试验实用集群随机试验学校监督治疗以改善儿童喘控制
Michelle Trivedi1, Michelle Spano2, Christine Frisard3
1Division of Pulmonary Medicine, Department of Pediatrics, UMass Chan Medical School, UMass Memorial Children's Medical Center, Worcester, Mass; Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Mass; Child Health Equity Center, Department of Pediatrics, UMass Chan Medical School, UMass Memorial Children's Medical Center, Worcester, Mass.
让喘儿童接受学校监督的治疗改善了他们的健康状况. 这项试点试验通过向学校提供儿科护理来减少喘发病率的可行性和有效性.
科学领域:
- 儿童肺病学
- 喘治疗方法
- 公共卫生干预措施
背景情况:
- 基于学校的喘治疗可以改善结果,
- 识别患有喘的儿童并将他们与学校监督的治疗联系起来是一个至关重要的未满足需求.
研究的目的:
- 进行喘链接模型的实用试验.
- 连接儿童喘诊所的儿童到学校的监督治疗.
主要方法:
- 一个随机试验比较喘链接 (儿科实践转诊到学校治疗) 与增强常规护理.
- 四个儿童诊所招募了每天吸入皮质类固醇的6至17岁的患有控制不良喘的儿童.
- 结果包括招募,保留,干预忠实度,喘症状,药物坚持和恶化.
主要成果:
- 在实践 (100%) 和父母-子女二合 (89-95%) 中实现了较高的保留率.
- 喘链接的参与者表现出更好的喘控制测试成绩,更长的恶化时间,减少了口服类固醇的使用,以及更好的药物坚持.
- 超过95%的学日涉及对喘链接组儿童的监督治疗.
结论:
- 喘链接模型是将儿科实践护理扩展到学校的一个可行的方法.
- 在学校提供每日喘预防药物显著改善了儿童喘发病率.
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