Paper
Thursday, 20 July 2006
This presentation is part of : Public Health Strategies
Impact of School Asthma Management Model on Junior High School Students With Asthma
Suh-Hwa Maa, DSN, RN, School of Nursing, Chang Gung University, Kwei-San, Tao-Yuan, Taiwan
Learning Objective #1: The learner will be able to know how to develop a school asthma management model for junior high school students with asthma.
Learning Objective #2: The learner will be able to know what are the determinants for positive and negative impacts of school asthma management model.
Aims and objectives. The purpose of this study was to develop and pilot test a school asthma management model for junior high school students with asthma and to identify determinants for positive and negative impacts of school asthma management model. Background. A successful asthma treatment depends on a health system that recognizes the value of clear communication and education. One way to meet these needs is to use a support network for self-management of students with asthma to build a school asthma management model in which asthmatics and health care providers can collaborate as partners. Asthmatics during junior high school are a good time to perform school asthma management model because junior high school students have lower hospitalization rate and higher social support from family and school. Design. A prospective, quasi experiment, repeated measures was used in this three years study. Methods. Eighty-six (n = 86) students with asthma at two junior high schools received asthma consultant only (n = 32) or school asthma management model supplemented to asthma consultant (n = 54). Outcomes were determined by changes in acute episodes or sequel from asthma events, absent hours from school due to asthma, lung function, and the score of school performance, physical adjustment, psychological adjustment, social adjustment, self-evaluation of academic subject, and smoking and alcohol consumption. Results. For experimental group, the level of social adjustment scores improved over time, compared to controls (p=0.006). Other variables did not differ significantly between the experimental and the control groups. Conclusions. The school asthma management model seems to be useful to improve the level of social adjustment on junior high school students with asthma.

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