Self-care education program for the child with bronchial asthma

本研究的目的是(1)编制儿童健康控制源(HLC)的测量工具；(2)考察健康控制源与自我照顾行为之间的关系；(3)评价自我监控的有效性。本研究采用前后重复测量设计，儿童健康心理控制源量表具有较好的信度和效度。哮喘儿童的自理行为得分与HLC的内部得分呈正相关。初步研究结果表明，自我监控对哮喘儿童的自理行为有影响。进行了两项跟踪研究。8周后，实验组的儿童，即那些进行自我监控的儿童，在自我护理方面的得分在统计学上有显著的提高。8周后，HLC内部评分高、中的患者的自我护理得分有统计学意义的提高。低内部评分组儿童的增加在统计学上没有显著意义。这些组在发病率参数(缺课天数、急性哮喘发作、医生咨询)方面都没有表现出统计学上的显著改善。这些结果改善了哮喘儿童的自我监测增强了自我照顾行为。

The purpose of this pilot study was (1)to develop an instrument to measure a child's Health Locus of Control (HLC), (2)to examine the relationship between the HCL and self-care behaviors and (3)to evaluate the efficiency of self-monitoring. The sutdy utilized a pre-and post design with repeated measurement.The Children's Health Locus of Control Scale appears to be reliable and valid. Self-care behavior scores of children with bronchial asthma were positively correlated with internal scores of HLC.The result of a pilot study indicated that self-monitoring had an effet on the self-care behavior of children with bronchial asthma. Two follow-up studies were done.After an 8 week period, children in the experimental group, those who did self-monitoring, showed a statistically significant increase in self-care scores. The control group did not increase self-care scores.After an 8 week period, those with the high and middle internal HLC scores showed a statistically significant increase in self-care scores. Increases for children in the low internal score group were not statistically significant. None of the groups showed statistically significant improvements in mobidity parameters (days lost from school, acute asthma attacks, physician consultations).These results improved that self-monitoring by a child with bronchial asthma reinforces self-care behavior.