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Nurse home visits help paediatric asthma care

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A study has found half of children who suffer from asthma could be saved from having more serious treatment for their condition if they are visited at home by nurses.

According to the research, published in the Archives of Disease in Childhood, nurses offer several benefits to asthmatic children, including identifying ways of modifying the child’s home environment to prevent further treatment.

Researchers from the Royal Brompton Hospital and Imperial College London studied 71 children aged 4.5 to 17.5-years-old who had problematic asthma and were being followed up at a tertiary respiratory centre.

A nurse-led hospital visit followed by a home visit was organised for the participants between February 2005 and June 2008.

The nurses found potentially modifiable factors in 79% of the children’s cases including exposure to allergens and smoking, and adherence to medication and psychosocial issues.

The results show the nurses identified modifiable factors and made recommendations, which meant that further, more serious treatment for 55% of these children was unnecessary.

The researchers conclude: ‘Nurse-led assessments including a home visit can help identify potentially modifiable factors for poorly controlled symptoms in children with problematic asthma.’

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