Columbus Public Health, Healthy Homes Program, Columbus, Ohio.
Public Health Nurs. 2014 May-Jun;31(3):243-52. doi: 10.1111/phn.12071. Epub 2013 Aug 13.
This program evaluation examines the outcomes of a multicomponent urban home-based asthma program implemented through a city health department in a large Midwestern city. The purpose of the program was to improve asthma outcomes by controlling indoor asthma triggers in the home environment.
This was a pre-post evaluation study. Participants received home-based education from a public health nurse or a health educator, cleaning and other supplies, and physical home interventions such as mold abatement and pest control. Asthma outcomes, caregiver quality of life, trigger-related activities, and asthma management activities at baseline and 6 months following the intervention were evaluated using survey data. A total of 115 participants for whom baseline and follow-up data were available were included in this analysis.
This study used parent self-reported quantitative and qualitative data which were collected through baseline and follow-up surveys administered by program staff.
Significant reduction in asthma symptom days, nighttime awakenings, days with activity limitation, and albuterol use were observed. Emergency department visits, missed school days, and caregiver missed work days also were significantly reduced, and caregiver quality of life improved.
This multifaceted home-based intervention decreased asthma triggers and improved asthma outcomes in children, and improved the quality of life of their caregivers.
本项目评估通过中西部大城市的城市卫生部门实施的多组分城市家庭哮喘计划的结果。该计划的目的是通过控制家庭环境中的室内哮喘诱因来改善哮喘结果。
这是一项前后评估研究。参与者接受来自公共卫生护士或健康教育者的家庭健康教育、清洁和其他用品，以及物理家庭干预，如霉菌控制和虫害控制。使用调查数据评估哮喘结果、照顾者生活质量、诱因相关活动以及干预后 6 个月的哮喘管理活动。共有 115 名基线和随访数据可用的参与者纳入本分析。
本研究使用了家长自我报告的定量和定性数据，这些数据是通过项目工作人员进行的基线和随访调查收集的。
观察到哮喘症状天数、夜间觉醒、活动受限天数和沙丁胺醇使用的显著减少。急诊就诊、缺课和照顾者旷工天数也显著减少，照顾者生活质量得到改善。
这种多方面的家庭干预减少了儿童哮喘的诱因，并改善了哮喘结果，提高了他们的照顾者的生活质量。
