Alreshidi Nashi Masnad, Livesley Joan, Al-Kalaldeh Mahmoud, Long Tony
Department of Continuing Education, Nursing Administration in Hail Region, Hail City, Saudi Arabia.
School of Health & Society, University of Salford, Salford, UK.
Compr Child Adolesc Nurs. 2020 Oct 6;45(1):43-57. doi: 10.1080/24694193.2020.1824033.
More than two million people have asthma in Saudi Arabia: 13% aged 6-10 years. Asthma is one of the most common childhood illnesses. Little has been explored about children's ability to learn more about their own asthma in Saudi Arabia. The study was designed to assess the impact of a school-based, nurse-delivered asthma health education program on asthmatic children's knowledge and attitude toward asthma, quality of life, anxiety level, and school absenteeism. A quasi-experimental, non-equivalent group, pretest-posttest design was used. The education program was developed from existing evidence. The Pediatric Asthma Quality of Life Questionnaire, Spence Anxiety Tool, Asthma Knowledge Questionnaire, and Asthma Attitude Questionnaire were employed for data collection. Intervention (n = 130) and control (n = 98) groups were drawn from 10 schools in Ha'il region, Saudi Arabia. Descriptive and inferential statistics were used to examine differences within and between groups. Knowledge of asthma increased significantly more in the intervention group than in the control group. Attitude toward asthma was not changed by the intervention. Anxiety scores reverted to pretest level by posttest II. The intervention group had significantly better total quality of life scores than the control group, and school absenteeism reduced significantly after the delivery of the program. It was concluded that the asthma education program impacted positively on students' knowledge, quality of life, and school attendance. However, asthma education did not change attitudes toward the condition, and the impact on anxiety was not persistent. The results emphasize the benefits of the provision of health education directly to children. Asthma education should be integrated into the Saudi national child health program.
沙特阿拉伯有超过200万人患有哮喘：6至10岁的患者占13%。哮喘是最常见的儿童疾病之一。在沙特阿拉伯，关于儿童了解自身哮喘情况的能力，人们了解得很少。本研究旨在评估一项由学校护士提供的哮喘健康教育项目对哮喘儿童的哮喘知识、态度、生活质量、焦虑水平和缺课情况的影响。采用了准实验、非等效组、前后测设计。该教育项目是根据现有证据制定的。使用儿童哮喘生活质量问卷、斯宾塞焦虑量表、哮喘知识问卷和哮喘态度问卷收集数据。干预组（n = 130）和对照组（n = 98）来自沙特阿拉伯哈伊勒地区的10所学校。使用描述性和推断性统计来检验组内和组间的差异。干预组对哮喘的知识增长显著高于对照组。干预并未改变对哮喘的态度。到第二次后测时，焦虑得分恢复到前测水平。干预组的总体生活质量得分显著高于对照组，且在项目实施后缺课情况显著减少。研究得出结论，哮喘教育项目对学生的知识、生活质量和出勤率产生了积极影响。然而，哮喘教育并未改变对该病的态度，且对焦虑的影响并不持久。结果强调了直接向儿童提供健康教育的益处。哮喘教育应纳入沙特国家儿童健康项目。
