Moricca Michelle L, Grasska Merry A, BMarthaler Marcia, Morphew Tricia, Weismuller Penny C, Galant Stanley P
Newport-Mesa Unified School District, Costa Mesa, CA 92865, USA.
J Sch Nurs. 2013 Apr;29(2):104-12. doi: 10.1177/1059840512452668. Epub 2012 Jul 13.
Asthma is related to school absenteeism and underperformance in elementary students. This pilot study assessed whether school nurse case management (CM) in children identified with asthma impacts academic performance and school absenteeism in one school. A validated questionnaire was used to identify children at risk for asthma and CM was provided to link these students to medical care and assure asthma action plans at school. In the 40 children with confirmed diagnosis who received CM, academic performance on standardized testing postintervention was similar to the 76 children who were low risk for asthma. Average days absent due to illness in the CM group were reduced from 5.8 to 3.7 days in the postintervention school year. School nurse screening, CM, and collaboration with a medical provider resulted in early identification, referral, and subsequent treatment of students at risk for asthma and may have contributed to reduced illness absences.
哮喘与小学生缺课及学业成绩不佳有关。这项试点研究评估了对已确诊哮喘的儿童实施学校护士病例管理（CM）是否会影响一所学校内学生的学业成绩和缺课情况。使用经过验证的问卷来识别有哮喘风险的儿童，并提供病例管理以将这些学生与医疗护理联系起来，并确保在学校实施哮喘行动计划。在40名确诊并接受病例管理的儿童中，干预后标准化测试的学业成绩与76名哮喘低风险儿童相似。病例管理组因病缺勤的平均天数在干预后的学年从5.8天减少到了3.7天。学校护士的筛查、病例管理以及与医疗服务提供者的合作，促成了对有哮喘风险学生的早期识别、转诊及后续治疗，可能也有助于减少因病缺勤情况。
