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Self-care education program for the child with bronchial asthma

支气管哮喘儿童自我护理教育计划

基本信息

批准号：
08672704
负责人：
TANABE Keiko
金额：
$ 1.41万
依托单位：
Kawasaki University of Medical Wealfare
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1996
资助国家：
日本
起止时间：
1996 至 1997
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-08672704/
关键词：
Self-care Education program Self-monitoring Health Locus of Control Child with bronchial asthma 小児気管支喘息健康価値

项目摘要

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.

本初步研究的目的是：(1)开发一种测量儿童健康控制点（HLC）的工具，(2)检验HCL与自我照顾行为的关系，(3)评估自我监控的效率。本研究采用重复测量的前后设计。儿童健康控制源量表是可靠和有效的。支气管哮喘患儿自我照顾行为评分与HLC内部评分呈正相关。一项初步研究的结果表明，自我监控对支气管哮喘儿童的自我照顾行为有影响。进行了两项后续研究。8周后，实验组的孩子，那些做自我监控的孩子，在自我照顾得分上有统计学上的显著提高。对照组没有提高自我照顾得分。8周后，内部HLC得分高、中者的自我照顾得分有统计学意义的提高。低内部评分组儿童的增加无统计学意义。没有一个组在流动性参数（旷课天数、急性哮喘发作、医生咨询）上显示出统计学上显著的改善。这些结果表明，支气管哮喘患儿的自我监测可以加强自我护理行为。