Shah S, Gibson P G, Wachinger S
Auburn Community Health Centre, New South Wales, Australia.
J Paediatr Child Health. 1994 Aug;30(4):312-5. doi: 10.1111/j.1440-1754.1994.tb00652.x.
Under-reporting of asthma and inappropriate management at school can hamper a child's academic progress. The aim of this study was to assess asthma reporting and crisis management, following implementation of a Primary School Asthma Programme. The intervention covered 12 primary schools with 5093 students in an area of high unemployment with a large proportion of the community from a non-English background. The programme included School Asthma First Aid Kits, training workshops for school staff and individual Crisis Management Plans for students with asthma. Registration of students with asthma at school increased from 6.2% before the intervention in 1989 to 12.7% in 1992. School Asthma Crisis Plans were completed appropriately by the child's doctor and parents and returned by 68% of the students with asthma. Teachers' asthma knowledge and confidence with the management of acute asthma at school improved following asthma education workshops. It was concluded that asthma reporting and acute crisis management of asthma at school can be achieved by a programme undertaken by school medical services.
哮喘报告不足以及学校管理不当会阻碍儿童的学业进步。本研究的目的是评估在实施小学哮喘计划后哮喘报告及危机管理情况。该干预措施覆盖了12所小学的5093名学生，这些学校位于一个高失业率地区，社区中很大一部分人来自非英语背景。该计划包括学校哮喘急救箱、针对学校工作人员的培训工作坊以及为哮喘学生制定的个人危机管理计划。学校中哮喘学生的注册率从1989年干预前的6.2%增至1992年的12.7%。哮喘学生的学校哮喘危机计划由孩子的医生和家长妥善完成，68%患有哮喘的学生交回了该计划。在参加哮喘教育工作坊后，教师对于学校急性哮喘管理的哮喘知识和信心有所提高。研究得出结论，学校医疗服务开展的一项计划能够实现学校的哮喘报告及哮喘急性危机管理。
