在持续哮喘患儿中采取解决问题式干预措施进行治疗：来自儿童夏令营的随机试验
2010/12/17
摘要
背景：儿童参加夏令营是一次增加社会支持并改善儿童对其患有的慢性疾病态度的良好时机。由于儿童对夏令营的参与度较高，因此，在此期间可对儿童进行干预措施是可行的。但目前尚未知干预措施会对夏令营的哪些组成部分产生作用。
目的：本项初步研究旨在评价针对疾病管理的解决问题式的干预措施，在改善持续性哮喘患儿心理社会功能中的作用，是否超过单纯参加儿童夏令营对上述方面的影响。
方法：50名参加夏令营的儿童，随机分为解决问题式干预措施组和常规夏令营组。对自我主诉的哮喘知识、解决问题的技能和自我及父母主诉的儿童自我能力和社交能力健康相关生活质量进行三次评价：夏令营前、夏令营最后1天及夏令营后3个月。
结果：在夏令营前至夏令营最后1天，及夏令营前至夏令营后3个月之间，两组间在社会心理学变量上未见显著差异。若进行两组联合分析，则哮喘相关知识和解决问题的能力在夏令营3个月后有显著增加。
结论：虽然参加夏令营获得的支持能改善疾病相关知识和解决问题的技能，但未见解决问题式干预措施产生作用。参与夏令营的哮喘患儿，哮喘知识、解决问题的能力、社会能力和自我能力都较高，这表明，若针对那些疾病管理有问题的患者实施干预措施，可能更为有效。
（刘国梁 审校）
J Asthma. 2010 Sep 21. [Epub ahead of print]
A problem-solving intervention for children with persistent asthma: A pilot of a randomized trial at a pediatric summer camp.
Pulgaron ER, Salamon KS, Patterson CA, Barakat LP.
Mailman Center for Child Development, University of Miami, Miami, Florida, USA.
Abstract
Background: Pediatric summer camps are emerging as a means to increase social support and improve children’s attitudes about their chronic illness. Because of the high rate of camp attendance, it may be feasible to implement interventions within that setting; however, it has yet to be determined what components of camp are beneficial. Objective: The objective of this pilot study was to determine the efficacy of a problem-solving intervention targeting disease management in improving psychosocial functioning of children with persistent asthma, over and above the benefits of participation in a pediatric summer camp. Methods: Fifty campers were randomly assigned to receive camp plus a nightly problem-solving intervention activity or camp as usual. Changes in self-reported asthma knowledge and problem-solving skills and self- and parent-reported child self- and social competence health-related quality of life were assessed thrice: before camp, on the last day of camp, and 3-months post-camp. Results: There were no significant differences between the problem-solving intervention group and the camp as usual group in change across psychosocial variables from before camp to last day of camp or before camp to 3-months post-camp. Increases in asthma knowledge and problem-solving were found 3-months post-camp when groups were combined. Conclusions: Although support was found for improvements in disease knowledge and problem-solving skills after camp participation, there were no identified benefits to the problem-solving intervention. Children with asthma who participated in camp were functioning at a high level in terms of knowledge, problem-solving, and social and self-competence, suggesting that interventions may be more effective if targeted to patients with identified problems with disease management.
J Asthma. 2010 Sep 21. [Epub ahead of print]
背景：儿童参加夏令营是一次增加社会支持并改善儿童对其患有的慢性疾病态度的良好时机。由于儿童对夏令营的参与度较高，因此，在此期间可对儿童进行干预措施是可行的。但目前尚未知干预措施会对夏令营的哪些组成部分产生作用。
目的：本项初步研究旨在评价针对疾病管理的解决问题式的干预措施，在改善持续性哮喘患儿心理社会功能中的作用，是否超过单纯参加儿童夏令营对上述方面的影响。
方法：50名参加夏令营的儿童，随机分为解决问题式干预措施组和常规夏令营组。对自我主诉的哮喘知识、解决问题的技能和自我及父母主诉的儿童自我能力和社交能力健康相关生活质量进行三次评价：夏令营前、夏令营最后1天及夏令营后3个月。
结果：在夏令营前至夏令营最后1天，及夏令营前至夏令营后3个月之间，两组间在社会心理学变量上未见显著差异。若进行两组联合分析，则哮喘相关知识和解决问题的能力在夏令营3个月后有显著增加。
结论：虽然参加夏令营获得的支持能改善疾病相关知识和解决问题的技能，但未见解决问题式干预措施产生作用。参与夏令营的哮喘患儿，哮喘知识、解决问题的能力、社会能力和自我能力都较高，这表明，若针对那些疾病管理有问题的患者实施干预措施，可能更为有效。
（刘国梁 审校）
J Asthma. 2010 Sep 21. [Epub ahead of print]
A problem-solving intervention for children with persistent asthma: A pilot of a randomized trial at a pediatric summer camp.
Pulgaron ER, Salamon KS, Patterson CA, Barakat LP.
Mailman Center for Child Development, University of Miami, Miami, Florida, USA.
Abstract
Background: Pediatric summer camps are emerging as a means to increase social support and improve children’s attitudes about their chronic illness. Because of the high rate of camp attendance, it may be feasible to implement interventions within that setting; however, it has yet to be determined what components of camp are beneficial. Objective: The objective of this pilot study was to determine the efficacy of a problem-solving intervention targeting disease management in improving psychosocial functioning of children with persistent asthma, over and above the benefits of participation in a pediatric summer camp. Methods: Fifty campers were randomly assigned to receive camp plus a nightly problem-solving intervention activity or camp as usual. Changes in self-reported asthma knowledge and problem-solving skills and self- and parent-reported child self- and social competence health-related quality of life were assessed thrice: before camp, on the last day of camp, and 3-months post-camp. Results: There were no significant differences between the problem-solving intervention group and the camp as usual group in change across psychosocial variables from before camp to last day of camp or before camp to 3-months post-camp. Increases in asthma knowledge and problem-solving were found 3-months post-camp when groups were combined. Conclusions: Although support was found for improvements in disease knowledge and problem-solving skills after camp participation, there were no identified benefits to the problem-solving intervention. Children with asthma who participated in camp were functioning at a high level in terms of knowledge, problem-solving, and social and self-competence, suggesting that interventions may be more effective if targeted to patients with identified problems with disease management.
J Asthma. 2010 Sep 21. [Epub ahead of print]
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初级医疗机构中的哮喘电子病历：综合回顾
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支气管哮喘治疗后患者认知功能的改善
