Parental self-efficacy and asthma self-management skills.
Parental self-efficacy and asthma self-management skills.
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父母的自我效能和哮喘自我管理技能。
DOI：
10.1111/j.1744-6155.1998.tb00222.x
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Hanson,J
中科院分区：
文献类型：
--
作者：
Hanson,J
目的：确定正式的哮喘自我管理计划和社会支持是否能增加父母在管理孩子哮喘时的自我效能，以及父母自我效能是否能预测哮喘自我管理技能。设计：准实验，在2年内测量4个时间点。参与者：低收入，主要是西班牙裔父母（N = 303）中重度至重度哮喘儿童。研究背景：西南大学农村医疗机构。主要观察指标：父母自我效能和父母哮喘自我管理技能结果：父母自我效能感较基线显著增加，但对照组和治疗组之间无显著差异。自我效能的增加在6个月时明显，然后趋于平稳。在基线或12个月的父母自我效能感并不能预测父母的哮喘自我管理技能scores.CONCLUSIONS.在提高父母自我效能感方面，个体教育与团体教育一样有效。家长们觉得治疗哮喘发作比预防哮喘发作更舒服，因此临床医生需要花时间教授预防策略。
Purpose.To determine whether a formal asthma self‐management program and social support using lay health advisors increases parent self‐efficacy in the management of their child's asthma, and whether parent self‐efficacy predicts asthma self‐management skills.DESIGN.Quasi‐experimental with four time points measured over 2 years.PARTICIPANTS.Low‐income, primarily Hispanic parents (N = 303) of children with moderately severe to severe asthma.SETTING.A Southwestern university medical setting in a rural state.MAIN OUTCOME MEASURES.Parent self‐efficacy and parent asthma self‐management skill score scales.RESULTS.Parent self‐efficacy increased significantly from baseline, but there were no significant differences between the control and treatment groups. The increase in self‐efficacy was apparent at 6 months, then leveled off. Parent self‐efficacy at either baseline or 12 months did not predict parents' asthma self‐management skill score.CONCLUSIONS.Individual education was just as effective as group education in increasing parental self‐efficacy. Parents felt more comfortable treating asthma episodes than preventing them, thus clinicians need to spend time teaching preventive strategies.