Le Cann Pierre, Paulus Hélène, Glorennec Philippe, Le Bot Barbara, Frain Sophie, Gangneux Jean Pierre
Environmental and Occupational Health Department, EHESP School of Public Health, Rennes, France; Inserm UMR 1085-IRSET, Rennes, France.
ESITC, Engineering School of Construction Works, Cachan, France.
J Allergy Clin Immunol Pract. 2017 Jan-Feb;5(1):66-79. doi: 10.1016/j.jaip.2016.07.011. Epub 2016 Sep 21.
Home health care workers interventions have been implemented in western countries to improve health status of patients with respiratory diseases especially asthma and allergic illnesses. Twenty-six controlled studies dealing with prevention and control of these diseases through home environmental interventions were reviewed. After a comprehensive description of the characteristics of these studies, the effectiveness of each intervention was then evaluated in terms of participants' compliance with the intervention program, improvement of quality of the indoor environment, and finally improvement of health outcomes, in detailed tables. Limitations and biases of the studies are also discussed. Overall, this review aims at giving a toolbox for home health care workers to target the most appropriate measures to improve health status of the patient depending on his and/or her environment and disease. Only a case-by-case approach with achievable measures will warrant the efficacy of home interventions. This review will also provide to the research community a tool to better identify targets to focus in future evaluation studies of home health care workers action.
西方国家已实施家庭医护人员干预措施，以改善呼吸系统疾病患者尤其是哮喘和过敏性疾病患者的健康状况。对26项通过家庭环境干预来预防和控制这些疾病的对照研究进行了综述。在全面描述这些研究的特征之后，然后根据参与者对干预计划的依从性、室内环境质量的改善以及最终健康结果的改善，在详细表格中评估了每种干预措施的有效性。还讨论了研究的局限性和偏差。总体而言，本综述旨在为家庭医护人员提供一个工具箱，以便根据患者的环境和疾病情况，采取最合适的措施来改善患者的健康状况。只有采用切实可行的措施并逐案处理，才能保证家庭干预的效果。本综述还将为研究界提供一种工具，以便更好地确定在未来家庭医护人员行动评估研究中应关注的目标。
