哮喘联盟

   摘要
   本试验研究小学学龄期哮喘儿童父母进行哮喘自我管理的效果，探索父母哮喘自我管理效果、父母和儿童特征、哮喘任务难度和哮喘管理责任感之间的相关性。对113名父母进行横断面描述性调查，评价父母哮喘自我管理的效果、哮喘任务难度和自信心、哮喘责任感和社会-人口统计学特征。结果显示，父母在哮喘发作预防方面的自我管理效果强于哮喘治疗方面的效果。父母对简单的、基于技术的和频繁使用的（如用药）哮喘治疗任务的自我管理效果较好，但有较低的自信心，在与判断和决策相关的任务上有较高的难度。多变量线性回归分析显示，英语、儿童哮喘责任感和父母教育是较好的哮喘自我管理效果的预测因子，而年长儿童与父母哮喘自我管理效果较差有关。这些结果显示，有必要对父母和儿童进行针对性的健康教育和自我管理干预。
 

（刘国梁 审校）
J Child Health Care. 2013 Feb 19. [Epub ahead of print]
 

Asthma management self-efficacy in parents of primary school-age children.
 
Brown N, Gallagher R, Fowler C, Wales S.

Source
University of Technology, Sydney, Australia.

Abstract 
The aim of this study was to investigate asthma management self-efficacy in parents of primary school-age children with asthma and to explore possible associations between parent asthma management self-efficacy, parent and child characteristics, asthma task difficulty and asthma management responsibility. A cross-sectional descriptive survey of 113 parents was conducted to assess the level of parent asthma management self-efficacy, asthma task difficulty and confidence, asthma responsibility and socio-demographic characteristics. The findings indicate that parents had higher self-efficacy for attack prevention than attack management. Parents had higher self-efficacy for asthma management tasks that are simple, skills based and performed frequently such as medication administration and less confidence and greater difficulty with tasks associated with judgement and decision-making. Multivariate linear regression analysis identified English language, child asthma responsibility and parent education as predictors of higher asthma management self-efficacy, while an older child was associated with lower parent asthma management self-efficacy. The implications of these results for planning and targeting health education and self-management interventions for parents and children are discussed.

J Child Health Care. 2013 Feb 19. [Epub ahead of print]