請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/84818
標題: | 國小學齡兒童氣喘健康管理計畫 The Elementary School Children's Asthma Health Management Program |
作者: | PI-O LIN 林碧娥 |
指導教授: | 楊孝友(HSIAO-YU YANG) 楊孝友(HSIAO-YU YANG | hyang@ntu.edu.tw | ), |
關鍵字: | 氣喘,學齡兒童,衛教,介入,管理計畫, Asthma,School-age children,Health education,Intervention,Management plan, |
出版年 : | 2022 |
學位: | 碩士 |
摘要: | 目的:根據國民健康署106年國民健康訪問調查 (NHIS),未滿12歲氣喘兒童,氣喘盛行率為5.6%,而一年內因為氣喘發作,而至急診就醫有9.2%。研究指出,學校的氣喘管理政策包括:建立個人氣喘管理計畫、協助學生避免或控制氣喘的誘發因子、確保氣喘藥物對學童的可近性與便利性。本研究是在推動校園氣喘健康管理計畫,並評估管理計畫之成效。 方法:採以立意取樣方法,以某國小為收集研究對象,共發1686份全校氣喘問卷,並篩檢出有氣喘或過敏學童共110位,再經由醫生確診為氣喘學童,最後收案40位確診為氣喘學童;以結構是問卷為研究工具。實驗設計為隨機分派介入性研究,將個案隨機分派為介入組或控制組,由護理師、醫師進行4週氣喘照護衛教。以paired t-test與廣義估計方程式 (generalized estimating equation, GEE)分析二組介入前後知識、態度、行為的差異。 研究結果:研究於2019年5月21日至2019年6月21日期間,共收案40人。個案平均年齡9.1 (SD = 1.6) 歲,男生占65.0%,介入組和對照組的性別、年齡、知識、行為、態度分數有顯著差異(p = 0.01)。衛教介入後,介入組前後側知識、行為有提升,在態度平均得分有進步,但無統計上顯著差異,而控制組前後側的態度、行為無統計上顯著差異。 結論:以學校進行氣喘衛教介入,可以改善氣喘兒童之知識、行為、態度。 Purpose: According to the 106 National Health Survey done by the National Health Agency, the prevalence of asthma in children under 12 year old was 5.6%, over one year of those, 9.2% came to the emergency department because of an asthma attack. Research indicates that the school’s asthma management policy must include a personal asthma management plan, assist students to avoid or control the predisposing factors of asthma and make sure students have convenient access to medication. This research promotes implementing an Asthma health management plan in schools, and will evaluate the effectiveness of such a management plan. Methods: We enrolled elementary school’s students as research subjects. A total of 1686 asthma questionnaires were distributed to the whole school. Among them, a total of 110 children with asthma or allergies were chosen and their asthma or allergy were diagnoed by a doctor. Structured questionnaires were used as research tools. We conducted randomized control interventional and asthmatic schoolchildren were randomly assigned to either the intervention group or control group. Nurses and doctors taught student how to care for asthma and provide health education for 4 weeks. We applied paire t-test and generalized equation model to compare the difference in knowledge, attitude and practice before and after intervention. Research: The research too place from May 21,2019 to June 21,2019, and included 40 people. The average age of the subjects was 9.1 (1.6) years old. Among them 65.0% of subjects were boys, and there were differences in gender, age, knowledge, activity, and attitude scores between the intervention group and the control group (p = 0.006). The subjects in the intervention group showed improvement in knowledge and behavior after receiving the health education. Their average attitude scores were also improved. The control group showed no statistically significant differences in attitude and practice after the study. Conclusion: The school-based intervention program can imporve the knowledge, attitue, and practice in asthmic school children. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/84818 |
DOI: | 10.6342/NTU202204175 |
全文授權: | 同意授權(限校園內公開) |
電子全文公開日期: | 2022-10-17 |
顯示於系所單位: | 公共衛生碩士學位學程 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
U0001-2709202220583000.pdf 授權僅限NTU校內IP使用(校園外請利用VPN校外連線服務) | 3.33 MB | Adobe PDF | 檢視/開啟 |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。