Kae Kintner Eileen
Michigan State University, USA.
West J Nurs Res. 2007 Jun;29(4):410-31. doi: 10.1177/0193945907299657.
Older school-age children and early adolescents with asthma have demonstrated and verbalized difficulty in accepting their condition. Although researchers have explored adult acceptance, few have explored child or adolescent acceptance. The purpose was to explore the fit of the data to a specified latent variable acceptance of asthma model. School-age children and early adolescents (N = 118), ages 9 to 14 years enrolled in Grades 4 to 9, diagnosed with asthma and their parents completed self-report instruments. EQS was used for structural equation modeling analyses. The specified model was a good fit to the data and accounted for more than 70% in the explained variance of vigilance, 30% of participation in life activities, 25% of taking control, and 20% of asthma health behaviors. Support for the model possess implications for development of theory-based education and counseling interventions to support participation in life activities by targeting cognitive, behavioral, and psychosocial aspects of living with the asthma.
年龄较大的学龄儿童和青少年哮喘患者已表现出并表达了在接受自身病情方面存在困难。尽管研究人员已探讨了成年人对病情的接受情况，但很少有人研究儿童或青少年对病情的接受情况。目的是探讨数据与指定的哮喘潜在变量接受模型的拟合度。9至14岁、就读于4至9年级、被诊断患有哮喘的学龄儿童和青少年（N = 118）及其父母完成了自我报告工具。EQS用于结构方程建模分析。指定模型与数据拟合良好，在警觉性解释方差中占比超过70%，在生活活动参与度中占30%，在掌控方面占25%，在哮喘健康行为中占20%。对该模型的支持对于开发基于理论的教育和咨询干预措施具有启示意义，这些干预措施通过针对与哮喘共存的认知、行为和心理社会方面来支持生活活动参与度。
