目的 评估父母对哮喘的认知、态度、健康理念、自我效能、自控能力及外部资源与父母管理策略应用的相关性;分析父母管理行为中,不同程度自控能力与哮喘疗效间的关系.方法 采取横断面研究设计,共纳入151份哮喘患儿及其家长的有效调查问卷.结果 父母的外部资源、自我效能、自控能力是父母坚持日常预防及哮喘规范化治疗的重要影响因素.父母管理行为与患儿哮喘治疗的疗效呈中度相关.患儿父母的管理策略越多元化,其子女拥有的体能、学习能力及生活质量就越好.家庭不同阶段自控能力与患儿肺功能及生活质量呈显著的线性关系.结论 对父母自我效能及自控能力的干预,可有效提高学龄期哮喘儿童的生活质量.%Objective To examine how knowledge, attitudes, beliefs, self-efficacy, self-regulation and external resources are related to parental use of management strategies. To determine the relationship of management behaviors of parents with different levels of self-regulation and main asthma outcomes. Methods Using a cross-sectional design, a total of 151 parent-child pairs completed take-home questionnaires were analyzed. Results Main findings revealed that external resources, self-efficacy and self-regulation were significant predictors of parental use of daily prevention and parental reported medication adherence. Parental management behaviors were found to be moderately related to main asthma outcomes. The more parents used management strategies, the better physical and school performance and the higher quality of life their children had. Trend analysis of family phase differences revealed a significant positive linear correlation between children's pulmonary functioning and quality of life. Conclusions Intervention focused on parental self-efficacy and self-regulation can improve the quality of life of asthmatic children in primary school children.
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