氣喘態度、社會影響與自我效能對氣喘青少年自我管理意向之影響

The Effect of Attitude, Social Influences and Self-Efficacy on Asthmatic Adolescents' Self-Management Intentions

談靜慧(Ching-Huei Tan) ； 洪志秀(Chich-Hsiu Hung)

《實證護理》 2卷1期 (2006/03) Pp. 24-33

https://doi.org/10.6225/JEBN.2.1.24

摘要

本研究目的為探討氣喘青少年的自我管理意向現況，以及其相關預測因子，採用態度、社會影響和自我效能模式為研究架構，並以高雄市立34所專設國民中學之氣喘學生為母群體，隨機集束抽樣選取七所國中為研究樣本，進行自我管理意向、氣喘態度、社會影響和自我效能施測，完成有效問卷204份。研究結果發現氣喘態度、社會影響和自我效能三項分別與疾病自我管理意向具顯著正相關；過去一年曾住院者與疾病自我管理意向具統計負相關，而氣喘疾病自我管理意向的重要預測因子為氣喘態度、社會影響、自我效能、以及過去一年有住院者，可解釋之總變異量為39.7%。本研究結果可以提供臨床醫護人員與學校護理人員在促進氣喘青少年對於疾病自我管理的參考，及未來進一步介入性措施研究的基礎及方向。

關鍵字

氣喘 ； 自我管理意向 ； 氣喘態度 ； 社會影響 ； 自我效能

並列摘要

The purpose of this survey study was to investigate asthmatic adolescents' self-management intentions and related predictive factors. The conceptual framework with Attitude, Social influences, and Self-efficacy model (ASE model) was applied in the study. Using cluster sampling, junior high students with asthma from 7 of Kaohsiung City's 34 junior high schools were invited to participate in this study. Data was collected with structured questionnaires including self-management intention/asthma attitude/social influences/self-efficacy. A total of 204 valid questionnaires were completed. Results indicated a significant positive relationship between self-management intention and the variables of asthma attitude, social influences, and self-efficacy. The study also found a negative relationship between hospitalization and self-management intention. Asthma attitude, social influences, self-efficacy, and hospitalization in the previous year were identified as significant predictors of asthmatic adolescents' self-management intentions, accounting for 39.7% of total variance. These findings can serve as a reference for clinical healthcare providers and school nurses to foster more effective self-management programs for adolescents with asthma and can provide a fundamental basis for further interventional research.

並列關鍵字

asthma ； self-management intention ； asthma attitude ； social influences ； self-efficacy