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运用健康信念模式理解学校护士的哮喘管理工作。

Using the Health Belief Model to Understand School Nurse Asthma Management.

作者信息

Quaranta Judith E, Spencer Gale A

机构信息

Decker School of Nursing, Binghamton University, Binghamton, New York, NY, USA

Decker School of Nursing, Binghamton University, Binghamton, New York, NY, USA.

出版信息

J Sch Nurs. 2015 Dec;31(6):430-40. doi: 10.1177/1059840515601885. Epub 2015 Aug 30.

DOI:10.1177/1059840515601885
PMID:26324467
Abstract

Ten million children in the United States have asthma. Since children are in school about 6 hr a day, school nurses are positioned to intervene and influence asthma outcomes. A descriptive correlational study was designed to investigate performance of school nurses' asthma management behaviors in relationship to asthma knowledge, asthma attitude, asthma self-efficacy, and rating of importance of asthma management behaviors. Results indicated that asthma attitude, asthma self-efficacy, and rating of importance of asthma management behaviors were associated with performance of asthma management behaviors. The higher the rating of importance of asthma management behaviors, the more likely school nurses were to perform the behaviors (p < .05). Higher levels of asthma self-efficacy were associated with performance of asthma management behaviors, indicating the importance of strengthening school nurses' asthma self-efficacy in asthma management. By understanding factors influencing performance of asthma management behaviors by school nurses, interventions can be implemented to increase asthma management behaviors, leading to improved outcomes for students with asthma.

摘要

美国有1000万儿童患有哮喘。由于儿童每天在学校大约待6小时,学校护士有能力进行干预并影响哮喘的治疗效果。一项描述性相关性研究旨在调查学校护士哮喘管理行为的表现与哮喘知识、哮喘态度、哮喘自我效能感以及哮喘管理行为重要性评级之间的关系。结果表明,哮喘态度、哮喘自我效能感以及哮喘管理行为重要性评级与哮喘管理行为的表现相关。哮喘管理行为的重要性评级越高,学校护士执行这些行为的可能性就越大(p < 0.05)。较高水平的哮喘自我效能感与哮喘管理行为的表现相关,这表明在哮喘管理中增强学校护士的哮喘自我效能感很重要。通过了解影响学校护士哮喘管理行为表现的因素,可以实施干预措施以增加哮喘管理行为,从而改善哮喘学生的治疗效果。

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