Chung Hoi Sing, Hathaway Donna K, Lew Dukhee B
Loewenberg School of Nursing, The University of Memphis, Memphis, TN.
College of Nursing, University of Tennessee Health Science Center, Memphis, TN.
J Pediatr Nurs. 2015 Mar-Apr;30(2):364-84. doi: 10.1016/j.pedn.2014.09.005. Epub 2014 Sep 28.
Asthma is a leading cause of hospitalization among children, and about 15-50% of pediatric patients are readmitted after an index admission. The purpose of this integrative review is to explore contemporary scientific findings on the association between pediatric asthma readmission and various demographic, environmental, psychosocial and clinical risk factors. An electronic database search resulted in a sample of 29 studies. African American, public or no insurers, previous admission and complex chronic comorbidity were identified as risk factors associated with pediatric asthma readmission. However, more interdisciplinary and well-designed investigations are warranted to further explicate the spectrum of environmental and psychosocial correlates.
哮喘是儿童住院的主要原因之一，约15%-50%的儿科患者在首次入院后会再次入院。本整合性综述的目的是探讨关于儿科哮喘再入院与各种人口统计学、环境、心理社会和临床风险因素之间关联的当代科学研究结果。电子数据库检索得到了29项研究的样本。非裔美国人、公共或无保险、既往入院史和复杂的慢性合并症被确定为与儿科哮喘再入院相关的风险因素。然而，需要更多跨学科且设计良好的调查来进一步阐明环境和心理社会相关因素的范围。
