Praena-Crespo M, Aquino-Llinares N, Fernández-Truan J C, Castro-Gómez L, Segovia-Ferrera C
University of Sevilla, La Candelaria Medical Center, Spain.
Pablo de Olavide University, Statistics Department, Sevilla, Spain.
Allergol Immunopathol (Madr). 2017 Jul-Aug;45(4):375-386. doi: 10.1016/j.aller.2016.10.022. Epub 2017 Mar 18.
Assess whether the Asthma, Sport and Health (ASAH) programme taught by teachers improves asthmatics' quality of life, asthma knowledge, and reduces school absenteeism.
Randomised cluster trial parallel group.
2293 students (203 asthmatic) in the Intervention School group (IS) and 2214 in the Comparison School (CS) (224 asthmatic) belonging to primary school.
Implementation of the educational programme "Asthma, Sport and Health" at grade schools, taught by physical education teachers.
Quality of life according to the Pediatric Asthma Quality of Life Questionnaire (PAQLQ).
Asthma knowledge, asthma control, school absenteeism.
After implementing the programme in the IS group, global quality of life improved significantly (p<0.001) as did their domains, symptoms (p<0.001), emotional function (p<0.001) and activity limitations (p<0.01), while in the CS group improvement was seen in global life quality (p<0.01) without any significant changes in the domains for emotional function and activity limitations. Asthma knowledge only increased in IS, among asthmatic students from 16.51 (CI 95% 16.04-16.98) to 18.16 (CI 95% 17.69-18.62) (p<0.001) and students without asthma from 15.49 (CI95% 15.36-15.63) to 17.50 (CI95% 17.36-17.64) (p<0.001). The multiple regression analysis showed that quality of life and its domains depend on asthma knowledge and above all, having well-controlled asthma. We found no decrease in school absenteeism.
The ASAH programme improved certain quality of life aspects regarding asthma (emotional function and limitation of activities) and asthma knowledge, but it failed to reduce school absenteeism NCT01607749.
评估由教师讲授的“哮喘、运动与健康”（ASAH）项目是否能改善哮喘患者的生活质量、哮喘知识，并减少学校缺勤率。
随机整群试验平行组。
干预学校组（IS）的2293名学生（203名哮喘患者）和对照学校（CS）的2214名学生（224名哮喘患者），均为小学生。
在小学由体育教师实施“哮喘、运动与健康”教育项目。
根据儿童哮喘生活质量问卷（PAQLQ）评估生活质量。
哮喘知识、哮喘控制情况、学校缺勤率。
在IS组实施该项目后，整体生活质量显著改善（p<0.001），其各个领域、症状（p<0.001）、情绪功能（p<0.001）和活动受限情况（p<0.01）均有改善；而在CS组，整体生活质量有所改善（p<0.01），但情绪功能和活动受限领域无显著变化。仅在IS组，哮喘知识有所增加，哮喘学生从16.51（95%CI 16.04 - 16.98）增至18.16（95%CI 17.69 - 18.62）（p<0.001），非哮喘学生从15.49（95%CI 15.36 - 15.63）增至17.50（95%CI 17.36 - 17.64）（p<0.001）。多元回归分析表明，生活质量及其领域取决于哮喘知识，最重要的是哮喘得到良好控制。我们未发现学校缺勤率下降。
ASAH项目改善了哮喘患者生活质量的某些方面（情绪功能和活动受限）以及哮喘知识，但未能降低学校缺勤率（NCT01607749）。
