成人氣喘病患自我效能及自我照顧行為之探討

Self-Efficacy and Self-Care Behaviors in Adult Patients with Asthma

陳素月(Su-Yueh Chen) ； 許淑蓮(Sheila Sheu) ； 王東衡(Tung-Heng Wang) ； 黃明賢(Ming-Shyan Huang)

《護理暨健康照護研究》 5卷1期 (2009/03) Pp. 31-41

https://doi.org/10.6225/JNHR.5.1.31

摘要

Morbidity and mortality rates for asthma remain higher in adults than children. Asthma incidence and recurrence remains prevalent in society at large. Previous research has indicated that incidence and readmission rates can be reduced by improving patient self-efficacy. Purposes of this study were to examine the correlation between self-care behaviors and self-efficacy in adult patients with asthma and to explore the predictive factors that affect the performance of relevant self-care behaviors. Data were obtained via purposive sampling at a medical center in Kaohsiung. A total of 128 valid questionnaires were collected. Results included the following: (1) the mean self-care behavior score was 3.74, which is above average; (2) the mean self-efficacy score was 3.85, which is fair; (3) significant differences among self-care behaviors were found to relate significantly to demographics and disease characteristics (e.g., age, smoking history, and experiences leading to the acceptance of educational instructions related to asthma); (4) significant differences were identified among self-efficacy, individual attributes, family history of asthma and experiences leading to the acceptance of educational instructions related to asthma; (5) a significantly positive correlation was found between self-care behaviors and self-efficacy (r=.46, p＜.001); and (6) critical predictive factors of self-care behaviors included self-efficacy, experiences leading to the acceptance of educational instructions related to asthma, age, and smoking history. These variables explained as 25.7% of the variation. Study results are intended to guide advanced intervention research into self-care behaviors and self-efficacy in adult patients with asthma.

關鍵字

氣喘 ； 自我照顧行為 ； 自我效能

並列摘要

Morbidity and mortality rates for asthma remain higher in adults than children. Asthma incidence and recurrence remains prevalent in society at large. Previous research has indicated that incidence and readmission rates can be reduced by improving patient self-efficacy. Purposes of this study were to examine the correlation between self-care behaviors and self-efficacy in adult patients with asthma and to explore the predictive factors that affect the performance of relevant self-care behaviors. Data were obtained via purposive sampling at a medical center in Kaohsiung. A total of 128 valid questionnaires were collected. Results included the following: (1) the mean self-care behavior score was 3.74, which is above average; (2) the mean self-efficacy score was 3.85, which is fair; (3) significant differences among self-care behaviors were found to relate significantly to demographics and disease characteristics (e.g., age, smoking history, and experiences leading to the acceptance of educational instructions related to asthma); (4) significant differences were identified among self-efficacy, individual attributes, family history of asthma and experiences leading to the acceptance of educational instructions related to asthma; (5) a significantly positive correlation was found between self-care behaviors and self-efficacy (r=.46, p＜.001); and (6) critical predictive factors of self-care behaviors included self-efficacy, experiences leading to the acceptance of educational instructions related to asthma, age, and smoking history. These variables explained as 25.7% of the variation. Study results are intended to guide advanced intervention research into self-care behaviors and self-efficacy in adult patients with asthma.

並列關鍵字

asthma ； self-care behavior ； self-efficacy