Tseng Tzu-Jung, Wu Chiung-Jung Jo
Department of Nursing, Chang Gung University of Science and Technology and Chang Gung Memorial Hospital, Chiayi, Taiwan.
School of Health, University of Sunshine Coast, Petrie, Australia.
Nurs Open. 2025 Aug;12(8):e70281. doi: 10.1002/nop2.70281.
To explore Taiwanese adolescents' experiences with asthma.
Exploratory qualitative study using semi-structured face-to-face interviews, framed within Bronfenbrenner's Ecological Systems Theory.
Data were collected until saturation was reached. The interviews focused on adolescents who experienced asthma during their developmental stages. Data were managed using NVivo V12 program.
This study was conducted at an outpatient paediatric clinic located within a tertiary teaching hospital (anonymised for review) in Taiwan.
Seventeen Taiwanese adolescents with asthma were interviewed, resulting in the emergence of eight main themes: 'asthma exacerbation and its impacts', 'maintaining physical comfort', 'increased compliance with medication or treatment regimes', 'peer interactions', 'available resources at school', 'uncertainty', 'changes in social participation to manage symptoms', and 'conflicts in asthma care across different generations of family caregivers'.
Taiwanese adolescents with asthma experience regular disruptions to their social participation and school attendance. As a result, maintaining peer relationships may be challenging.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Understanding the experiences of adolescents with asthma provides insights in optimising asthma care at home and school settings. Our findings highlight the importance of enabling teachers to respond appropriately to the needs of adolescents with asthma. A lack of understanding among teachers can aggravate adolescents' fear of embarrassment when using an inhaler in the presence of their peers. This may lead to reduced social interactions and feelings of isolation. To create a supportive environment, it is crucial to equip teachers and peers to recognise and respond to asthma symptoms.
This study addressed the lack of understanding of the developmental needs of Taiwanese adolescents with asthma. Adolescents' home and school environments impact asthma management. Families, teachers and healthcare professionals must consider the developmental experiences of adolescents living with asthma in order to provide appropriate care.
COREQ was used.
The data consists of answers given that comprise responses provided by patients during interviews.
探讨台湾青少年的哮喘经历。
采用半结构化面对面访谈的探索性定性研究，以布伦芬布伦纳的生态系统理论为框架。
持续收集数据直至饱和。访谈聚焦于在发育阶段经历过哮喘的青少年。使用NVivo V12程序管理数据。
本研究在台湾一家三级教学医院的门诊儿科诊所进行（为便于审核进行了匿名处理）。
对17名患有哮喘的台湾青少年进行了访谈，出现了八个主要主题：“哮喘发作及其影响”“保持身体舒适”“提高对药物治疗方案的依从性”“同伴互动”“学校可用资源”“不确定性”“为控制症状而改变社会参与度”以及“不同代际家庭照顾者在哮喘护理方面的冲突”。
患有哮喘的台湾青少年在社会参与和上学出勤方面经常受到干扰。因此，维持同伴关系可能具有挑战性。
对专业和/或患者护理的启示：了解哮喘青少年的经历有助于优化家庭和学校环境中的哮喘护理。我们的研究结果凸显了使教师能够适当应对哮喘青少年需求的重要性。教师缺乏理解可能会加剧青少年在同伴面前使用吸入器时的尴尬恐惧。这可能导致社交互动减少和孤独感。为营造支持性环境，使教师和同伴能够识别并应对哮喘症状至关重要。
本研究解决了对患有哮喘的台湾青少年发育需求缺乏了解的问题。青少年的家庭和学校环境会影响哮喘管理。家庭、教师和医疗保健专业人员必须考虑患有哮喘的青少年的发育经历，以便提供适当的护理。
采用了COREQ。
数据由访谈期间患者给出的答案组成。
