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首页> 外文期刊>Journal of advanced nursing >The adaptation of written self-management plans for children with asthma.
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The adaptation of written self-management plans for children with asthma.

机译：改编书面的哮喘儿童自我管理计划。

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BACKGROUND: Self-management plans are an important element of asthma care. Although asthma is common in children, there is limited guidance for adaptation of self-management plans for children. AIMS:. A study was conducted in order to develop a set of criteria for adaptation of asthma self-management plans for school aged children; and to use these criteria to review self-management plans used in United Kingdom (UK) centres. METHODS: Self-management plans were obtained by telephone survey (response rate: 81%) of 47 selected UK paediatric, respiratory and community centres during the period between March and October 2001. The content of self-management plans was analysed according to criteria developed from a review of the literature, including objectives, opportunities for individualization, and the implied roles of parent and child in asthma management. Agreement was achieved between the authors and a third independent rater. RESULTS: The majority of centres (31 of 47) used or planned to use adapted self-management plans while the remainder used the standard National Asthma Campaign self-management plan. There were wide variations in self-management plans, including variation in the person to whom plans were addressed, criteria for treatment and the objectives stated for self-management. Few opportunities were provided for individualization of self-management. LIMITATIONS: The study was limited to the documents used in self-management in selected centres. CONCLUSION: The results suggest that many practitioners believe that self-management education requires adaptation for children. There is little consistency in the adaptation of self-management plans for children. Principles for devising adapted self-management plans are proposed.
机译：背景：自我管理计划是哮喘护理的重要组成部分。尽管哮喘在儿童中很常见，但针对儿童的自我管理计划的适应指导却有限。目的：进行了一项研究，以制定一套适应学龄儿童哮喘自我管理计划的标准。并使用这些标准来审查在英国（UK）中心使用的自我管理计划。方法：通过电话调查（2001年3月至10月）对英国47个选定的儿科，呼吸科和社区中心的电话进行调查，获得自我管理计划（答复率为81％）。文献综述，包括目标，个体化机会以及父母和孩子在哮喘管理中的隐含作用。作者与第三位独立评估者达成了协议。结果：大多数中心（47个中的31个）曾经或计划使用经过修改的自我管理计划，而其他中心则使用标准的国家哮喘运动自我管理计划。自我管理计划存在很大差异，其中包括计划对象所针对的人员，治疗标准和自我管理规定的目标。为自我管理的个性化提供了很少的机会。局限性：该研究仅限于某些中心自我管理中使用的文件。结论：结果表明许多从业者认为自我管理教育需要适应儿童。在调整儿童自我管理计划方面几乎没有一致性。提出了设计适应性自我管理计划的原则。

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