Adolescent Asthma Self-Management: A Concept Analysis and Operational Definition
Adolescent Asthma Self-Management: A Concept Analysis and Operational Definition
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DOI：
10.1089/ped.2012.0150
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发表时间：
2012-12-01
影响因子：
0.9
通讯作者：
Rhee, Hyekyun
中科院分区：
文献类型：
--
作者：
Mammen, Jennifer;Rhee, Hyekyun
背景：青少年哮喘发病率和死亡率高于其他年龄组。哮喘自我管理已被证明可以改善预后；然而，哮喘自我管理的概念并没有明确的定义。方法：我们使用Norris概念澄清法来描述青少年哮喘自我管理概念的构成。检索了5个数据库，以确定青少年哮喘自我管理概念的组成部分，并编制和分类了相关子概念列表。结果：分析揭示了自我管理行为的4个具体领域：(1)症状预防；(2)症状监测；(3)急性症状管理；(4)与重要的人沟通。这些领域的自我管理是由人际/认知和人际/环境因素介导的。结论：在此基础上，提出了青少年哮喘自我管理的研究性操作性定义和初步模型，为进一步研究提供概念基础。
Background: Adolescents with asthma have a higher risk of morbidity and mortality than other age groups. Asthma self-management has been shown to improve outcomes; however, the concept of asthma self-management is not explicitly defined.Methods: We use the Norris method of concept clarification to delineate what constitutes the concept of asthma self-management in adolescents. Five databases were searched to identify components of the concept of adolescent asthma self-management, and lists of relevant subconcepts were compiled and categorized.Results: Analysis revealed 4 specific domains of self-management behaviors: (1) symptom prevention; (2) symptom monitoring; (3) acute symptom management; and (4) communication with important others. These domains of self-management were mediated by intrapersonal/cognitive and interpersonal/contextual factors.Conclusions: Based on the analysis, we offer a research-based operational definition for adolescent asthma self-management and a preliminary model that can serve as a conceptual base for further research.