Vol. 2, Issue 1, Part A (2025)

Background: Asthma is one of the most prevalent chronic respiratory diseases in children and is a major cause of school absenteeism, reduced quality of life, and frequent healthcare utilization. Despite advancements in treatment, poor disease control persists due to inadequate self-management, environmental triggers, and gaps in community support. This study evaluates the effectiveness of structured, nurse-led community interventions in improving asthma control among school-aged children. Methods: A quasi-experimental study was conducted in three urban primary schools involving 180 children aged 6-14 years with physician-diagnosed asthma. Participants were randomized into intervention and control groups. The intervention included nurse-led asthma education, inhaler technique training, trigger management, and regular follow-up for six months. Outcomes measured were Childhood Asthma Control Test (C-ACT) scores, peak expiratory flow rate (PEFR), exacerbation frequency, medication adherence, emergency department visits, and school absenteeism. Data were analyzed using descriptive statistics, independent t-tests, paired t-tests, repeated measures ANOVA, and logistic regression with a significance level of p<0.05. Results: At baseline, groups were comparable across all outcomes. After six months, the intervention group showed significant improvements in C-ACT scores and PEFR, along with reductions in exacerbations, absenteeism, and emergency visits. Medication adherence increased substantially compared to the control group. Effect sizes ranged from moderate to large across primary outcomes, indicating clinically meaningful impacts. School absenteeism decreased notably, demonstrating the broader educational and social benefits of improved asthma control. Conclusion: Nurse-led community interventions significantly enhance asthma management in school-aged children by improving symptom control, lung function, and adherence while reducing morbidity. Integrating community nursing within school health programs offers a practical and sustainable approach to pediatric asthma care. Embedding such programs at the community level can effectively reduce healthcare burden, strengthen preventive care, and enhance children’s educational and health outcomes. This model provides a scalable framework for broader public health implementation and aligns with modern, participant-centered asthma management strategies.