Sasaki Kemal, Sugiura Shiro, Matsui Teruaki, Nakagawa Tomoko, Nakata Joon, Kando Naoyuki, Ito Komei
Department of Allergy, Aichi Children's Health and Medical Center, Aichi, Japan.
Department of Allergy, Aichi Children's Health and Medical Center, Aichi, Japan.
Allergol Int. 2015 Apr;64(2):156-60. doi: 10.1016/j.alit.2014.10.005. Epub 2014 Nov 27.
School personnel are required to guarantee a secure school environment for children suffering from severe food allergies. We organized a workshop for school personnel to learn the appropriate management of anaphylaxis that included practical training with an adrenaline auto-injector (AAI). The objective of this study was to evaluate the workshop in terms of the improvement of self-efficacy (SE) of participants to deal with anaphylaxis.
All 93 school nurses, 73 schoolteachers and 110 childcare workers participating in the study completed a questionnaire before and after the workshop. The SE of the participants was evaluated using an original 15-item questionnaire.
Before the workshop, the SE of school nurses was the highest among the profession groups, and being involved with children prescribed an AAI was a common factor associated with a high SE. After the workshop, the SE increased in all groups, but most apparently in school nurses and those involved with children prescribed an AAI. The presence of an emergency plan was positively associated with the SE of schoolteachers only after the workshop, even though no such association existed beforehand.
Practical instruction of school nurses and school personnel involved with children prescribed an AAI resulted in dramatic improvement of the SE. These people are expected to play a central role in the development of an anaphylaxis management plan in their schools.
学校工作人员必须为患有严重食物过敏症的儿童保证一个安全的学校环境。我们为学校工作人员组织了一个关于学习过敏反应恰当管理方法的研讨会，其中包括使用肾上腺素自动注射器（AAI）的实践培训。本研究的目的是从提高参与者应对过敏反应的自我效能（SE）方面评估该研讨会。
参与研究的所有93名学校护士、73名学校教师和110名儿童保育员在研讨会前后都完成了一份问卷。使用一份由15个项目组成的原始问卷评估参与者的自我效能。
在研讨会前，学校护士的自我效能在职业组中最高，并且与被开具AAI处方的儿童打交道是与高自我效能相关的一个共同因素。研讨会后，所有组的自我效能都有所提高，但在学校护士和与被开具AAI处方的儿童打交道的人员中提高最为明显。应急预案的存在仅在研讨会后与学校教师的自我效能呈正相关，而在此之前不存在这种关联。
对学校护士和与被开具AAI处方的儿童打交道的学校工作人员进行实践指导，使其自我效能得到显著提高。预计这些人将在其所在学校制定过敏反应管理计划中发挥核心作用。
