对哮喘儿童行动计划的评估。
An evaluation of the action plans of children with asthma.
作者信息
Dawson K P, Van Asperen P, Higgins C, Sharpe C, Davis A
机构信息
University Department of Paediatrics, Westmead Hospital, New South Wales, Australia.
出版信息
J Paediatr Child Health. 1995 Feb;31(1):21-3. doi: 10.1111/j.1440-1754.1995.tb02906.x.
OBJECTIVE
To assess the provision and use of action plans in children attending hospital because of asthma.
METHODOLOGY
An interviewer administered a structured questionnaire to the parents of 279 children attending the Casualty Department, Outpatient clinics or admitted to hospital because of asthma, at two Level 3 teaching hospitals.
RESULTS
Only 82 (29%) of the children attending hospital had a written action plan. The majority (57%) were devised by paediatricians and covered the salient aspects of care. However, indications for steroid use were included in only 28% of plans and only 37% of the action plans in children over 5 years incorporated the use of peak flow meters.
CONCLUSIONS
Action plans are still under-utilized in children with asthma. General practitioners should be encouraged to consider the use of action plans for the group of children not already covered.
目的
评估因哮喘住院儿童的行动计划的制定与使用情况。
方法
在两家三级教学医院，一名访员对279名因哮喘前往急诊科、门诊就诊或住院的儿童的家长进行了结构化问卷调查。
结果
仅82名（29%）住院儿童有书面行动计划。大多数（57%）由儿科医生制定，涵盖了护理的主要方面。然而，仅28%的计划中包含了使用类固醇的指征，5岁以上儿童的行动计划中只有37%纳入了使用峰值流量计的内容。
结论
哮喘儿童对行动计划的使用仍然不足。应鼓励全科医生考虑为尚未涵盖的儿童群体使用行动计划。
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