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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 楊孝友(HSIAO-YU YANG) | |
dc.contributor.advisor | 楊孝友(HSIAO-YU YANG | hyang@ntu.edu.tw | ), | |
dc.contributor.author | PI-O LIN | en |
dc.contributor.author | 林碧娥 | zh_TW |
dc.date.accessioned | 2023-03-19T22:27:15Z | - |
dc.date.copyright | 2022-10-17 | |
dc.date.issued | 2022 | |
dc.date.submitted | 2022-09-30 | |
dc.identifier.citation | 林黛侑、許清祥:兒童氣喘與成人氣喘之相關性。台灣兒童過敏氣喘及免疫學會通訊2002;3(2):8-9。 賴香如:氣喘學生生活適應問題,學習表現與身體活動情形研究。衛生學報2001。 吳克恭:兒童氣喘。臨床醫學2002;49:48-57。 吳克桓、謝貴雄:台北市學童過敏病:11年間之變化。中華醫誌1988;29(2):104-109。 吳克桓、王文卿:小兒氣喘。晨星出版社,1998。 王牧羣、吳中興、周宇光、楊朝輝:小兒氣喘的預防與治療。基層醫學2008;23(8):245-252。 郭育良、黃彬芳:空氣汙染與學童之相關研究。2003台北:國立台灣大學醫學系工業學科暨環境研究所。 林虹良、王瑞霞:台灣兒童氣喘的危險因子。高雄護理雜誌2006;23(1):23-32。 陳淑如、張文英、鄭綺:氣喘兒童的運動指導。長庚護理2001;12(3):234-238。 陳彥宇:台北市國中教師與校護照護氣喘學生相關知識、態度與自我效能之研究。1998。 蔣立琦、趙淑員、賴香如:發展氣喘兒童自我處理教育計畫。護理雜誌1999;46(4):15-22。 林慶雄:國際性氣喘臨床整合照護計畫評鑑。台灣氣喘衛教學會會刊2013;29:10-12。 長庚大學:校園氣喘學童氣喘照護及工作指引。2003-2006。 簡佳峨:氣喘患者的疾病相關知識、態度及健康行為與衛教介入影響之探討。1999台北:台北醫學大學公共衛生學系暨研究所學位論文。 徐嘉賢、于鴻仁:自我評估氣喘控制測驗ACT簡介。中華民國兒童胸腔醫學會雜誌2009;6(1):8-15。 衛生福利統計專區:105年主要死因統計結果分析:http://dep.mohw.gov.tw//DOS/cp-3352-33576-113.html。 國民健康署:12歲以下氣喘兒童引發氣喘因素「塵螨」居首2013。https://www.mohw.gov.tw/cp-2644-20708-1.html。 葛應欽:氣喘 (Asthma)的篩檢定義與診斷。中華公共衛生雜誌1998;17(3):185-190。 曾資蓉:兒童氣喘。長庚護理2001;12(3):239-245。 高碧霞:氣喘兒童之症狀評估與處理。護理雜誌2004;51(6):39-45。 徐世達:大台北地區國小學童尖峰呼氣流速正常參考值之研究。中華民國兒童胸腔 醫學會會刊2002;3(2):107-120。 徐世達、汪正宇、吳正裕、趙永康:大台北地區國小學童尖峰呼氣流速正常參考值之研究。台灣家庭醫學雜誌2008;12(3):121-128。 台灣氣喘衛教學會:兒童氣喘診療指引2008。http://www.asthma-edu.org.tw/asthma/download.aspx。 行政院環境保護署:空氣品質監測網2018。https://airtw.epa.gov.tw/。 台灣氣喘諮詢協會:ACT氣喘控制測驗。http://www.taiwanasthma.com.tw/。 蔣立琦、黃璟隆、呂昌明: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。護理研究1999;7(4):307-320。 曾麗芬、蔣立琦:發展門診氣喘兒童個案管理模式。護理雜誌2005;52(4):71-76。 羅中廷、翁慧卿:知識、態度、自我照顧行為和疾病嚴重度對其喘病人生活品質˙解釋模式-以參加氣喘疾病管理計畫之病人為例。臺灣衛誌2006;25(2):125-134。 陳正雄:呼氣一氧化氮的濃度(FENO)在氣喘患者診斷及追蹤的應用。台灣氣喘衛教醫學會會刊2007;(9):7-9。 E. 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Leroyer et al., (1998)'Knowledge, self-management, compliance and quality of life in asthma: a cross-sectional study of the French version of the Asthma Quality of Life Questionnaire,' Quality of Life Research, 7 (3),267-272. B. T. Association(1982) 'Death from asthma in two regions of England,' Br Med J (Clin Res Ed), 285(6350),1251-1255. R. A. Nathan et al. (2004) 'Development of the asthma control test: a survey for assessing asthma control,' Journal of Allergy and Clinical Immunology, 113(1), 59-65. Annett, R. D., Bender, B. G., Lapidus, J., DuHamel, T. R., & Lincoln, A. (2001). Predicting children's quality of life in an asthma clinical trial: what do children's reports tell us? The Journal of pediatrics, 139(6), 854-861. Association, B. T. (1982). Death from asthma in two regions of England. Br Med J (Clin Res Ed), 285(6350), 1251-1255. Bateman, E. D., Hurd, S., Barnes, P., Bousquet, J., Drazen, J., FitzGerald, M., Pedersen, S. (2008). Global strategy for asthma management and prevention: GINA executive summary. European Respiratory Journal, 31(1), 143-178. Bruzzese, J.-M., Evans, D., & Kattan, M. (2009). School-based asthma programs. Journal of Allergy and Clinical Immunology, 124(2), 195-200. Burkhart, P. V., Rayens, M. K., Oakley, M. G., Abshire, D. A., & Zhang, M. (2007). Testing an intervention to promote children's adherence to asthma self‐management. Journal of Nursing Scholarship, 39(2), 133-140. Calhoun, W. J. (2003). Nocturnal asthma. Chest, 123(3), 399S-405S. Clark, N. A., Demers, P. A., Karr, C. J., Koehoorn, M., Lencar, C., Tamburic, L., & Brauer, M. (2010). Effect of early life exposure to air pollution on development of childhood asthma. Environmental health perspectives, 118(2), 284. Colland, V. T. (1993). Learning to cope with asthma: a behavioural self-management program for children. Patient education and counseling, 22(3), 141-152. Dodd, M. J. (1984). Measuring informational intervention for chemotherapy knowledge and self‐care behavior. Research in nursing & health, 7(1), 43-50. Ferrante, G., Antona, R., Malizia, V., Montalbano, L., & La Grutta, S. (2014). Asthma and air pollution. Paper presented at the Italian journal of pediatrics. Fuhlbrigge, A. L., Adams, R. J., Guilbert, T. W., Grant, E., Lozano, P., Janson, S. L., . . . Weiss, S. T. (2002). The burden of asthma in the United States: level and distribution are dependent on interpretation of the national asthma education and prevention program guidelines. American journal of respiratory and critical care medicine, 166(8), 1044-1049. Horner, S. D. (2004). Effect of education on school‐age children's and parents' asthma management. Journal for specialists in pediatric nursing, 9(3), 95-102. Kelso, T. M., Alloway, R. R., & Self, T. H. (1992). Asthma patient education. Journal of Pharmacy Practice, 5(4), 186-196. Lemanske, R. F., Kakumanu, S., Shanovich, K., Antos, N., Cloutier, M. M., Mazyck, D., Vandlik, R. (2016). Creation and implementation of SAMPRO™: A school-based asthma management program. Journal of Allergy and Clinical Immunology, 138(3), 711-723. Leroyer, C., Lebrun, T., Proust, A., Lenne, X., Lucas, E., Rio, G., Clavier, J. (1998). Knowledge, self-management, compliance and quality of life in asthma: a cross-sectional study of the French version of the Asthma Quality of Life Questionnaire. Quality of Life Research, 7(3), 267-272. McConnell, R., Islam, T., Shankardass, K., Jerrett, M., Lurmann, F., Gilliland, F., & Gauderman, J. (2010). Childhood incident asthma and traffic-related air pollution at home and school. Environmental health perspectives, 118(7), 1021. Merikallio, V. J., Mustalahti, K., Remes, S. T., Valovirta, E. J., & Kaila, M. (2005). Comparison of quality of life between asthmatic and healthy school children. Pediatric Allergy and Immunology, 16(4), 332-340. Nathan, R. A., Sorkness, C. A., Kosinski, M., Schatz, M., Li, J. T., Marcus, P., Pendergraft, T. B. (2004). Development of the asthma control test: a survey for assessing asthma control. Journal of Allergy and Clinical Immunology, 113(1), 59-65. National Heart, L., & Institute, B. (1991). Managing asthma: A guide for schools: ERIC Clearinghouse. Raherison, C., Tunon-de-Lara, J., Vernejoux, J., & Taytard, A. (2000). Practical evaluation of asthma exacerbation self-management in children and adolescents. Respiratory medicine, 94(11), 1047-1052. Splett, P. L., Erickson, C. D., Belseth, S. B., & Jensen, C. (2006). Evaluation and sustainability of the healthy learners asthma initiative. Journal of School Health, 76(6), 276-282. Velsor-Friedrich, B., Pigott, T., & Srof, B. (2005). A practitioner-based asthma intervention program with African American inner-city school children. Journal of Pediatric Health Care, 19(3), 163-171. Wheeler, L., Buckley, R., Gerald, L. B., Merkle, S., & Morrison, T. A. (2009). Working with schools to improve pediatric asthma management. Pediatric Asthma, Allergy & Immunology, 22(4), 197-208. Whittemore, A. S., & Korn, E. L. (1980). Asthma and air pollution in the Los Angeles area. American Journal of Public Health, 70(7), 687-696. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/84818 | - |
dc.description.abstract | 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。 | zh_TW |
dc.description.abstract | 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. | en |
dc.description.provenance | Made available in DSpace on 2023-03-19T22:27:15Z (GMT). No. of bitstreams: 1 U0001-2709202220583000.pdf: 3410523 bytes, checksum: 1f0e4bc0016704fe0563fde6b5a211f8 (MD5) Previous issue date: 2022 | en |
dc.description.tableofcontents | 目錄 摘要 I ABSTRACT III 目錄 V 圖目錄 VII 表目錄 VIII 第一章導論 1 第一節實習單位特色與簡介 1 第二節研究架構 5 2.1研究架構 5 第三節文獻回顧 6 3.1氣喘重要性 6 3.2氣喘對學童的影響 6 3.3目前台灣學校氣喘學童健康管理面臨問題 7 第四節研究目的 11 第二章方法 15 第一節研究設計 15 第二節研究設計與對象 16 第三節介入方式 23 第四節資料處理與統計分析 35 第三章結果 36 第一節學童氣喘健康知識題得分情形 39 第二節學童氣喘健康態度題得分情形 39 第三節學童氣喘健康行為題得分情形 39 第四節學童實施氣喘教學衛教的介入與未介入差異 40 第五節氣喘教學衛教介入對學生健康知識的成效分析 51 第四章討論 56 第一節氣喘健康管理計畫是否達成實習目的 56 第二節對於實務實習的建議與回饋 58 第三節相關政策上的意涵或政策建議 58 附錄 65 附錄一、兒童氣喘控制測驗 65 附錄二、氣喘學童健康管理問卷 68 附錄三、107年新北市三峽區龍埔國小氣喘問卷 86 附錄四、龍埔國小氣喘學童健康手冊 88 圖目錄 圖一、龍埔國小校園 2 圖二、學生健康資料系統畫面 3 圖三、學童每日傷病狀況家長通知頁面 4 圖四、校園學生傷病系統管理首頁畫面 5 圖五、研究設計之流程圖 15 圖六、龍埔國小空氣盒子 19 圖七、龍埔國小空氣盒子 20 圖八、肺功能檢查吐氣準備 24 圖九、肺功能檢查吐氣中 25 圖十、肺功能檢查吐氣後衛較說明 26 圖十一 電子鼻 (electronic nose) 27 圖十二、學童練習使用尖峰呼氣流速計 28 圖十三、學童練習尖峰呼氣流速計 29 圖十四、社區醫生示範尖峰呼氣流速計 30 圖十五、社區醫生衛教氣喘藥物分類 32 圖十六、社區醫生與學童討論氣喘問題 33 圖十七、北大小兒科診所院長謝欣洋醫師氣喘課程教學 34 圖十八、北大小兒科診所院長謝欣洋醫師氣喘課程教學 35 表目錄 表一、比較國內外文獻介入方式 13 表二、氣喘程度分類 18 表三、空氣品質指標(AQI)與健康影響 21 表四、空氣品質指標(AQI)與活動建議 22 表五、基本資料 37 表六、介入組和對照組健康知識、態度和行為前後測 38 表七、介入組學生的前後測分數相依樣本t檢定比較 40 表八、對照組學生的前後測分數相依樣本t檢定比較 41 表九、介入組與對照組前測包含知識、行為、態度面向差異比較 41 表十、介入組與對照組後測包含知識、行為、態度面向差異比較 47 表十一、氣喘教學衛教介入對學生健康知識的分析 52 表十二、氣喘教學衛教介入對學生健康態度的分析 53 表十三、氣喘教學衛教介入對學生健康行為的分析 54 表十四、介入組介入前後得分 55 表十五、比較美國與本研究差異 57 | |
dc.language.iso | zh-TW | |
dc.title | 國小學齡兒童氣喘健康管理計畫 | zh_TW |
dc.title | The Elementary School Children's Asthma Health Management Program | en |
dc.type | Thesis | |
dc.date.schoolyear | 110-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 周繡玲(HSIU-LING CHOU),黃耀輝(YAW-HUEI HWANG) | |
dc.subject.keyword | 氣喘,學齡兒童,衛教,介入,管理計畫, | zh_TW |
dc.subject.keyword | Asthma,School-age children,Health education,Intervention,Management plan, | en |
dc.relation.page | 94 | |
dc.identifier.doi | 10.6342/NTU202204175 | |
dc.rights.note | 同意授權(限校園內公開) | |
dc.date.accepted | 2022-09-30 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 公共衛生碩士學位學程 | zh_TW |
dc.date.embargo-lift | 2022-10-17 | - |
顯示於系所單位: | 公共衛生碩士學位學程 |
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