Melgarejo González-Conde Verónica, Pérez-Fernández Virginia, Ruiz-Esteban Cecilia, Valverde-Molina José
Escuela Internacional de Doctorado (EIDUM), Universidad de Murcia , Espinardo, Murcia, España.
Departamento de Cirugía, Pediatría, Obstetricia y Ginecología, IMIB, Facultad de Medicina, Universidad de Murcia , El Palmar, Murcia, España.
Arch Bronconeumol (Engl Ed). 2019 Apr;55(4):189-194. doi: 10.1016/j.arbres.2018.07.008. Epub 2018 Aug 16.
Health-related quality of life is an important outcome measurement in the monitoring of asthma control. Self-efficacy is a determinant of self-management behaviors that can contribute to the improvement of asthma control and quality of life. Our objective was to analyze the relationship between self-efficacy and quality of life in children with asthma and their caregivers.
We included 176 patients aged 6-14 years with asthma, and determined their level of self-efficacy according to three groups (low, medium and high levels). Each child and their main caregiver completed the PAQLQ and PACQLQ questionnaires, respectively.
PAQLQ range=1-7: 5.61±1.11; PACQLQ range=1-7: 5.42±1.35; self-efficacy range=0-60: low level 28.44±4.58; average level 37.41±1.7, and high level 47.50±5.5. Significant differences were observed in quality of life according to low-medium vs. high levels of self-efficacy. Specific related domains: PAQLQ emotions and PAQLQ symptoms with self-efficacy in problem-solving skills related to asthma and treatment self-efficacy; PACQLQ emotions with self-efficacy in problem-solving skills related to asthma.
A high level of self-efficacy is associated with a better quality of life for children and their caregivers. Based on these results, the measurement of self-efficacy could be incorporated in the assessment of educational interventions in self-management targeted at the quality of life of the patient and his or her family.
与健康相关的生活质量是监测哮喘控制情况的一项重要结果指标。自我效能感是自我管理行为的一个决定因素，有助于改善哮喘控制和生活质量。我们的目的是分析哮喘患儿及其照顾者的自我效能感与生活质量之间的关系。
我们纳入了176名6至14岁的哮喘患者，并根据三组（低、中、高水平）确定他们的自我效能感水平。每个孩子及其主要照顾者分别完成了PAQLQ和PACQLQ问卷。
PAQLQ范围为1 - 7：5.61±1.11；PACQLQ范围为1 - 7：5.42±1.35；自我效能感范围为0 - 60：低水平28.44±4.58；中等水平37.41±1.7，高水平47.50±5.5。根据自我效能感的低 - 中等水平与高水平，在生活质量方面观察到显著差异。具体相关领域：PAQLQ情绪和PAQLQ症状与哮喘相关问题解决技能的自我效能感以及治疗自我效能感；PACQLQ情绪与哮喘相关问题解决技能的自我效能感。
高水平的自我效能感与儿童及其照顾者更好的生活质量相关。基于这些结果，自我效能感的测量可以纳入针对患者及其家庭生活质量的自我管理教育干预评估中。
