Paediatric asthma outpatient care by asthma nurse, paediatrician or general practitioner: randomised controlled trial with two-year follow-up
Paediatric asthma outpatient care by asthma nurse, paediatrician or general practitioner: randomised controlled trial with two-year follow-up
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DOI：
10.4104/pcrj.2011.00003
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发表时间：
2011-03-01
影响因子：
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通讯作者：
van Aalderen, Wim
中科院分区：
文献类型：
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作者：
Kuethe, Maarten;Vaessen-Verberne, Anja;van Aalderen, Wim
目的：对于稳定的哮喘儿童，以测试非劣效性的护理提供了一个以医院为基础的专业哮喘护士与全科医生（GP）或pediatrician.Methods：随机对照试验评估标准护理的GP，儿科医生或哮喘护士，与为期两年的follow-up.Results：107名儿童被招募，45从一般的做法和62从医院。两年后，两组之间的气道反应性，FEV 1，哮喘控制，药物治疗，学校缺席或父母工作缺席没有显着差异。与儿科医生和哮喘专科护士组相比，全科医生组的定期复查访视频率（“定期”=每6个月至少复查一次）明显较低，一年后两者的比例分别为45.7%、87.9%和94.3%（p
Aims: For children with stable asthma, to test non-inferiority of care provided by a hospital-based specialised asthma nurse versus a general practitioner (GP) or paediatrician.Methods: Randomised controlled trial evaluating standard care by a GP, paediatrician or an asthma nurse, with two-year follow-up.Results: 107 children were recruited, 45 from general practice and 62 from hospital. After two years, no significant differences between groups were found for airway responsiveness, FEV1, asthma control, medication, school absence or parental work absence. In the general practice group there was a significantly lower frequency of regular review visits ('regular' = at least one review per six months) compared to the paediatrician and specialised asthma nurse group, both after one year [45.7% versus 87.9% and 94.3%, respectively, (p