Primomo Janet, Johnston Sandra, DiBiase Frank, Nodolf Jocelyn, Noren Leanne
Tacoma Nursing Program, University of Washington, Tacoma, Washington 98402, USA.
Public Health Nurs. 2006 May-Jun;23(3):234-41. doi: 10.1111/j.1525-1446.2006.230306.x.
An asthma outreach worker (AOW) can provide home-based education about asthma management and methods to minimize home environmental asthma triggers. A theory-based AOW program was implemented by a community partnership and its effectiveness was evaluated.
Baseline and follow-up surveys were used to evaluate the effectiveness of the AOW.
The convenience sample consisted of 60 caregivers whose children received AOW services.
Quality of life, use of asthma management plans, medication use, health care utilization, home environmental behavior changes to reduce triggers, and satisfaction with AOW services were self-reported by caregivers.
Caregivers reported significantly higher quality of life at follow-up than at baseline. At follow-up, 93% of the children had asthma management plans as compared with 31% at baseline. Self-reported hospitalizations were significantly reduced. All of the families made changes to minimize household asthma triggers. Caregivers reported high satisfaction with the AOW and 90% of them felt that the home environmental assessment conducted by the AOW helped improve their child's asthma.
Short-term community-based AOW services for children can be effective in enhancing self-management capabilities, improving the quality of life, increasing the use of asthma management plans, and helping families reduce asthma triggers in the home environment.
哮喘 outreach 工作者（AOW）能够提供关于哮喘管理及将家庭环境中哮喘触发因素降至最低的方法的居家教育。一个基于理论的 AOW 项目由社区合作伙伴实施，并对其效果进行了评估。
采用基线调查和随访调查来评估 AOW 的效果。
便利样本包括 60 名其子女接受 AOW 服务的照顾者。
照顾者自行报告生活质量、哮喘管理计划的使用情况、药物使用情况、医疗保健利用情况、为减少触发因素而改变的家庭环境行为，以及对 AOW 服务的满意度。
照顾者报告随访时的生活质量显著高于基线时。随访时，93%的儿童有哮喘管理计划，而基线时为 31%。自行报告的住院次数显著减少。所有家庭都做出了改变以尽量减少家庭中的哮喘触发因素。照顾者对 AOW 服务满意度很高，90%的人认为 AOW 进行的家庭环境评估有助于改善其孩子的哮喘状况。
针对儿童的短期社区 AOW 服务在增强自我管理能力、提高生活质量、增加哮喘管理计划的使用以及帮助家庭减少家庭环境中的哮喘触发因素方面可能是有效的。
