Evaluation of the feasibility of a school-based asthma management programme in Taiwan
學年 99
學期 1
出版（發表）日期 2010-09-01
作品名稱 Evaluation of the feasibility of a school-based asthma management programme in Taiwan
作品名稱（其他語言）
著者 Maa, Suh-Hwa; Chang, Yue-Cune; Chou, Chun-Liang; Ho, Shu-Chuan; Sheng, Te-Fang; Karen, MacDonald; Wang, Yanping; Shen, Yu-Ming; Ivo, Abraham
單位 淡江大學會計學系
出版者 Chichester: Wiley-Blackwell Publishing Ltd.
著錄名稱、卷期、頁數 Journal of Clinical Nursing 19(17/18), pp.2415-2423
摘要 Aims and objectives. To investigate the feasibility of a school-based asthma management programme for middle school children. Background. Asthma rates are increasing among school-aged children. Successful asthma treatment in children depends in part on clear communication and effective education. Design. This feasibility study employed a one-group only longitudinal design with four time points over 18 months. Methods. Nineteen female and twelve male ( n = 31) seventh-grade children with asthma (13 SD 0·71 years) were identified using a six-stage asthma case-finding approach. Teachers and school staff were trained in the principles and methods of the proposed school-based asthma management programme. An individualised guided asthma self-management programme was developed for each child by a clinical team at a major academic medical centre. We assisted teachers in implementing the school programme; building a support network and monitoring children’s activities. Outcome measures included lung function tests (at 0, six, 12 and 18 months), disease-related symptoms, psychosocial status and impact of asthma on learning (at 0 and 18 months). School provided data on academic achievement and school absences at 0, six, 12 and 18 months. Results. Significant improvements were noted at six, 12 and 18 months on forced vital capacity (FVC)% of predicted ( p = 0·001, 0·015, 0·015, respectively), forced expiratory volume in one second (FEV1)% of predicted ( p = 0·001, 0·006, 0·088, respectively) and FEV1/FVC% of predicted ( p = 0·001, 0·015, 0·099, respectively). There was a trend towards improved asthma symptoms ( p = 0·050) and a significant decrease in positive perception of curriculum ( p = 0·017) at 18 months after adjustment for covariates. Conclusions. This programme was associated with respiratory benefits on physiological asthma markers commonly, with a trend for symptom control. Academic and psychosocial outcomes are subject of further inquiry. Relevance to clinical practice. School-based asthma management holds promise as a feasible clinical option for middle school children with asthma in the Taiwanese school system.
關鍵字 asthma; feasibility; nurses; school nursing; Taiwan
語言 en
ISSN 0962-1067; 1365-2702
期刊性質 國外
收錄於 SCI
產學合作
通訊作者 Maa, Suh-Hwa
審稿制度
國別 GBR
公開徵稿
出版型式 紙本
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