Screening for asthma: results from a rural cohort.
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| Title: | Screening for asthma: results from a rural cohort. |
|---|---|
| Authors: | Rodehorst TKC (AUTHOR), Wilhelm SL (AUTHOR), Stepans MB (AUTHOR) |
| Source: | Issues in Comprehensive Pediatric Nursing. Dec2006, Vol. 29 Issue 4, p205-224. 20p. |
| Abstract: | Background: Asthma, the leading cause of chronic illness in children, must be managed in both the home and school environments. Identification of children who have risk factors associated with asthma is the first step toward achieving one of the Healthy People 2010 (2000) objectives, which identifies that 25 states will establish a system of surveillance to track asthma mortality, morbidity, access to care, and asthma management. Purpose: The purposes of this research were to: a) identify rural children who are at risk for asthma through written screening; b) assess parameters of respiratory health status of rural school-aged children as indicated by forced expiratory volume at l second (FEV[1]), forced vital capacity (FVC), peak expiratory flow (PEF), mean mid-expiratory flow (FEF[25-75]); and c) identify the number of rural school-aged children who sought and obtained follow-up from their primary health care provider and were given a definitive diagnosis of asthma. Framework: The Vulnerable Populations Framework (Flaskerud and Winslow, 1998) was used to organize this study. Methodology: A prospective descriptive design was utilized for this research. Results: Approximately 12% of the children screened were referred to their primary care provider (PCP) for follow-up care. Of these approximately half of the children were seen by their PCP. Barriers to seeking follow-up care were: a) the child was not symptomatic all the time, b) reluctance to be diagnosed with asthma, and c) others, such as cost and time. Children who were not well controlled identified that they ran out of medicine and their parents did not refill their prescription. Conclusion: Results from this descriptive study indicate that screening for asthma in school may be a way to identify those children who are at risk for asthma, and who are not diagnosed as well as those who are diagnosed with asthma but are not optimally managed. While many parents wanted their children to be screened, follow-up care was not critical to them. Implications: Nurses working in a school setting are in a prime position to help identify those children with signs and symptoms of asthma. In addition, use of written screenings with or without spirometry may be helpful in identifying children at risk for asthma. Further studies need to be undertaken to determine if written screening is as efficacious as spirometry for school and other ambulatory care settings. [ABSTRACT FROM AUTHOR] |
| Copyright of Issues in Comprehensive Pediatric Nursing is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 106242871 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Screening for asthma: results from a rural cohort. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Rodehorst+TKC%22">Rodehorst TKC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wilhelm+SL%22">Wilhelm SL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stepans+MB%22">Stepans MB</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Issues+in+Comprehensive+Pediatric+Nursing%22">Issues in Comprehensive Pediatric Nursing</searchLink>. Dec2006, Vol. 29 Issue 4, p205-224. 20p. – Name: Abstract Label: Abstract Group: Ab Data: Background: Asthma, the leading cause of chronic illness in children, must be managed in both the home and school environments. Identification of children who have risk factors associated with asthma is the first step toward achieving one of the Healthy People 2010 (2000) objectives, which identifies that 25 states will establish a system of surveillance to track asthma mortality, morbidity, access to care, and asthma management. Purpose: The purposes of this research were to: a) identify rural children who are at risk for asthma through written screening; b) assess parameters of respiratory health status of rural school-aged children as indicated by forced expiratory volume at l second (FEV[1]), forced vital capacity (FVC), peak expiratory flow (PEF), mean mid-expiratory flow (FEF[25-75]); and c) identify the number of rural school-aged children who sought and obtained follow-up from their primary health care provider and were given a definitive diagnosis of asthma. Framework: The Vulnerable Populations Framework (Flaskerud and Winslow, 1998) was used to organize this study. Methodology: A prospective descriptive design was utilized for this research. Results: Approximately 12% of the children screened were referred to their primary care provider (PCP) for follow-up care. Of these approximately half of the children were seen by their PCP. Barriers to seeking follow-up care were: a) the child was not symptomatic all the time, b) reluctance to be diagnosed with asthma, and c) others, such as cost and time. Children who were not well controlled identified that they ran out of medicine and their parents did not refill their prescription. Conclusion: Results from this descriptive study indicate that screening for asthma in school may be a way to identify those children who are at risk for asthma, and who are not diagnosed as well as those who are diagnosed with asthma but are not optimally managed. While many parents wanted their children to be screened, follow-up care was not critical to them. Implications: Nurses working in a school setting are in a prime position to help identify those children with signs and symptoms of asthma. In addition, use of written screenings with or without spirometry may be helpful in identifying children at risk for asthma. Further studies need to be undertaken to determine if written screening is as efficacious as spirometry for school and other ambulatory care settings. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Issues in Comprehensive Pediatric Nursing is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=106242871 |
| RecordInfo | BibRecord: BibEntity: Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 20 StartPage: 205 Titles: – TitleFull: Screening for asthma: results from a rural cohort. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Rodehorst TKC – PersonEntity: Name: NameFull: Wilhelm SL – PersonEntity: Name: NameFull: Stepans MB IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2006 Type: published Y: 2006 Identifiers: – Type: issn-print Value: 01460862 Numbering: – Type: volume Value: 29 – Type: issue Value: 4 Titles: – TitleFull: Issues in Comprehensive Pediatric Nursing Type: main |
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