ప్రాథమిక సంరక్షణలో నాణ్యత అందరికి ప్రవేశం

నైరూప్య

Project for the Evaluation of Asthma in Tipton Schools (PEATS)

ian Walton

Objectives To evaluate an education project on childhood asthma, designed to enable young asthmatic children to better understand their condition and manage it more effectively, and to identify improvement in asthma management.Design   Two-day educational programme, followed by administration of a lifestyle questionnaire.Participants and setting   Children aged 5–10 years,registered with a Tipton Care Organisation GP and identified as asthmatic from school health records.Main outcome measures  Reduction in use of reliever inhalers; increased use of preventative inhalers;qualitative assessment of changes.Main results  One-hundred and ninety-two children were identiŽ ed as asthmatic. One-third (n =63) were not taking any medication, and appeared to be either wrongly labelled as asthmatic or recovered;46% (n = 59) on inhaled medication were prescribed a bronchodilator and steroid inhaler;19% (n = 24) were only prescribed a steroid, without reliever inhalers; 11% (n = 8) on inhaled medication did not use a steroid inhaler regularly,even if prescribed one; 41% (n = 31) children used two or more puffs of bronchodilator daily; the greatest number regularly used was nine puffs daily;27% (n = 11) indicated that their asthma was improving.Conclusions  The high proportion of children not taking medication raises concerns about erroneous diagnosis and poor compliance; we recommend that schools take action to improve diagnostic records. Despite limited data, the educational programme appears to have been beneŽ cial in improving appropriate inhaler use. Considerabledifficulties were encountered in administering a quality of life questionnaire to children within a full curriculum. We pose the question that these