儿童喘结果差距的协调卫生保健干预计划 (芝加哥)
Jerry A Krishnan1,2, Helen Margellos-Anast3, Rajesh Kumar4
1Office of the Vice Chancellor for Health Affairs, University of Illinois Chicago.
The journal of allergy and clinical immunology. Global
|August 29, 2023
概括
对于儿童失控喘的急诊室干预并没有显著改善主要结果. 然而,指南推的护理和自我管理行为显示出改善,需要进一步研究.
科学领域:
- 儿科肺病学 儿科肺病学
- 公共卫生 公共卫生
- 临床试验 临床试验
背景情况:
- 从急诊室出院的少数民族儿童的失控喘需要基于证据的策略来改善结果.
- 少数民族儿童,特别是黑人和拉丁裔人口,面临着严重的喘负担.
研究的目的:
- 为了比较仅针对ED的干预措施的有效性,将ED干预措施与家庭访问相结合,并加强对患有非控制性喘的儿童的通常护理.
- 评估干预措施对喘控制,患者报告的结果和护理人员满意度的影响.
主要方法:
- 一个多中心实用性临床试验招募了5至11岁的患有非控制性喘的儿童.
- 主要结局包括喘影响量表的变化和护理人员对参与社会角色的满意度超过6个月.
- 二次结果评估了指导方针推的ED出院护理和自我管理行为.
主要成果:
- 招募率低于预期,有373名儿童被录取,63%的儿童完成了随访.
- 在干预和常规护理组之间的初级临床结果中没有发现显著差异.
- 在干预组中,指导方针推的ED出院护理得到了改善,在ED加家庭组中,自我管理得到了改善.
结论:
- 基于ED的干预措施并没有显著改善初级喘控制结果,这可能是由于力量不足.
- 观察到指南推的出院护理和自我管理的改善,但需要进一步调查临床影响.
- 需要进一步的研究,以了解这些干预措施对儿童喘结果的长期影响.
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