"RVA呼吸"随机对照试验的结果
Robin S Everhart1, Katherine D Lohr1, Rachel L Holder1
1Department of Psychology, Virginia Commonwealth University, Richmond, United States.
Journal of pediatric psychology
|July 12, 2024
概括
这个社区喘计划显示了减少医疗保健使用的趋势,全面干预显著减少了利用率并增加了喘行动计划. 研究结果支持综合护理模式,将家庭与社区卫生工作者联系起来.
科学领域:
- 公共卫生 公共卫生
- 社区健康 社区健康
- 儿科喘管理 儿科喘管理
背景情况:
- 喘是一种主要的慢性呼吸道疾病,影响儿童,特别是在低收入社区.
- 高贫困率与喘恶化和医疗保健利用率的增加有关.
- 基于社区的干预措施对于管理贫困人口的慢性疾病至关重要.
研究的目的:
- 评估RVA Breathes社区喘计划在减少高贫困地区儿童与喘相关的医疗保健利用方面的有效性.
- 评估多元干预措施的影响,包括教育,家庭补救和学校护士的参与.
主要方法:
- 一项随机对照试验,涉及250名护理人员及其患有喘的儿童 (5-11岁).
- 参与者被随机分为三个组:全干预,部分干预或对照.
- 干预措施持续了9个月,随访时测量了医疗保健利用率和喘相关因素.
主要成果:
- 根据时间对客观医疗保健利用的影响 (p=0.061) 对一组观察到显著性的趋势.
- 整个干预组显示,从基线到9个月的随访期间,医疗保健利用率显著下降 (p < 0.001).
- 全干预组还显示,报告的喘行动计划的数量显著增加.
结论:
- 该研究的主要假设没有得到支持,可能是由于COVID-19大流行对医疗保健利用的影响.
- 研究结果表明,社区喘计划将跨环境的护理整合起来,并利用社区卫生工作者,可以使家庭受益.
- 综合方法,包括教育和家庭补救措施,有望改善弱势群体的喘管理.
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