Polivka Barbara J, Chaudry Rosemary V, Crawford John, Bouton Phillip, Sweet Laura
The Ohio State University, College of Nursing, Columbus, OH 43210, USA.
J Environ Health. 2011 May;73(9):16-20.
In the study described in this article, the authors evaluated the impact of an urban Healthy Homes intervention that included educational home visits. Their one-group, pre-post design used a structured interview at baseline and postintervention. The sample (N = 84) was comprised of low-income children younger than 18 years of age with an asthma diagnosis or with an asthmatic mother. Children were primarily male (62%), < or =10 years old (74%), and lived in a single family home (69%) with moisture (61%). Interventions included a personalized action plan, education, demonstrations, and home remediation as needed. Significant post-intervention decreases occurred in reported asthma symptoms for the child, school days missed, caregiver work days missed, and emergency department/urgent care center visits. Caregiver self-efficacy and quality of life increased significantly. The comprehensive home visitation intervention program effectively impacted asthma symptoms, lost school and work days, emergency use of the health care system, and improved caregiver quality of life and self-efficacy.
在本文所述的研究中，作者评估了一项包括教育性家访在内的城市健康家庭干预措施的影响。他们采用单组前后测设计，在基线和干预后进行结构化访谈。样本（N = 84）由年龄小于18岁、被诊断患有哮喘或母亲患有哮喘的低收入儿童组成。儿童主要为男性（62%），年龄小于或等于10岁（74%），居住在单户家庭（69%），家中存在潮湿问题（61%）。干预措施包括个性化行动计划、教育、示范以及必要时的家庭整治。干预后，儿童报告的哮喘症状、缺课天数、照顾者误工天数以及急诊室/紧急护理中心就诊次数均显著减少。照顾者的自我效能感和生活质量显著提高。全面的家访干预计划有效地影响了哮喘症状、缺课和误工天数、医疗系统的紧急使用情况，并改善了照顾者的生活质量和自我效能感。
