A School Nurse–Led Asthma Intervention for School-Age Children: A Randomized Control Trial to Improve Self-Management

2020 ◽  
pp. 105984052090251
Author(s):  
Elif Isik ◽  
Nina M. Fredland ◽  
Anne Young ◽  
Rebecca J. Schultz

Asthma is a common disease in children, and obtaining basic knowledge and skills to manage asthma symptoms is critically important. This study examined the effectiveness of a theoretically based school nurse–led asthma intervention on asthma symptoms, self-management, peak flow meter usage, daily activities, and school absences in children 7–12 years old. A randomized controlled, two-group, repeated measures design was conducted in eight public schools. Data collection occurred at three time points. The treatment group had statistically significant differences in reported symptoms ( p < .001), asthma control with a peak flow meter usage ( p < .001), and daily activities ( p < .001) at 6 weeks and at 12 weeks. Although difference in school absences was not statistically significant, the treatment group missed fewer school days than the control group. Self-management is a complex process, and school nurses can provide essential learning steps and continuity of care for school-age children living with asthma.

2005 ◽  
Vol 21 (5) ◽  
pp. 283-292 ◽  
Author(s):  
Jane Flower ◽  
Elizabeth M. Saewyc

The purpose of this descriptive study was to pilot test an Asthma Assessment Interview (AAI) and to determine the approximate age a child with asthma is capable to self-carry an inhaler. A random sample of 34 students with asthma (Grades K through 10) from a midwestern school district were interviewed by the school nurse using the AAI, which assesses knowledge of asthma, symptoms, coping strategies, medication administration skills, triggers, and judgment about when to use an inhaler including the ability to tell time. Only 38% passed the AAI. No students ages 5 to 7 passed, fewer than 50% of students ages 8 to 10 passed, and half or more of students age 11 or older passed the AAI. Results suggest a school nurse should supervise elementary students when using an inhaler; most should not self-carry. The AAI can be a useful part of the school nurse’s assessment.


2012 ◽  
Vol 8 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Patricia V. Burkhart ◽  
Marsha G. Oakley ◽  
Kristyn L. Mickley

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Sri Aminingsih ◽  
Warsini

Latar belakang : kebiasaan cuci tangan yang benar sangat penting. Namun menurut Badan Pusat Statistik kebiasaan cuci tangan yang benar di Provinsi Jawa Tengah belum maksimal yaitu sebesar 53,6%. Dari observasi yang dilakukan peneliti di Dusun Ngegot Kabupaten Karanganyar masih terlihat bahwa beberapa anak saat membeli jajanan langsung mengonsumsi jajanan tersebut tanpa mencuci tangan terlebih dahulu, padahal masing-masing rumah sudah menyediakan tempat cuci tangan di depan rumah. Tujuan : untuk mengetahui pengaruh penerapan metode bernyanyi terhadap kemampuan cuci tangan pada anak usia sekolah. Metode : penelitian ini merupakan penelitian eksperimental dengan desain pre-post experimental control design untuk mengetahui pengaruh metode bernyanyi dalam meningkatkan kemampuan cuci tangan anak usia sekolah. Hasil : hasil pretest pada kelompok perlakuan terdapat 93,3% anak yang tidak mampu melakukan cuci tangan dengan benar dan 6,7% anak yang mampu melakukan cuci tangan dengan benar dan hasil posttest  terdapat 20% anak yang tidak mampu melakukan cuci tangan dengan benar dan 80% anak yang mampu melakukan cuci tangan dengan benar. Sedangkan pada kelompok kontrol hasil pretest terdapat 93,3% anak yang tidak mampu melakukan cuci tangan dengan benar dan 6,7% anak yang mampu melakukan cuci tangan dengan benar dan hasil posttest  terdapat 60% anak yang tidak mampu melakukan cuci tangan dengan benar dan 40% anak yang mampu melakukan cuci tangan dengan benar. Dengan menggunakan Uji Mann Whitney diperoleh hasil p = 0,028. Kesimpulan : penerapan metode bernyanyi efektif untuk meningkatkan kemampuan mencuci tangan. Kata kunci : kemampuan mencuci tangan, metode bernyanyi, penerapan   Background : correct hand washing habits are very important. However, according to the Central Statistics Agency, the correct habit of washing hands in Central Java Province is not maximal, namely at 53.6%. From observations made by researchers in Ngegot, Karanganyar Regency, it is still seen that some children when buying snacks immediately consume these snacks without washing their hands first, even though each house has provided a place to wash their hands in front of the house. The aims of the study : this is to determine the effect of the singing method on the ability to wash hands in school age children. Method. This research is an experimental study with a pre-post experimental control design to determine the effect of the singing method in improving the ability of school age children to wash their hands. Result : the pretest results in the treatment group were 93.3% of children who were unable to wash their hands properly and 6.7% of children who were able to wash their hands properly and posttest results there were 20% of children who were unable to wash their hands properly and 80% children who are able to wash their hands properly. Whereas in the control group, the pretest results were 93.3% of the children who were unable to wash their hands properly and 6.7% of the children who were able to wash their hands properly and the posttest results there were 60% of the children who were unable to wash their hands properly and 40 % of children who are able to wash their hands properly. By using the Mann Whitney test the result was p = 0.028. Conclusion : the application of the singing method is effective in improving the ability to wash hands. Key words: ability to wash hands, singing method, application


2019 ◽  
Vol 1 (3) ◽  
pp. 210
Author(s):  
Mira Andani ◽  
Robby Hardian ◽  
Win Fadillah ◽  
Vevi Suryenti Putri ◽  
Maimaznah Maimaznah

Damage of teeth can be affect for health of the other body, so it will interfere with daily activities. Based of the assessment in 26 school-age children in RT 08 Kelurahan Murni, showed 20 people (76.92%) who had tooth holes and black teeth, even though 18 people (69.23%) had brushed their teeth twice a day . Therefore, it is necessary to conduct health education on dental caries and tooth brushing competitions accompanied by demonstrations so that children can find out how to brush their teeth properly to avoid dental caries. The target of this counseling is that school-age children can practice the correct way of brushing their teeth to prevent dental caries. Extension activities were carried out for 45 minutes with the stages of directing participants to the place to be counseled, opening the presentation delivered by the moderator, delivering counseling material delivered by the presenter, demonstrating how to brush teeth properly, directing children to take part in brushing competitions, conducting competitions brush your teeth, give gifts to children who can brush their teeth properly, evaluate the counseling participants, distribute leaflets to the audience, document activities. The results of counseling activities are children are able to do the right way to brush their teeth.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 153-157
Author(s):  
Muthulakshmi C ◽  
Kalpana Devi V

Respiratory problems are significant gathering of ailment influencing kids particularly in India and are the significant reasons for youth horribleness and mortality. Specifically, obstructive aviation route illnesses ascend in youngsters because of natural contamination and different causes. In this way, evaluation of aspiratory work test in such kids is significant. Henceforth the current investigation focused on to evaluate the adequacy of strelinikova breathing activity on respiratory signs and boundaries among younger students with respiratory parcel infection. The research configuration utilized was semi exploratory pre-test post-test plan. Purposive examining strategy was utilized to choose the 60 sample. The demographic data was collected by using the structured questionnaire and the oxygen level was measured by using the Pulse Oximeter. The peak flow rate was measured by using the Peak Flow Meter. The findings of the study revealed that there was significant difference in the measurement of oxygen saturation and respiratory rate between the experimental and control group which infers that Strelinikova Breathing Exercise on respiratory signs and parameters administered to the school age children with lower respiratory tract infection in the experimental group was found to be effective in maintaining the respiratory parameters among school age children and the current findings suggests that more extensive studies can be done at different settings and also as comparative studies.


PEDIATRICS ◽  
1995 ◽  
Vol 96 (2) ◽  
pp. 395-395
Author(s):  
Thomas Bell

The authors felt that individual data suggested the possession of the peak-flow meter led to some improvement in the management of more severe asthmatics. They conclude the benefits of peak-flow self-management are questionable.


2007 ◽  
Vol 11 (1) ◽  
pp. 13-18
Author(s):  
Dessie Wanda ◽  
Happy Hayati

AbstrakPengalaman dirawat inap (hospitalisasi) memberikan dampak bagi anak selama dan sesudah hospitalisasi berlangsung. Tidak banyak literatur yang ditemui membahas tentang dampak hospitalisasi setelah anak pulang dari rumah sakit. Penelitian ini bertujuan untuk menggali pengalaman anak usia sekolah di rumah setelah mereka dirawat di rumah sakit. Pengalaman yang digali berfokus pada perubahan-perubahan yang terjadi di rumah setelah anak dirawat di rumah sakit dibandingkan dengan sebelum anak dirawat. Manfaat dari penelitian ini adalah untuk perkembangan ilmu keperawatan anak agar perawat dapat mempersiapkan informasi yang akan disampaikan kepada klien anak dan keluarga terkait dengan persiapan pulang. Penelitian ini menggunakan metode kualitatif fenomenologi dengan wawancara mendalam pada anak usia sekolah dengan kriteria inklusi: (1) anak usia 7-12 tahun (2) minimal satu minggu pasca rawat inap (3) mengerti bahasa Indonesia (4) mempunyai kemampuan menjawab verbal terhadap pertanyaan yang diajukan peneliti. Hasil wawancara dianalisis menggunakan metode Colaizzi. Tema yang muncul saat wawancara adalah: (1) anak tidak lagi merasakan gejala sakitnya, (2) anak mengalami perubahan dalam pemenuhan kebutuhan sehari-hari, (3) anak mengalami perubahan dalam aktifitas sehari-hari, (4) anak mengalami perubahan dari sikap orang terdekat, (5) anak mengalami perubahan dalam jenis dan jumlah makanan yang dimakan. Namun, beberapa anak mengatakan tidak mengalami perubahan setelah pulang dari rumah sakit (6). AbstractHospitalization affects children’s life before, during and after the period of hospitalization. Few literatures explained the impact of post hospitalization on children, particularly for school age children. This study aimed to explore the experiences of school age children post hospitalization. Information gathered from this study can be used to develop pediatric nursing care, particularly on discharge planning for children and family. Qualitative approach phenomenology was used as a methodology. Inclusion criterias for the participants are: (1) children age 7-12 years old, (2) at least one week post hospitalization, (3) understand Indonesian language, and (4) able to answer questions from the interviewer. Then, data was analyzed using Colaizzi’s method. Themes arised were: (1) children felt free from the symptoms of the disease, (2) children experienced changes on meeting their daily needs, (3) children experienced changes in their daily activities, (4) children experienced changes from significant other’s behavior, (5) children experienced changes in type and amount of food consumption, (6) no changes at all.


2011 ◽  
Vol 32 (1) ◽  
pp. 222-234 ◽  
Author(s):  
Dirk-Wouter Smits ◽  
Marjolijn Ketelaar ◽  
Jan Willem Gorter ◽  
Petra van Schie ◽  
Annet Dallmeijer ◽  
...  

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