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題名：學齡氣喘兒童氣喘素質因素與自我處理行為之調查及夏令營對其之影響
書刊名：護理研究
作者：蔣立琦／黃璟隆／呂昌明
作者(外文)：Chiang, Li-chi／Huang, Jing-long／Lu, Chang-ming
出版日期：1999
卷期：7:4
頁次：頁307-320
主題關鍵詞：氣喘兒童；學齡兒童；氣喘夏令營；衛生教育；自我效能；素質因素；Asthma child；School-age；Summer asthma camp；Health education；Self-efficacy；Predisposing factor
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(19) 博士論文(0) 專書(0) 專書論文(0)
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  • 點閱點閱:49
　　　　　本研究主要針對參加中華民國氣喘風濕免疫學會舉辦夏令營中的58位學齡氣喘兒 童，研究目的為：(1)瞭解學齡氣喘兒童的素質因素（氣喘知識、態度、自我效能、健康控 握信念）以及自我處理行為與學校生活適應和自覺身心症狀等各方面情形；(2)以氣喘知識、 態度及自我效能預測自我處理行為；(3)比較氣喘兒童知識、態度與自我效能在參加夏令營 的前後差異。研究結果顯示氣喘學齡兒童的氣喘知識略低（答對六成），具有中度以上的氣 喘態度、以及中度以上的自我效能與自我處理行為。大多數學齡氣喘兒童的健康控握信念是 偏向內控型。學校生活適應困難不多，但是有三分之一的兒童有身心症狀。「家族史」與自 我處理行為中的處理行為有顯著差異(F=4.244, p=0.044)，「住家地點」與自我處理行為，尤 其是其中的處理行為有顯著差異(F=6.629, p=0.003; F=13.230, p=0.001)。運用逐步複迴歸分 析，得到標準化的迴歸方程式為：自我處理行為=39.246+0.190氣喘知識+0.371氣喘態度+0.263 氣喘自我效能(F=7.676, p=0.000)，上述複迴歸方程式可解釋全部變異量的36%。夏令營對氣 喘學童在知識與自我效能的影響有顯著的差異，p值皆<.001。氣喘態度的改變未達顯著差 異，但是仍有些微的進步。
　　　　　The purposes of this quantitative study were (1) to understand the predisposing factors (knowledge, attitude, self-efficacy, locus of control), self-management behavior, school life adaptation, and pychosomatic symptoms of 58 school-age asthma children; (2) to predict self- management behaviors by knowledge, attitude and self-efficacy; and (3) to evaluate changes in knowledge, attitude and self-efficacy before and after summer asthma camp. The results indicate that the correct rate of asthma knowledge was 64.7%. Asthma attitude, self-efficacy and self- management behaviors were middle to high level. Most of the child was internal locus of control. School life maladatation was not common. More than one third of children had psychosomatic symptoms. Asthma family history covaried significantly with management behavior in self- management behavior (F-4.244, p=0.044). Family location with self-management behavior (F=4.244, p=0.044). Family location with self-management behavior and management behavior have significant difference (F=6.629, p=0.003; F=13.230, p=0.001).Family location with self- management behavior and management behavior have significant difference (F=6.629, p=0.003; F=13.230, p=0.001). The result of stepwise multiple regression was self-management behavior=39.246+0.190 asthma knowledge+0.371 asthma attitude+0.263 self-efficacy, (R square=.36, F=7.676, p=0.000). Summer asthma camp had an impact on knowledge and self- efficacy (p<0.001), but not on attitude.
期刊論文
1.Miles, A.、Sawyer, M.、Kennedy, D.(1995)。A preliminary study of factors that influence children's sense of competence to manage their asthma。Journal of Asthma，32(6)，437-444。  new window
2.Hazzard, A.、Angert, L.(1986)。Knowledge, attitudes and behavior in children with asthma。Journal of Asthma，23(2)，61-67。  new window
3.Tettersell, M. J.(1993)。Asthma patients' knowledge in relation to compliance with drug therapy。Journal of Advanced Nursing，18(1)，103-113。  new window
4.Graetz, B.、Shute, R.(1995)。Assessment of peer relationships in children with asthma。Journal of Pediatric Psychology，20(2)，205-216。  new window
5.Fowler, M. G.、Davenport, M. G.、Garg, R.(1992)。School functioning of US children with asthma。Pediatrics，90(6)，939-944。  new window
6.Christiaanse, M. E.、Lavigne, J. V.、Lerner, C. V.(1989)。Psychosocial aspects of compliance in children and adolescents with asthma。Journal of Developmental Behavioral Pediatrics，19(2)，75-80。  new window
7.Ayres, J. G.、Pansari, S.、Weller, P. H.、Sykes, A.、Williams, J.、Butler, N.、Low, D.(1992)。A high incidence of asthma and respiratory symptoms in 4-11 year old children。Respiratory Medicine，86(5)，403-407。  new window
8.Brook, U.、Kishon, Y.(1993)。Knowledge and attidute of health high school students toward bronchial asthma and asthmatic pupils。Chest，103(2)，455-457。  new window
9.Boner, A. L.(1989)。Therapy of asthma in children。Europe Respiratory Journal，2(6)，545-550。  new window
10.Bemard-Bonnin, A. C.、Stachenko, S.、Bonin, D.、Charette, C.、Rousseau, E.(1995)。Self-management teaching programs and morbidity of pediatric asthma: A meta-analysis。Journal of Allergy and Clinical Immunology，95(1)，34-41。  new window
11.Celano, M. P.、Geller, R. J.(1993)。Learning, school performance, and children with asthma: How much at risk?。Journal of Learning Disability，26(1)，23-32。  new window
12.Clark, N. M.、Rosenstock, I. M.、Hassan, H.、Evans, D.、Wasilewski, Y.、Feldman, C.、Mellins, R. B.(1988)。The effect of health beliefs and feelings of self efficacy on self management behavior of children with a chronic disease。Patient Education and Counseling，11，131-139。  new window
13.Colland, V.(1993)。Learning to cope with asthma: A behavioral self-management program for children。Patient Education and Counseling，22，141-152。  new window
14.Eiser, C.、Town, C.、Tripp, J. H.(1988)。Illness experience and related knowledge among the children with asthma。Child: Care, Health and Development，14(1)，11-24。  new window
15.Goldstein, R. A.、Hurd, S.(1992)。Introduction of conference titled "Advances in the diagnosis and treatment of asthma"- second course。Chest，101(6)，S355-S356。  new window
16.Green, L. W.、Frankish, J.(1994)。Theories and principles of health education applied to asthma。Chest，106(4)，219-230。  new window
17.Hardy, S. G.(1992)。Nursing implications of increasing asthma prevalence。British Journal of Nursing，1(13)，653-659。  new window
18.Hurd, S. S.、Lenfant, C.(1992)。The national heart, lung and blood institute asthma program。Chest，101(6)，359-361。  new window
19.Krutzsch, C. B.、Bellicha, T. C.、Parker, S. R.(1987)。Making childhood asthma management education happen in the community: Translating health behavioral research into local programs。Health Education Quarterly，14(3)，357-373。  new window
20.Ladebauche, P.(1997)。Managing asthma: A growth and development approach。Pediatric Nursing，23(1)，37-44。  new window
21.Mesters, I.、Meertens, R.、Crebolder, H.、Parcel, G.(1993)。Development of a health education program for parents of preschool children with asthma。Health Education Research，8(1)，53-68。  new window
22.Mitchell, E. A.、Asher, M. I.(1994)。Prevalence, severity and medical management of asthma in European school children in 1985 and 1991。Journal of Paediatric Child Health，30(5)，398-402。  new window
23.Prograis, L. J.、Zunich, K. M.(1992)。NIAID programs for asthma research, education, and outreach。Chest，101(6)，S357-S358。  new window
24.Perrin, E. C.、Shapiro, E.(1985)。Health locus of control beliefs of healthy children, children with a chronic physical illness, and their mothers。The Journal of Pediatrics，107(4)，627-633。  new window
25.Parcel, G. S.、Meyer, M. P.(1978)。Development of an instrument to measure children's health locus of control。Health Education Monographs，6(2)，149-159。  new window
26.Wilson-Pessano, S. R.、Mellins, R. B.(1987)。Workshop on asthma self-management Summary of workshop discussion。Journal of Allergy and Clinical Immunology，80(3)，487-490。  new window
27.Sorrells, V.、Chung, W.、Schlumpberger, J. M.(1995)。The impact of a summer asthma camp experience on asthma education and morbidity in children。The Journal of Family Practice，41(5)，465-468。  new window
28.Rubin, D. H.、Bauman, L. J.、Lauby, J. L.(1989)。The relationship between knowledge and reported behavior in childhood asthma。Journal of Developmental and Behavioral Pediatrics，10(6)，307-312。  new window
29.謝貴雄(19951100)。小兒氣喘病之預防和處理。中華民國小兒科醫學會雜誌，36(增刊B)，9-20。  延伸查詢new window
30.Bussing, R.、Halfon, N.、Benjamin, B.、Wells, K. B.(1995)。Prevalence of behavior problems in US children with asthma。Archives of Pediatrics & Adolescent Medicine，149(5)，565-570。  new window
31.Gibson, P. G.、Henry, R. L.、Vimpani, G. V.、Halliday, J.(1995)。Asthma knowledge, attitudes, and quality of life in adolescents。Archives of Disease in Childhood，73(4)，321-326。  new window
32.呂克桓、謝貴雄(19880300)。臺北市學童過敏病：11年間之變化。中華民國小兒科醫學會雜誌，29(2)，104-109。  延伸查詢new window
33.Bauman, A.(1993)。Has the prevalence of asthma symptoms increased in Australian children?。Journal of Paediatrics and Child Health，29，424-428。  new window
34.Forero, R.、Bauman, A.、Young, L.、Booth, M.、Nutbeam, D.(1996)。Asthma, health behaviors, social adjustment and psychosomatic symptoms in adolescence。Journal of Asthma，33(3)，157-164。  new window
35.Perrin, J. M.、MacLean, W. E.、Perrin, E. C.(1989)。Parental perceptions of health status and psychological adjustment of children with asthma。Pediatrics，83(1)，26-30。  new window
學位論文
1.陳黛娜(1994)。氣喘學童的疾病知識與相關行為之探討(碩士論文)。國防醫學院。  延伸查詢new window
圖書
1.Behrman, R. E.、Kliegman, R. M.、Nelson, W. E.、Vaughan, V. C.(1992)。Nelson textbook of pediatrics。Philadelphia：W. B. Saunders。  new window
2.Rotter, J. B.(1954)。Social Learning and Clinical Psychology。Prentice-Hall。  new window
其他
1.黃璟隆(1997)。氣喘病童的照護 (臨床教學口頭報告講義)。  延伸查詢new window
圖書論文
1.Wallston, K. A.、Wallston, B. S.(1981)。Health locus of control scale。Research with the locus of control construct。New York：Academic Press。  new window
 
 
 
 
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