Self-care education program for the child with bronchial asthma

本研究的目的是：（1）开发一个测量儿童健康控制源（HLC）的工具，（2）检查HCL和自我护理行为之间的关系，（3）评估自我监控的效率。本研究采用重复测量的前后设计，编制的儿童健康心理控制源量表具有较好的信度和效度。支气管哮喘患儿的自我护理行为评分与HLC的内部评分呈正相关，初步研究结果表明，自我监测对支气管哮喘患儿的自我护理行为有影响。两个后续研究完成后，在8周的时间内，在实验组的儿童，那些谁做了自我监控，自我照顾的分数显着增加。对照组的自我照顾得分没有增加，经过8周的时间，那些具有高和中等内部HLC得分的自我照顾得分显示出统计学上的显着增加。低内部分数组儿童的增加没有统计学意义。没有一个组在活动性参数（缺课天数、急性哮喘发作、医生咨询）方面显示出统计学上的显著改善。这些结果表明，支气管哮喘儿童的自我监测加强了自我护理行为。

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.