Horner Sharon D
The University of Texas at Austin, School of Nursing, Austin, TX, USA.
J Community Health Nurs. 2006 Winter;23(4):213-23. doi: 10.1207/s15327655jchn2304_2.
The focus of this article is on the use of home visits in an asthma self-management intervention study with rural families who have a school-aged child with asthma. The study design involved randomization of the sample by elementary schools, then baseline (pretest) and postintervention data collection.(1) The purpose of this article is to describe challenges with, and pose solutions for, implementing home visits for asthma self-management in rural areas. Home visiting is a strategy for program delivery that takes advantage of the home context for tailoring services to address the family's individual needs. The advantages of intervening in the home include being able to (a) use actual home conditions for individualizing the asthma education to meet families' needs; (b) match home visitors with family in terms of ethnicity and language; (c) retain a high percentage of families over the year-long duration of the study; and (d) not add to family burden of managing asthma.
本文重点关注在一项针对有学龄期哮喘患儿的农村家庭的哮喘自我管理干预研究中家访的使用情况。该研究设计包括按小学对样本进行随机分组，然后进行基线（预测试）和干预后数据收集。（1）本文的目的是描述在农村地区实施哮喘自我管理家访所面临的挑战并提出解决方案。家访是一种项目实施策略，它利用家庭环境来量身定制服务以满足家庭的个体需求。在家中进行干预的优势包括能够：（a）利用实际家庭状况使哮喘教育个性化以满足家庭需求；（b）在家访人员与家庭的种族和语言方面进行匹配；（c）在为期一年的研究期间留住高比例的家庭；以及（d）不增加家庭管理哮喘的负担。
