与喘相关的学校缺勤率:流行率,差异和综合管理的需要:系统性审查和元分析
Magda Mubarak Merghani1, Ragaa Gasim Ahmed Mohmmed2, Khaled Mohammed Al-Sayaghi3,4
1Collage of Nursing, University of Hafr Albatin, Saudi Arabia.
Dialogues in health
|December 15, 2025
概括
喘严重影响学生,导致高缺勤率. 基于学校的综合管理对于改善学术成果和解决医疗保健准入差距至关重要.
科学领域:
- 儿科肺病学 儿科肺病学
- 公共卫生 公共卫生
- 教育心理学教育心理学
背景情况:
- 喘影响全球11.6-13.7%,导致47.5%的缺勤,睡眠障碍和急诊室访问等重大问题.
- 在获得医疗保健方面的环境,社会经济和种族差异加剧了喘对儿童学业成绩的影响.
- 家庭动态和护理人员的担忧也导致了由于担心严重喘发作而导致的缺学率.
研究的目的:
- 为了估计与喘相关的学校缺勤率.
- 确定急性护理需求,预防性药物使用和喘儿童住院率.
- 突出有效的学校喘管理计划的必要性.
主要方法:
- 通过PubMed,Scopus,Web of Science和Cochrane图书馆进行了一项系统的文献审查,直到2025年3月.
- 两位独立审查员从24项符合条件的研究中提取了数据,重点关注患病率,风险因素和结果.
- 使用R版本4.3.3.3.进行统计分析.
主要成果:
- 与喘相关的缺课影响29%的学生,喘学生缺课的可能性是缺课的3.08倍 (p=0.0040).
- 与喘相关的缺勤平均持续时间为4.15天 (p=0.0068).
- 预防性药物使用,急诊室入院和住院率分别为39%,24%和7%.
结论:
- 存在大量与喘相关的学校缺勤负担,影响儿童的教育.
- 虽然发现了差异,但本次审查并未对其进行统计分析;然而,解决医疗保健准入问题的政策的需要是显而易见的.
- 实施以学校为基础的预防策略对于减轻喘影响和改善学生成绩至关重要.
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