对患有喘的学童进行多组分干预:试点集群随机对照试验.
Marina Reznik1, Florinda Islamovic1, Jill S Halterman2
1Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore Einstein, Bronx, NY.
The journal of allergy and clinical immunology. Global
|February 26, 2025
概括
一个试点项目改善了喘城市儿童的体力活动 (PA) 和无症状日. 干预组合了课堂活动,喘教育和护理协调,为参与者带来了显著的好处.
科学领域:
- 儿科肺病学 儿科肺病学
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 身体活动 (PA) 对于喘管理至关重要,但服务不足的社区儿童的PA水平较低.
- 喘不成比例地影响城市,历史上的边缘化人口,通常与环境和社会经济因素有关.
- 患有喘的儿童的低血压可以加剧症状并降低生活质量.
研究的目的:
- 评估多组分喘干预措施在城市,少数民族儿童喘中对PA和无症状日 (SFD) 的初步有效性.
- 评估基于课堂的PA,喘教育和护理协调对儿童健康结果的影响.
- 为了解决像耻辱和有限的护理机会影响PA在这个人群中的障碍.
主要方法:
- 一项试点研究涉及107名患有喘的儿童 (7-10岁),以及来自纽约布朗克斯四所学校的护理人员.
- 将学校随机分配到干预组 (N=2) 和对照组 (N=2).
- 通过加速度计对儿童的PA进行客观测量和主观报告喘症状;使用通用线性混合模型进行分析.
主要成果:
- 与对照组相比,干预组在12个月后显示了中度至强度的PA和步数的显著增加 (p < .001).
- 在患有持续性或不受控制的喘的儿童中,PA的改善尤其显著.
- 干预还导致在2周内无症状日 (SFD) 显著改善 (p < .018).
结论:
- 一项试点干预有效地提高了城市儿童患喘的体力活动水平和无症状日.
- 解决诸如耻辱感,教师信心和获得护理等障碍是改善该人口中PA的关键.
- 这种多元组件方法表明,在服务不足的城市社区中,喘管理具有前景.
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