受限以及药物正确使用方面有统计学上的显著改善。对照组中只有非计划就医次数和缺课天数有显著改善;然而,改善程度约为干预组的一半。结果表明,一项基于学校的综合哮喘教育项目是可行的,并且能改善结果。