Effects of Nursing Instruction on Asthma Knowledge and Quality of Life in Schoolchildren with Asthma

護理指導影響氣喘學齡期兒童氣喘知識與生活品質之探討

楊寶圜(Bao-Huan Yang) ； 陳月枝(Yueh-Chih Chen) ； 江伯倫(Bor-Luen Chiang) ； 張玉坤(Yue-Cune Chang)

《The Journal of Nursing Research》 13卷3期 (2005/09) Pp. 174-183

摘要

The issue of whether nursing instruction efforts could improve asthma knowledge and quality of life among schoolchildren was investigated using a quasi-experimental design. The key instruments were the Asthmatic Knowledge Questionnaire and the Childhood Asthma Questionnaire-Form B. Asthmatic knowledge increased among children who received instruction from nurses (Mean(subscript pre/post)=22.20/31.87, P＜.05). These children also experienced significant improvements in their active quality of life (Mean(subscript pre/post)=27.53/30.20, p＜.05), and decreased distress (Mean(subscript pre/post)=24.04/10.86, P＜.05) and asthma severity (Mean(subscript pre/post)=13.27/8.3, P＜.05). This study finds nursing instruction helpful in improving asthma knowledge. However, in terms of quality of life, elevated knowledge has a marked (negative) correlation only with levels of distress and severity. It shows no detectable relationship with active or passive life quality. Therefore, though nursing instruction can improve schoolchildren's knowledge about asthma, the improvement in knowledge only relates to reducing distress and severity and thus improving quality of life. This result can provide guidance for nursing personnel in developing nursing instruction to improve active quality of life in child patients.

關鍵字

護理指導 ； 氣喘知識 ； 生活品質

並列摘要

The issue of whether nursing instruction efforts could improve asthma knowledge and quality of life among schoolchildren was investigated using a quasi-experimental design. The key instruments were the Asthmatic Knowledge Questionnaire and the Childhood Asthma Questionnaire-Form B. Asthmatic knowledge increased among children who received instruction from nurses (Mean(subscript pre/post)=22.20/31.87, P＜.05). These children also experienced significant improvements in their active quality of life (Mean(subscript pre/post)=27.53/30.20, p＜.05), and decreased distress (Mean(subscript pre/post)=24.04/10.86, P＜.05) and asthma severity (Mean(subscript pre/post)=13.27/8.3, P＜.05). This study finds nursing instruction helpful in improving asthma knowledge. However, in terms of quality of life, elevated knowledge has a marked (negative) correlation only with levels of distress and severity. It shows no detectable relationship with active or passive life quality. Therefore, though nursing instruction can improve schoolchildren's knowledge about asthma, the improvement in knowledge only relates to reducing distress and severity and thus improving quality of life. This result can provide guidance for nursing personnel in developing nursing instruction to improve active quality of life in child patients.

並列關鍵字

Nursing instruction ； asthma knowledge ； quality of life

參考文獻

Chen, S. R.,Chang, W. Y.,Jeng, C.(2001).Exercise instructions for asthmatic children.Chang Gung Nursing.12(3),234-238.

Chen, S. R.,Chang, W. Y.,Pan, M. J.,Jeng, C.(2002).Physical activities, self-efficacy, and quality of life among children with asthma.Journal of Health Science.4(1),1-12.

Chiang, L. C.,Hung, J. L.,Lu, C. M.(1999).A study of predisposing factors and self-management behaviors of school-age children with asthma and the impact of summer asthma camp.The Journal of Nursing Research.7(4),307-321.

Christie, M. J.,French, D.,Weatherstone, L.,West, A.(1991).The patients' perceptions of chronic disease and its management: Psychosomatics, holism and quality of life in contemporary management of childhood asthma.Psychotherapy and Psychosomatics.56,197-203.

Christie, M. J.,French, D.,Sowden, A.,West, A.(1993).The development of child-centred, disease-specific, questionnaires for contemporary appraisals of living with asthma.Psychosomatic Medicine.55,541-548.