Effects of Systematic Nursing Instruction of Mothers on Using Medication and on Health Status of Asthmatic Children

系統性護理指導對母親協助用藥及氣喘兒童健康的成效

洪兆嘉(Chao-Chia Hung) ； 陳月枝(Yueh-Chih Chen) ； 毛新春(Hsin-Chun Mao) ； 江伯倫(Bor-Luen Chiang)

《The Journal of Nursing Research》 10卷1期 (2002/03) Pp. 22-32

摘要

本研究主要目的是探討系統性護理指導對氣喘兒童母親有關藥物知識、吸入器的使用技巧，協助兒童藥物使用的自我效能，及兒童健康狀況的成效探討。應用類實驗設計法在臺北某醫學中心兒科過敏免疫特別門診，以立意取樣選取82對氣喘兒童及其母親爲研究對象，按週別分爲實驗組41對接受系統性護理指導及控制級41對進行門診常規護理指導；每名個案追踐二個月,利用「藥物知識量表」，「吸入器使用技巧評量表」，「藥物使用自我效能評量表」及「兒童健康狀況評量表」，評估母親接受系統性護理指導的成效。結果發現對氣喘兒童的母親進行系統性護理指導能有效改善母親有關氣喘藥物的知識、吸入器的使用技巧、自我效能、及降低兒童近二個月呼吸道疾病的次數。總之，對兒童母親進行與氣喘藥物有關的護理指導不僅直接對母親有利，同時也能間接改善兒童的健康狀況。

關鍵字

系統性護理指導 ； 氣喘藥物 ； 兒童 ； 知識 ； 自我效能 ； 健康狀況

並列摘要

The purpose of this study was to investigate the effects of systematic nursing instruction for mothers of children with asthma on their knowledge of the medication, ability to use inhalation devices, self-efficacy of medication use, and on children’s health status, A quasi-experimental study was conducted at the Pediatric Allergy Clinic of a major academically based medical center in Taipei, Taiwan. The sample consisted of 82 mothers and their children recruited by purposive sampling. The intervention group (n=41) received systematic nursing instruction from the researchers and the control group (n=41) received regular nursing care from staff nurses. The effects of systematic nursing instruction were evaluated two months later using four questionnaires: the mother’s knowledge of medication, inhaling steps, self-efficacy of medication use, and child’s health status. The results of this study showed that systematic nursing instruction of mothers of children with asthma significantly improved their knowledge of the medication, ability to use inhalation devices, and self-efficacy, as well as decreasing the number of episodes of respiratory disease of children over a two month period. To sum up, these findings demonstrate that systematic nursing instruction of mothers about asthma medication not only benefited mothers directly, but also improved children’s health status indirectly.

並列關鍵字

systematic nursing instruction ； asthma medication ； children ； knowledge ； self-efficacy ； health status

參考文獻

Bailey, W. C., Higgins, D. M., Richards, B. M., Richards, J. M.(1992).Asthma severity: A factor analytic investigation.The American Journal of Medicine.93

Bartholomew, L. K., Parcel, G. S., Swank, P. R., Czyzewski, D. I.(1993).Measuring self-efficacy expectations for the self-management of cystic fibrosis.Chest.103(5)

Chou, C. C., Wang, S. H.(1995).Treatment of chronic asthma.Journal of Microbiology and Immunology.28

Deaves, D. M.(1993).An assessment of the value of health education in the prevention of childhood asthma.Journal of Advanced Nursing.18

Department of Health, The Executive Yuan(2000).Guidelines for the treatment of pediatric asthma.Taipei:Department of Health, the Executive Yuan.