Kocaaslan Esra Nur, Akgün Kostak Melahat
Department of Child Health Nursing, Trakya University Faculty of Health Sciences, Balkan Campus, Edirne, Turkey.
J Spec Pediatr Nurs. 2019 Apr;24(2):e12241. doi: 10.1111/jspn.12241. Epub 2019 Mar 19.
The aim of this study was to determine the effects of disease management education provided to children with asthma on their quality of life and self-efficacy levels.
The study design was a quasi-experimental design with The One Group Pretest-Posttest design. This study was conducted on 60 children with asthma between 10 and 18 years of age. Data were collected by "Information Form", "Pediatric Asthma Quality of Life Questionnaire", and "Self-Efficacy Scale for Children and Adolescents with Asthma". Children's quality of life and self-efficacy levels were assessed before receiving an individual asthma education intervention and then children were informed with an asthma management education book individually. Two months after the education intervention, the quality of life and self-efficacy levels of the children were re-evaluated.
The children's quality of life and self-efficacy levels increased significantly after education (p = 0.014). Maternal age, number of siblings, number of family members living in the same house, activity status, the frequency of experiencing symptoms, and the ability to use the inhalers on their own affected children quality of life. Child's age, knowledge about factors causing asthma, and ability to use medication on their own affected their self-efficacy ( p < 0.05).
According to these results, planned asthma education program and provided continuity of this education by nurses would be effective to improve the quality of life and levels of self-efficacy. Asthma management education for children with asthma by nurses after diagnosis is beneficial for improving the quality of life and levels of self-efficacy.
本研究的目的是确定为哮喘儿童提供的疾病管理教育对其生活质量和自我效能水平的影响。
本研究设计为准实验设计中的单组前后测设计。该研究针对60名10至18岁的哮喘儿童进行。通过“信息表”、“儿童哮喘生活质量问卷”和“哮喘儿童及青少年自我效能量表”收集数据。在接受个体哮喘教育干预前评估儿童的生活质量和自我效能水平,然后单独向儿童发放一本哮喘管理教育手册。教育干预两个月后,重新评估儿童的生活质量和自我效能水平。
教育后儿童的生活质量和自我效能水平显著提高(p = 0.014)。母亲年龄、兄弟姐妹数量、同住家庭成员数量、活动状态、症状出现频率以及自行使用吸入器的能力影响儿童的生活质量。儿童的年龄、对哮喘病因的了解以及自行用药的能力影响其自我效能(p < 0.05)。
根据这些结果,有计划的哮喘教育项目以及护士提供的这种教育的连续性将有效地提高生活质量和自我效能水平。护士在诊断后为哮喘儿童提供哮喘管理教育有利于提高生活质量和自我效能水平。