本研究採類實驗設計，係探討護理指導對氣喘學齡期兒童氣喘知識增進之情形，及氣喘知識之增進是否可改善生活品質做探討。主要使用工具「氣喘知識量表」、「孩童氣喘生活品質量表之Form B」，以問卷調查方式，了解前後測資料有無差異及相關性。結果顯示，有接受護理指導之兒童其氣喘知識平均值得分有達顯著增加(Mean□=22.20/31.87, p< .05)。在生活品質方面，實驗組其動態生活品質有顯著改善(Mean□=27.53/30.20, p< .05)、且其憂慮度(Mean□=24.04/10.86, p< .05)及嚴重度(Mean□=13.27/8.3, p< .05)有顯著下降；但以相關性比較，氣喘知識增加只與生活品質之憂慮度及嚴重度呈顯著負相關，與動態、靜態生活品質並無顯著相關。因此護理指導雖能改善氣喘學童之氣喘知識；但在生活品質方面，知識的提昇，只與憂慮及嚴重度方面之生活品質下降有顯著負相關，和動態及靜態生活品質無顯著相關。此結果可供護理人員參酌，建議未來可設計改善氣喘患孩活動生活品質的護理指導。

The issue of whether nursing instruction efforts could improve asthma knowledge and quality of life among schoolchildren was investigated using a quasi-experimental design. The key instruments were the Asthmatic Knowledge Questionnaire and the Childhood Asthma Questionnaire-Form B. Asthmatic knowledge increased among children who received instruction from nurses (Mean(subscript pre/post)=22.20/31.87, P<.05). These children also experienced significant improvements in their active quality of life (Mean(subscript pre/post)=27.53/30.20, p<.05), and decreased distress (Mean(subscript pre/post)=24.04/10.86, P<.05) and asthma severity (Mean(subscript pre/post)=13.27/8.3, P<.05). This study finds nursing instruction helpful in improving asthma knowledge. However, in terms of quality of life, elevated knowledge has a marked (negative) correlation only with levels of distress and severity. It shows no detectable relationship with active or passive life quality. Therefore, though nursing instruction can improve schoolchildren's knowledge about asthma, the improvement in knowledge only relates to reducing distress and severity and thus improving quality of life. This result can provide guidance for nursing personnel in developing nursing instruction to improve active quality of life in child patients.