Ibarra Joanna, Fry Frances, Clarice Wickenden, Olsen Alice, Vander Stichele Robert H, Lapeere Hilde, Maryan Jenner, Franks Andrea, Smith Jane L
Community Hygiene Concern, Manor Gardens Centre, London, UK.
J Clin Nurs. 2007 Oct;16(10):1955-65. doi: 10.1111/j.1365-2702.2007.01795.x.
The aim of this paper was to illustrate the socially inclusive nature of the Bug Busting 'whole-school approach' to head louse eradication.
In the UK, Belgium and Denmark, persistent head lice in families of all socio-economic status (SES) is a problem. Since 1995 in the UK and 1998 elsewhere, an educational programme intended to teach families how to detect and treat head lice by using the Bug Busting wet combing method has been organized in some areas. Local schools lead this community strategy for prevention, known as a 'whole-school approach' (UK).
We describe five studies applying the Bug Busting approach, four set in districts where some disadvantaged families live (UK and Belgium) and a fifth set in Denmark. Feasibility and consumer satisfaction are examined. One UK study analyses data on area prescribing for head lice and the impact in a deprived locality of raising the profile of Bug Busting.
We find parental education in Bug Busting enables families of all SES to participate in a 'whole-school approach' to head lice. Best results are obtained when each family has a Bug Buster Kit. This provides all the combs necessary with full instructions on their use with ordinary shampoo and conditioner to detect lice, eradicate an infestation mechanically, or to check the success of any treatment. In the UK, the promotion of the Bug Busting approach is reducing primary care expenditure on treatment for head lice and professional time spent with worried parents. As a result, healthcare providers can give time to the few families who require one-to-one guidance.
Incorporation of the Bug Busting approach to head lice into clinical practice in school communities contributes to sustainable control whilst overcoming health inequalities in participating families.
本文旨在阐明“灭虱全校参与法”在根除头虱方面具有社会包容性的本质。
在英国、比利时和丹麦，所有社会经济地位（SES）家庭中头虱持续存在是个问题。自1995年在英国以及1998年在其他地方以来，一些地区组织了一项教育计划，旨在教导家庭如何使用“灭虱湿梳法”检测和治疗头虱。当地学校主导这一预防社区策略，即“全校参与法”（英国）。
我们描述了五项应用“灭虱法”的研究，其中四项在一些弱势家庭居住的地区进行（英国和比利时），第五项在丹麦进行。研究了可行性和消费者满意度。一项英国研究分析了头虱地区处方数据以及提高“灭虱法”知名度对贫困地区的影响。
我们发现对家长进行“灭虱法”教育能使所有社会经济地位的家庭参与到头虱“全校参与法”中。当每个家庭都有一个灭虱工具包时能取得最佳效果。该工具包提供了所有必要的梳子，并附有使用普通洗发水和护发素检测虱子、机械根除感染或检查任何治疗效果的完整说明。在英国，推广“灭虱法”正在减少初级保健在头虱治疗上的支出以及与忧心忡忡的家长打交道所花费的专业时间。因此，医疗保健提供者可以将时间用于少数需要一对一指导的家庭。
将“灭虱法”纳入学校社区的临床实践有助于可持续控制，同时克服参与家庭中的健康不平等问题。
