慢性氣喘兒童的發展性照護

Developmental Care for Children with Chronic Asthma

何佩紋(Pei-Wen Ho) ； 蔣立琦(Li-Chi Chiang) ； 黃璟隆(Jing-Long Huang) ； 田炯璽(Chiung-Hsi Tien)

《榮總護理》 32卷4期 (2015/12) Pp. 351-358

https://doi.org/10.6142/VGHN.32.4.351

摘要

氣喘是兒童時期最常見的慢性疾病，反覆地氣喘發作和氣喘徵兆/症狀已被證明影響兒童的心理社會發展，其父母親往往也會感到過度擔憂，而採取過度保護行為，親子間的關係也因此受到衝擊，更會影響其家庭生活。本文依據賦權理論，設計氣喘兒童的發展性照護，鼓勵父母、子女建立合作性關係，藉由學習賦權充能，協助氣喘兒童健康自我管理。透過傾聽、對話、反思和行動四大步驟，提出兒科護理人員的關鍵提問以促使親子照護模式改變，協助他們成功轉換到獨立自主的氣喘管理階段，以達學齡期兒童能獨立完成氣喘自我照顧之目標。

關鍵字

氣喘 ； 兒童 ； 發展性照護 ； 轉銜

並列摘要

Asthma is the most common chronic childhood disease, and recurrent asthma attacks and related signs and symptoms have been reported to affect the psychosocial development of children. Consequently, the parents of the affected children become extremely worried and overprotective; moreover, chronic asthma influences the relationship between parents and children, and family life. Therefore, we designed a developmental care program for children with asthma based on empowerment theory for encouraging parents and children to establish partnerships and gradually enabling children with asthma to self-manage their condition. Thought-provoking critical questions were suggested for pediatric nurses on the basis of the four steps of empowerment theory, namely listening, dialog, reflection, and action, to assist the parent- child change care mode and to facilitate the successful transition of school-aged children to the succeeding stage of self-managing asthma.

並列關鍵字

asthma ； children ； developmental care ； transition

參考文獻

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