Ayala Guadalupe X, Yeatts Karin, Carpenter Delesha Miller
San Diego State University, Graduate School of Public Health, San Diego, CA 92123, USA.
J Pediatr Psychol. 2009 Sep;34(8):862-8. doi: 10.1093/jpepsy/jsn134. Epub 2009 Feb 11.
Examine correlates of asthma self-management among 12,154 adolescents with physician-diagnosed asthma.
All 7th and 8th grade students in North Carolina completed a survey to assess asthma prevalence and self-management behaviors among those with asthma.
Adolescents who were allowed to carry their inhaled medication at school, shown how to use a peak flow meter, and had access to more asthma care resources were more confident that they could prevent an asthma exacerbation. Adolescents who were allowed to carry their inhaled medication at school and who had a private doctor were more confident that they could control their symptoms. Adolescents taking anti-inflammatory medicine were less confident that they could prevent an exacerbation and control their symptoms.
Various indicators of autonomy and control were associated with greater self-efficacy for managing asthma. Adolescents who require anti-inflammatory medicines would benefit from additional intervention efforts to improve their asthma management self-efficacy.
在12154名经医生诊断患有哮喘的青少年中，研究哮喘自我管理的相关因素。
北卡罗来纳州所有七年级和八年级学生都完成了一项调查，以评估哮喘患病率以及哮喘患者的自我管理行为。
被允许在学校携带吸入药物、有人向其展示如何使用峰流速仪并且能够获得更多哮喘护理资源的青少年，对预防哮喘发作更有信心。被允许在学校携带吸入药物且有私人医生的青少年，对控制症状更有信心。服用抗炎药物的青少年对预防发作和控制症状的信心较低。
自主性和控制的各种指标与更高的哮喘管理自我效能相关。需要服用抗炎药物的青少年将受益于额外的干预措施，以提高他们哮喘管理的自我效能。
