School-based asthma programs
School-based asthma programs
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DOI：
10.1016/j.jaci.2009.05.040
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发表时间：
2009-08-01
影响因子：
14.2
通讯作者：
Kattan, Meyer
中科院分区：
文献类型：
--
作者：
Bruzzese, Jean-Marie;Evans, David;Kattan, Meyer
哮喘在学龄儿童中很普遍，导致缺课和活动受限。有大量关于以学校为基础的哮喘干预措施的文献，试图识别哮喘儿童并改善结果。本综述的目的是描述和讨论筛查工具和以学校为基础的哮喘干预措施的局限性。在儿童发病率高、未确诊哮喘患病率高的地区，如果能够获得高质量的哮喘护理，对哮喘儿童进行识别可能是适当的。我们审查战略，以改善获得保健，在学校自我管理技能的教学，并提高学校人员的管理技能。虽然研究表明，以学校为基础的方案有可能改善成果，但教育系统中相互竞争的优先事项对其实施提出了挑战，并强调需要采取切实可行、有针对性和具有成本效益的战略。（J Allergy Clin Immunol 2009;124：195-200.）
Asthma is prevalent in school-age children and contributes to school absenteeism and limitation of activity. There is a sizable literature on school-based interventions for asthma that attempt to identify children with asthma and improve outcomes. The purpose of this review is to describe and discuss limitations of screening tools and school-based asthma interventions. Identification of children with asthma may be appropriate in schools located in districts with a high prevalence of children experiencing significant morbidity and a high prevalence of undiagnosed asthma, provided there is access to high-quality asthma care. We review strategies for improving access to care, for teaching self-management skills in schools, and for improving school personnel management skills. Although studies indicate that school-based programs have the potential to improve outcomes, competing priorities in the educational system present challenges to their implementation and emphasize the need for practical, targeted, and cost-effective strategies. (J Allergy Clin Immunol 2009;124:195-200.)