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Nurse visits improve asthma care

Nurses who make home visits to asthmatic children can help prevent more than half of them from having to receive more serious treatment for their condition, a study has found.

Researchers organised for a nurse-led hospital visit followed by a homevisit to look at allergen exposure. They found that when asthma nursesvisited children at home to identify possible asthma triggers, 84 percent of families were taking inadequate steps to avoid house dust mitesand in almost a quarter of homes medication was not easily available orwas out-of-date.

The main causes for poor control of children's asthma were psychosocialfactors in 59 per cent of families, and passive or active smoking in 25per cent.

The nurses found potentially modifiable factors in 79 per cent of thechildren's cases. Following their recommendations, it was unnecessaryfor 55 per cent of children to receive more serious treatment.

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