一项成功的基于学校的哮喘教育和干预计划（Happy Air）
2011/05/12
摘要
背景：研究学校、家长和儿科医生间积极互动是否能改善哮喘控制和哮喘患儿的生命质量。
方法：在6所小学(2765名儿童)中进行一项为期3年的、以家庭-儿科医生-学校为基础的综合性哮喘计划(Happy Air(®))。该计划向家庭、学校教职员工和学生提供教育干预，同时给予书面的问卷调查，研究哮喘患儿、哮喘诊断和治疗，以及能改善呼吸道和心理状态的课外活动。计划初始和计划结束，采用PedsQL™ 4.0 (儿童生活质量调查表)测量模型，评价儿童和家长的生命质量。
结果：135名儿童诊断为哮喘，其中37名进行了再次诊断。所有儿童中，单个项目和总的临床哮喘评分在研究结束时显著增加(p < 0.001)。PedsQL™ 4.0总的平均评分和4个量表的平均评分也显著增加(p <0.001)。
结论：Happy Air(®)是针对哮喘患儿和其家庭较好的、以教育和学校为基础的干预模型。针对哮喘诊断、临床随访、教育、自我管理和生命质量控制的多行动计划能降低哮喘的社会经济负担。
（林江涛 审校）
J Asthma. 2011 Mar 17. [Epub ahead of print]
Happy Air(®), a Successful School-Based Asthma Educational and Interventional Program for Primary School Children.
Chini L, Iannini R, Chianca M, Corrente S, Graziani S, La Rocca M, Borruto M, Di Napoli R, Angelini F, Visconti G, Moschese V.
Allergologia ed Immunologia Pediatrica, Policlinico Tor Vergata, Università di Roma Tor Vergata, Rome, Italy.
Abstract
Background. To investigate whether an active partnership between schools, parents, and pediatricians can improve the management of asthma and quality of life of children with asthma.
Methods. A comprehensive asthma program (Happy Air(®)), based on a strong family-physician-school relationship, was carried out over a period of 3 years in six primary schools (2765 children). This program provides educational intervention to families, school staff, and students, as well as the administration of written questionnaires to identify children with asthma, asthma diagnosis and management, and, last but not least, extracurricular activities to improve respiratory and psychological conditions. Quality of life of children and parents, at the beginning and end of the program, was assessed using PedsQL™ 4.0 (Pediatric Quality of Life Inventory) measurement model.
Result. Asthma was diagnosed in 135 children, of which 37 (27%) were diagnosed de novo. In all children, both single item and total clinical asthma scores showed a significant increase (p < .001) at the end of the Happy Air(®) program. The average scores of both the total PedsQL™ 4.0 and the four Scales were significantly increased (p < .001).
Conclusion. Happy Air(®) is a model for a strategy of education- and school-based intervention for children with asthma and their families. This multi-action program for diagnosis, clinical follow-up, education, self-management, and quality-of-life control aims to minimize the socioeconomic burden of asthma disease.
J Asthma. 2011 Mar 17. [Epub ahead of print]
背景：研究学校、家长和儿科医生间积极互动是否能改善哮喘控制和哮喘患儿的生命质量。
方法：在6所小学(2765名儿童)中进行一项为期3年的、以家庭-儿科医生-学校为基础的综合性哮喘计划(Happy Air(®))。该计划向家庭、学校教职员工和学生提供教育干预，同时给予书面的问卷调查，研究哮喘患儿、哮喘诊断和治疗，以及能改善呼吸道和心理状态的课外活动。计划初始和计划结束，采用PedsQL™ 4.0 (儿童生活质量调查表)测量模型，评价儿童和家长的生命质量。
结果：135名儿童诊断为哮喘，其中37名进行了再次诊断。所有儿童中，单个项目和总的临床哮喘评分在研究结束时显著增加(p < 0.001)。PedsQL™ 4.0总的平均评分和4个量表的平均评分也显著增加(p <0.001)。
结论：Happy Air(®)是针对哮喘患儿和其家庭较好的、以教育和学校为基础的干预模型。针对哮喘诊断、临床随访、教育、自我管理和生命质量控制的多行动计划能降低哮喘的社会经济负担。
（林江涛 审校）
J Asthma. 2011 Mar 17. [Epub ahead of print]
Happy Air(®), a Successful School-Based Asthma Educational and Interventional Program for Primary School Children.
Chini L, Iannini R, Chianca M, Corrente S, Graziani S, La Rocca M, Borruto M, Di Napoli R, Angelini F, Visconti G, Moschese V.
Allergologia ed Immunologia Pediatrica, Policlinico Tor Vergata, Università di Roma Tor Vergata, Rome, Italy.
Abstract
Background. To investigate whether an active partnership between schools, parents, and pediatricians can improve the management of asthma and quality of life of children with asthma.
Methods. A comprehensive asthma program (Happy Air(®)), based on a strong family-physician-school relationship, was carried out over a period of 3 years in six primary schools (2765 children). This program provides educational intervention to families, school staff, and students, as well as the administration of written questionnaires to identify children with asthma, asthma diagnosis and management, and, last but not least, extracurricular activities to improve respiratory and psychological conditions. Quality of life of children and parents, at the beginning and end of the program, was assessed using PedsQL™ 4.0 (Pediatric Quality of Life Inventory) measurement model.
Result. Asthma was diagnosed in 135 children, of which 37 (27%) were diagnosed de novo. In all children, both single item and total clinical asthma scores showed a significant increase (p < .001) at the end of the Happy Air(®) program. The average scores of both the total PedsQL™ 4.0 and the four Scales were significantly increased (p < .001).
Conclusion. Happy Air(®) is a model for a strategy of education- and school-based intervention for children with asthma and their families. This multi-action program for diagnosis, clinical follow-up, education, self-management, and quality-of-life control aims to minimize the socioeconomic burden of asthma disease.
J Asthma. 2011 Mar 17. [Epub ahead of print]
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哮喘控制不佳与卫生资源利用增加和生活质量下降相关
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美国哮喘开支：2002～2007
