Asthma management in New York City schools: A physical education teacher perspective.
Asthma management in New York City schools: A physical education teacher perspective.
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纽约市学校的哮喘管理：体育教师的观点。
DOI：
10.1080/02770903.2018.1463380
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Reznik,Marina
中科院分区：
文献类型：
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作者：
McClelland,QiYingLi;Avalos,MariaIvanna;Reznik,Marina
目的：体育教师可能是第一个在体育课上帮助哮喘发作的学生。本研究旨在探讨城市小学体育教师对哮喘学童校内管理及身体活动障碍的看法。方法对来自纽约州布朗克斯10所小学的16名体育教师进行定性半结构化访谈。采访被记录、转录并独立编码。内容分析用于确定访谈中常见的10个主要主题，然后将其分为3个领域。结果确定了三个领域：1)学校哮喘管理程序和政策；2)体育教师在哮喘管理中的作用；3)学生学习PA的障碍。大多数体育教师不知道急性哮喘管理的书面程序，也没有接受过针对哮喘的培训。许多体育老师表达了对哮喘管理的信心。体育教师最常通过与学生的交流来确定学生是否患有哮喘。体育教师对哮喘的管理方法多种多样，但对急性哮喘症状的处理均依赖于护士。确定了PA的几个障碍，包括体育教师不了解纽约州的体育要求，缺乏健身房设施，恶劣天气，体育课时间不一致，哮喘诊断，护士办公室没有哮喘吸入器。结论教师对哮喘管理的看法可能影响学校对哮喘的处理方式。这项研究的结果强调了未来干预改善哮喘管理的几个障碍。
Objective: Physical education (PE) teachers may be the first to assist students with asthma attacks during PE class. This study explores the PE teachers' perspectives on in-school asthma management and barriers to physical activity (PA) in children with asthma attending urban elementary schools.MethodsWe conducted qualitative semi-structured interviews with 16 PE teachers from 10 Bronx, NY elementary schools. Interviews were recorded, transcribed, and independently coded. Content analysis was used to identify 10 major themes common across interviews which were then categorized into 3 domains.ResultsThree domains were identified: 1) school procedures and policies for asthma management; 2) role of PE teachers in asthma management; and 3) barriers to PA for students. Most PE teachers were unaware of written procedures for acute asthma management and did not receive asthma-specific training. Many PE teachers expressed confidence regarding asthma management. PE teachers identified students with asthma most commonly through communication with students. The PE teachers utilized various methods to manage asthma but all relied on the nurse to handle acute asthma symptoms. Several barriers to PA were determined, including PE teachers' unawareness of NYS PE requirements, lack of gym facilities, inclement weather, inconsistent PE class time, asthma diagnosis, and having no asthma inhalers at the nurse's office.ConclusionsPE teachers' perspectives on asthma management may influence the way asthma is handled at school. The results from this study highlight several barriers that can be targeted in future interventions to improve asthma management.