學齡氣喘兒童氣喘素質因素與自我處理行爲之調查及夏令營對其之影響

A Study of Predisposing Factors and Self-Management Behaviors of School-Age Children with Asthma and the Impact of Summer Asthma Camp

蔣立琦(Li-Chi Chiang) ； 黃璟隆(Jing-Long Huang) ； 呂昌明(Chang-Ming Lu)

《護理研究》 7卷4期 (1999/08) Pp. 307-320

https://doi.org/10.7081/NR.199908.0307

摘要

The purposes of this quantitative study were (1) to understand the predisposing factors (knowledge, attitude, self-efficacy, locus of control), self-management behavior, school life adaptation, and pychosomatic symptoms of 58 school-age asthma children; (2)to predict self-management behaviors by knowledge, attitude and self-efficacy; and (3)to evaluate changes in knowledge, attitude and self-efficacy before and after summer asthma camp. The results indicate that the correct rate of asthma knowledge was 64.7%. Asthma attitude, self-efficacy and self-management behaviors were middle to high level. Most of the child was internal locus of control. School life maladaptation was not common. More than one third of children had psychosomatic symptoms. Asthma family history covaried significantly with management behavior in self-management behavior(F=4.244, p=0.044). Family location with self-management behavior and management behavior have significant difference (F= 6.629, p=0.003; F=13.230, p=0.001). The result of stepwise multiple regression was self-management behavior=39.246+0.190 asthma knowledge+0.371 asthma attitude+0.263 self-efficacy, (R square=.36, F=7.676, p=0.000). Summer asthma camp had an impact on knowledge and self-efficacy (p＜0.001), but not on attitude.

關鍵字

氣喘兒童 ； 學齡兒童 ； 氣喘夏令營 ； 衛生教育 ； 自我效能 ； 素質因素

並列摘要

The purposes of this quantitative study were (1) to understand the predisposing factors (knowledge, attitude, self-efficacy, locus of control), self-management behavior, school life adaptation, and pychosomatic symptoms of 58 school-age asthma children; (2)to predict self-management behaviors by knowledge, attitude and self-efficacy; and (3)to evaluate changes in knowledge, attitude and self-efficacy before and after summer asthma camp. The results indicate that the correct rate of asthma knowledge was 64.7%. Asthma attitude, self-efficacy and self-management behaviors were middle to high level. Most of the child was internal locus of control. School life maladaptation was not common. More than one third of children had psychosomatic symptoms. Asthma family history covaried significantly with management behavior in self-management behavior(F=4.244, p=0.044). Family location with self-management behavior and management behavior have significant difference (F= 6.629, p=0.003; F=13.230, p=0.001). The result of stepwise multiple regression was self-management behavior=39.246+0.190 asthma knowledge+0.371 asthma attitude+0.263 self-efficacy, (R square=.36, F=7.676, p=0.000). Summer asthma camp had an impact on knowledge and self-efficacy (p＜0.001), but not on attitude.

並列關鍵字

asthma child ； school-age ； summer asthma camp ； health education ； self-efficacy ； predisposing factor