Please use this identifier to cite or link to this item:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/35282Full metadata record
| ???org.dspace.app.webui.jsptag.ItemTag.dcfield??? | Value | Language |
|---|---|---|
| dc.contributor.advisor | 張媚(Mei Chang) | |
| dc.contributor.author | Pei-Yu Cheng | en |
| dc.contributor.author | 程佩玉 | zh_TW |
| dc.date.accessioned | 2021-06-13T06:46:36Z | - |
| dc.date.available | 2005-08-31 | |
| dc.date.copyright | 2005-08-04 | |
| dc.date.issued | 2005 | |
| dc.date.submitted | 2005-07-28 | |
| dc.identifier.citation | 中文部分
王文玲（1992）．與慢性病共存—慢性病患者家庭的需要．護理雜誌，39（3），25-30。 王資惠（1996）．護理指導對學齡期氣喘患童使用吸入行藥物的知識及技巧的影響．未發表的碩士論文．台北：國立臺灣大學護理研究所。 毛新春（2002）．疾病對兒童青少年社會發展的衝擊．護理雜誌，49（3），24-29。 石青樺（2004）．家長照護氣喘兒童身體活動相關知能介入實驗研究．未發表的博士論文．台北：國立臺灣師範大學衛生教育研究所。 田開瑋、黃美淑、黃靖芬、許蕙美、黃美智（1999）．氣喘兒童家庭的評估與調適．護理雜誌，46（4），81-85。 行政院環境保護署（2005，1月12日）．氣喘照護手冊．2005年5月15日取自http://www.epa.gov.tw/b/b0100.asp?Ct_Code=06X0001295X0005290&L= 李文益（1999）．肺功能監測及最高呼氣流量計的使用．長庚醫訊，20（3），27-28。 李守義、周碧瑟、晏涵文（1989）．健康信念模式的回顧與前瞻．中華衛誌，9（3）123-137。 李從業（1997）．以健康信念模式分析台北市中小學女性老師乳房自我檢查行為．護理研究，5（4），366-375。 呂克桓（2002）．小兒氣喘的認識與防治．氣喘之友，63，7-8。 吳玉萍（2002）． 氣喘學生與健康學生之生活適應研究－以宜蘭縣礁溪鄉為例．未發表的碩士論文．台北：國立臺灣師範大學衛生教育研究所。 吳玉萍、賴香如（2003）．氣喘學生之生活適應問題研究－以宜蘭縣五所中小學為例．醫護科技學刊，5（3），262-282。 吳克恭（2002）．兒童氣喘．臨床醫學，49（1）．48-57。 林思偕（1998，7月4日）．氣喘病童的居家護理．2004年10月20日取自http://www.cgmh.com.tw/chldhos/intr/c4a80/ 林美玲（2003）．氣喘兒童醫療遵從行為與相關因素之探討．未發表的碩士論文．桃園：長庚大學護理研究所。 邱皓政（2004）．社會與行為科學的量化研究與統計分析．台北：五南。 胡月娟（1994）．慢性病患者家庭所承受的衝擊與因應行為．護理研究，2（2），140-151。 徐世達（2003）．兒童氣喘藥物治療原則．中華民國兒童胸腔醫學會雜誌，4（1），31-40。 徐世達（無日期）．氣喘病的全球人負擔．2004年10月15日取自http://www.asthma.idv.tw/contents/essay88.htm 高碧霞、洪兆嘉、周正成（1996）．氣喘兒童夏令營活動評價．台北：中央健保局。 高碧霞、王資惠（1997）．兒童氣喘－可以預防的兒童呼吸急症嗎．護理雜誌，44（4），7-14。 高碧霞（2003）．氣喘家庭照護措施對母親氣喘處置效能、生活品質與兒童健康狀態之影響．未發表的博士論文．台北：國立臺灣大學護理研究所。 高碧霞、楊曉玲、王惠玉、林安麗、陳月枝（2002）．學校護理人員對氣喘學童照護之再教育需求．醫學教育，6（3），324-332。 高碧霞（2003）．由護理人員觀點談氣喘兒童健康照護之議題．台灣兒童過敏氣喘及免疫學會學會通訊，4（3），20-21。 高碧霞（2004）．氣喘兒童之症狀評估與處置．護理雜誌，51（6），39-45。 行政院衛生署（無日期）．氣喘診療指引簡明版。2005年06月25日取自http://www.chest.org.tw/edu/index.htm 國家高速網路與計算中心（無日期）．氣喘格網．2005年5月10日取自https://www.medicalgrid.org/porg/education/education02.htm 張晏苾（2002）．國中氣喘學生學習表現與身心社會適應之探討．未發表的碩士論文．桃園：長庚大學護理研究所。 陳力振（1998）．氣喘病的成因與診斷．長庚醫訊，20（3），20-22。 陳志鑫（2003）．談氣喘衛教．台灣兒童過敏氣喘及免疫學會學會通訊，4（4），27-28。 陳貞如、連正德（1994）．氣喘病人的教育．臨床醫學，34（3），195-205。 陳淑賢（2000）．氣喘學童氣喘知識與藥物吸入技巧之相關因素探討．未發表的碩士論文．台北：國立陽明大學社區護理研究所。 陳曉悌、李怡娟、李汝禮（2003）．健康信念模式之理論緣起與應用．台灣醫學，7（4），632-639。 陳黛娜（1994）．氣喘學童的疾病知識與相關行為之探討．未發表的碩士論文．台北：國防醫學大學護理學研究所。 陳黛娜、李從業（1997）．台北市國小氣喘學童的疾病知識與適應行為之探討．護理研究，5（2），160-169。 黃立心，徐世達（2003）．氣喘病的致病機轉．台灣兒童過敏氣喘及免疫學會學會通訊，4（4），14-20。 黃群峰、陳淑媜、劉家瑞、劉文健（2003）．兒童過敏氣喘的治療（上）．基層醫學，18（11），238-242。 黃群峰、陳淑媜、劉家瑞、劉文健（2003）．兒童過敏氣喘的治療（下）．基層醫學，18（11），262-265。 黃璟隆（1998，12月1日）．氣喘兒的居家自我照顧．2004年12月15日取自http://www.cgmh.com.tw/chldhos/intr/c4a80/ 黃璟隆（1999）．台灣氣喘衛教的過去、現在與未來．長庚醫訊，20（3），18-19。 黃璟隆（無日期）．重視氣喘兒的學校照護．2004年10月15日取自http://www.asthma.org.tw/page_5.htm 葉國偉（1999）．認識治療氣喘的藥物．長庚醫訊，20（3），25-26。 彭殿王（2002）．氣喘的藥物治療．臨床醫學，50（5）．308-311。 曾秀蘭（2003）．家長對氣喘兒童身體活動支持情形及相關因素研究．未發表的碩士論文．台北：國立臺灣師範大學衛生教育研究所。 曾麗琦（2000）．屏東地區學齡期氣喘學童疾病知識、態度與自我處理行為之探討．未發表的碩士論文．高雄：高雄醫學大學護理學研究所。 萬國華、王根樹、李芝珊、王秋山（2000）．全球環境變遷對公共衛生衝擊之評析．中華衛誌，19（1），20-29。 詹仁隆、徐世達（2002）．嚴重型氣喘的分類及其致病機轉．台灣兒童過敏氣喘及免疫學會學會通訊，3（4），23-24。 談靜慧（2004）．氣喘青少年自我管理意向之預測因子．未發表的碩士論文．高雄：高雄醫學大學護理學研究所。 蔣立琦（1999）．氣喘兒童父母自我處理行為及其相關因素之研究．未發表的博士論文．台北：國立臺灣師範大學衛生教育研究所。 蔣立琦、黃璟隆、呂昌明（1999）．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，7（4），307-319。 蔡佳純、吳淑芳（2001）．學齡前兒童氣喘自我照護．領導護理，4（1），90-95。 賴香如（2001）．氣喘學生生活適應問題、學習表現與身體活動情形研究－以台北市五所中小學為例．衛生教育學報，16，45-75。 謝巾英（1997）．正常的兒童．於陳月枝總校閱，新編小兒科護理（2版，31-66頁）．台北：匯華。 謝貴雄（1995）．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。 英文部分 Almqvist, C., Pershagent, G., & Wickman, M. (2005). Low socioeconomic status as a risk factor for asthma, rhinitis and sensitization at 4 years in a birth cohort. Clinical and Experimental Allergy, 35, 612-618. American Academy of Allergy, Asthma and Immunology [AAAI] (2004). Overview of Allergic Diseases: Diagnosis, Management, and Barriers to Care. Retrieves October 15, 2004, from http://www.theallergyreport.org/reportindex.html Amre, D. K., Rivard, C. I., Gautrin, D., & Malo, J. L. (2002). Socioeconomic status and utilization of health care services among asthmatic children. Journal of Asthma, 39(7), 625-631. Amre, D. K., Rivard. C. I., & Gautrin, D. (2002). Socioeconomic status and utilization of health care services among asthmatic children. Journal of Asthma, 39(7), 625-631. Barton, C., Abramson, M., Aroni, R., Stewart, K., Thien, F., & Sawyer, S. (2002). What determines knowledge of asthma among young people and their families? Journal of Asthma, 39(8), 701-709. Bauman, A. E., Craig, A. R., Dunsmore, J., Browne, G., Allen, D. H., & Vandenberg, R. (1989). Removing barriers to effective self-management of asthma. Patient Education and Counseling, 14, 217-226. Becker, M. H. (1974). The health belief model and sick role behavior. Health Education Monographs, 2(4), 409-419. Brook, U., & Tepper, I. (1997). Self image, copimg and familial interaction among asthmatic children and adolescents in Israel. Patient Education and Counseling, 30, 187-192. Bursch, B., Schwankovsky, L., Gilbert, J., & Zeiger, R. (1999). Construction and validation of four childhood asthma self-management scales: parent barriers, child and parent self-efficacy, and parent belief in treatment efficacy. Journal of Asthma, 36(1), 115-128. Butz, A. M., & Malveaux, F. J. (1995). Social factors associated with behavioral problems in children with asthma. Clinical Pediatrics, 34(11), 581-591. Calabrese, B. J., Nanda, J. P., Huss, K., Winkelstein, M., Quartey, R. I., & Rand, C. S. (1999). Asthma knowledge, roles, functions, and educational needs of school nurses. Journal of School Health, 69(6), 233-238. Canam, C. (1993). Common adaptive tasks facing parents of children with chronic conditions. Journal of Advanced Nursing, 18, 46-53. Centers for Disease Control and Prevention [CDC] (2005, February). Summary health statistics for U.S. children: National Health Interview Survey,2003. Retrieved May 30, 2005, from http://www.cdc.gov/nchs/nhis.htm Celano, M. P., & Geller, R. J. (1993). Learning , school performance, and children with asthma: how much at risk? Journal of Learning Disabilities, 26(1), 23-32. Clark, N. M., Evans, D., Zimmerman, B. J., Levison, M. J. & Mellis, R. B. (1994). Patient and f amily management of asthma: Theory-based techniques for the clinician. Journal of Asthma, 31(6), 427-435. Clark, N. M., & Gong, M. (2000). Management of chronic disease by practitioners and patient: are we teaching the wrong things? British Medical Journal, 302(26), 572-575. Deaves, D. M.(1993). An assessment of the value of health education in the prevention of childhood asthma. Journal of Advanced Nursing, 18, 354-363. DePaola, L. M., Roberts, M. C., Blaiss, M. S., Frick, P, J., & McNeal, R. E. (1997). Mothers’ and children’s perceptions of asthma medication. Childre’s Health Care, 26(4), 265-283. Diette, G. B., Markson, L., Skinner, E. A., Nguyen, T. T. H., Algatt-Bergstrom, P., & Wu, A. W. (2000). Nocturnal asthma in children affects school attendance, school performance, and parents’ work attendance. Archives of Pediatrics & Adolescent Medicine, 154(9), 923-928. Divertie, V. (2002). Strategies to promote medication adherence in children with asthma. The American Journal of Maternal / Child Nursing, 27(1),10-18. Enarson, D. A., & Khaled, N. A.(1999). Culture barriers to asthma management. Pediatric Pulmonology. 28(4), 297-300. Eney, R. D., & Goldstein, E. O. (1976). Compliance of chronic asthmatics with oral administration of theophylline as measured by serum and salivary levels. Pediatrics, 57(4), 513-517. Englund, A. D., Rydstrom, I., & Norberg, A. (2001). Being the parent of a child with asthma. Pediatric Nursing, 27(4), 365-373. Englund, A. D., Rydstrom, O., Rasmussen, B. H., Moller, C., & Sandman, P. O. (2002). Having a child with asthma-quality of life for Swedish parents. Journal of Clinical Nursing, 13, 386-395. Global Initiative for Asthma [GINA] (2004).Pocket guide for asthma management and prevention in children. Retrieved October 25, 2004, from http://www.ginasthma.com/Guidelineitem.asp?l1=2&l2=1&intId=93 Goodman, D. C., Stukel, T. A., & Chang, C. H. (1998). Trends in pediatric asthma hospitalization rates: regional and socioeconomic differences. Pediatrics, 101(2), 208-213. Guyatt, G. H., Juniper, E. F., Griffith, L. E., Feeny, D. H., & Ferrie, P. J. (1997). Children and adult perceptions of childhood asthma. Pediatrics, 99(2), 165-168. Guevara, J. P., Wolf, F. M., Grum, C. M., & Clark, N. M. (2003). Effects of educational interventions for self management of asthmain in children and adolescents: systematic review and meta-analysis. British Medical Journal, 326(14), 1-6. Haby, M. M., Powell, C. V. E., Oberklaid, F., Waters, E. B., & Robertson, C. F. (2002). Asthma in children: gaps between current management and best practice. Journal of Paediatrics & Child Health, 38(3), 284-289. Hazzard, A., & Angert, L. (1986). Knowledge, attitudes, and behavior in children with asthma. Journal of Asthma, 23(2), 61-67. Helms, P. J. (2000). Issues and unmet needs in pediatric asthma. Pediatric Pulmonlogy, 30(2), 159-165. Ho, J., Bender, B. G., Gavin, L. A., O’Connor, S. L., Wamboldt, M. Z., & Wamboldt, F. S. (2003). Relations among asthma knowledge, treatment adherence, and outcome. Jorunal of Allergy and Clinical Immunology, 111(3), 498-502. Hollingshead, A. B.(1957).Two factor index of social position. New York: New Haven. Horner, S. D. (2004). Effect of education on school-age children’s and parents’ asthma management. Journal of the Society of Pediatric Nurse, 9(3), 95-102. Janz, N. K., Champion, V. L.,& Strecher, V. J. (2002). The health belief model.In Glanz, K. Rumer, B. K., & Lewis, F. M.,Health Behavior and Health Education(3rd., pp. 45-66). San Francisco, CA: John Wiley & Sons. Jones, P. K., Jones, S. L., & Katz, J. (1987). Improving compliance for asthmatic patients visiting the emergency department using a health belief model intervention. Journal of Asthma, 24(4), 199-206. Jones, S. E., & Wheeier, L. (2004). Asthma inhalers on school: Rights of students with asthma to a free appropriate education. American Journal of Public Health, 94(7), 1102-1108. Juniper, E. F., Guyatt, G. H., Feeny, D. H., Ferrie, P. J., Griffith, L. E., & Townsend, M. (1996). Measuring quality of life in the parents of children with asthma. Quality of Life Research, 5, 27-34. Kleinbaum, D. G., Kupper, L. L., & Muller, K. E. (1988). Applied Regression Analysis and Other Multivariable methods. Boston, Mass.: PWS-Kent . Klinnert, M. D., McQuaid, E. L., & Gavin, L. A. (1997). Assessing the family asthma management system. Journal of Asthma, 34(1), 77-88. Kolbe, J., Vamos, M., Fergusson, W., Elkind, G., & Garrett, J. (1996). Differential influences on asthma self-management knowledge and self-management behavior in acute severe asthma. Chest, 110(6), 1463-1468. 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, 357-373. Kurnat, E. L., & Moore, C. M., (1999). The impact of a chronic condition on the families of children with ashma. Pediatric Nursing, 25(3), 288-293. Lenney, W. (1997). The burden of pediatric asthma. Pediatric Pulmonology, 24(S15), 13-16. Liu, C., & Feekery, C. (2001). Can asthma education improve clinical outcomes? An evaluation of a pediatric asthma education program. Journal of Asthma, 38(3), 269-278. Lurie, N., Bauer, E. J., & Brady, C. (2001). Asthma outcomes at an inner-city school-based health center. Journal of School Health, 71(1), 9-16. Mansour, M. E., Lanphear, B. P., & DeWitt, T. G. (2000). Barriers to asthma care in urban children: parent perspectives. Pediatrics, 106(3), 512-519. McAllister, J. (2004). An overview of the current asthma disease management guidance. British Journal of Nursing, 13(9), 512-517. McCarthy, M. J., Herbert, R., Brimacombe, M., Hansen, J., Wong, D., & Zelman, M. (2002). Empowering parents through asthma education . Pediatric Nursing, 28(5), 465-473. McEwen, M., Johnson, P., Neatherlin, J., Millard, M. W., & Lawrence, G. (1998). School-based management of chronic asthma among inner-city African-American schoolchildren in Dallas, Texas. Journal of School Health, 68(5), 196-202. Meng, A., & McConnel, C. (2002). Decision-making in children with asthma and parents. Journal of the American Acadomy of Nurse Practitioners, 14(8), 363-372. Mesters, I., Meertens, R., Crebolder, H., & Parcel, G. (1993). Development of a health education program for parents of preschool children with asthma. Helth Education Research, 8(1), 53-68. Mesters, I., Nunen, M., Crebolder, H., & Meertens, R. (1995). Education of parents about paediatric asthma: effects of a protocol on medical consumption. Patient Education and Counseling, 25, 131-136. Milnes, L. J., & Callery, P. (2003). The adaptation of written self-management plans for children with asthma, Journal of Advanced Nursing, 41(5), 444-453. National Heart Lung and Blood Institute [NHLBI] (n.d.). NAEPP resolution on asthma management at school. Retrieved October 10, 2004, from http://www.nhlbi.nih.gov/health/public/lung/asthma/resolut.htm Newacheck, P. W. (1994). Poverty and childhood chronic illness, Archives of Pediatrics & Adolescent Medicine, 148(11), 1143-1149. Nguyen, B. P., Wilson, S. R., & German, D. F. (1996). Patients’ perceptions compared with objective ratings of asthma severity. Annals of Allergy, Asthma, and Immunology, 77, 209-215. Nystad, W., Magnus, P., Gulsvik, A., Skarpaas, I. J. K., & Carlsen, K. H. (1997). Changing prevalence of asthma in school children: evidence for diagnostic changes in asthma in two surveys 13 yrs apart. European Respiratory Journal, 10(5), 1046-1051. Perez, M. G., Feldman, L., & Caballero, F. (1999). Effects of a self-management educationl program for the control of childhood asthma. Patient Education and Counseling, 36, 47-55. Polit, D. F., & Beck, C. T. (2004).Sampling designs. In D. F. Poilt and C. T. Beck( Eds.), Nursing research: Principles and methods.(7th ed., pp. 289-314). Philadelphia, PA: Lippincott. Polit, D. F., & Beck, C. T. (2004).Analyzing quantitative data: Descriptive statistics. In D. F. Poilt and C. T. Beck( Eds.), Nursing research: Principles and methods.(7th ed., pp. 477-510). Philadelphia, PA: Lippincott. Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education Monographs, 2(4), 328-335. Rydstrom, I., Englund, A. D., & Sandman, P. O. (1999). Being a child with asthma. Pediatric Nursing, 25(6), 589-595. Shapiro, G. G., & Stout, J. W. (2002). Childhood asthma in the United States: urban issues. Pediatric Pulmonogogy, 33(1), 47-55. Sheffer, A. L. (1991). Chair expert panel on the management of asthma. Journal of Allergy and Clinical Immunology, 88(3), 426-438. Singel, L. J., & Lira, R. (2001). Yes, you can! Nurses create a tenplate for teaching school-age children to live with asthma. American Journal of Nursing, 10(8), 24a-24c. Swanson, M. N., & Thompson, P. E. (1994). Managing asthma triggers in school. Pediatric Nursing, 20(2), 181-184. Taylor, W. R., & Newacheck, P. W. (1992). Impact of childhood asthma on health. Pediatrics, 90(5), 657-662. Taras, H., Wright, S., Brennan, J., Campana, J., & Lofgren, R. (2004). Impact of school nurse case management on students with asthma. Journal of School Health, 74(6), 213-219. Trollvik, A., & Severinsson, E. (2004). Parents’ experiences of asthma: process from chaos to coping. Nursing and Health Sciences, 6, 93-99. Waliser, M. N., Misener, M., Mersman, C., & Lincoln, P. (2004). Evaluating the needs of children with asthma in home care: the vital role of nurses as caregivers and educators. Public Health Nursing, 21(4), 306-315. Walsh, K. M., Kelly, C. S., & Morrow, A. L. (1999). Head start: a setting for asthma outreach and prevention. Family & Community Health, 22(1), 28-37. Warschburger, P., Schwerin, A. D., Buchholz, H. T., Petermann, F. (2003). An educational program for parents of asthma preschool children: short-and medium-term effects. Patient Education and Counseling, 51, 83-91. Wheeler, L. S., Boss, L. P., Williams, P. V. (2004). School-based approaches to identifying students with asthma. Journal of School Health, 74(9), 378-380. World Health Organization [WHO] (2000). Bronchial Asthma. Retrieved October 15, 2004, from http://www.who.int/mediacentre/factsheets/fs206/en/ Yoos, H. L., & McMullen, A. (1996). Illness narratrves of children with asthma. Pediatric Nursing, 22(4), 285-290. Yoos, H. L., McMullen, A., Bezek, S., Hondorf, C., Berry, S., Herendeen, N., et al. (1997). An asthma management program for urban minority children. Journal of Pediatric Health Care, 11, 66-74. Zhao, X., Furber, S., & Bauman, A. (2002). Asthma knowledge and medication compliance among parents of asthmatic children in Nanjing, China. Journal of Asthma, 39(8), 743-747. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/35282 | - |
| dc.description.abstract | 氣喘為兒童最常見的慢性疾病，影響層面包括生物、心理及家庭社會，也造成醫療及社會成本支出增加。學童身心發展未臻成熟，所需之氣喘照護有賴主要照顧者協助，本研究為瞭解社區中氣喘學童之主要照顧者其氣喘照護行為的現況，探討Becker健康信念模式中修正因素及健康信念與氣喘照護行為的關係，以及影響氣喘照護行為的重要預測因子。於民國94年4月14至94年5月11日，由台中市59所市立國小，採隨機抽樣方式抽取9所國小，其健康中心登記患有氣喘疾病學童之主要照顧者為研究對象，進行問卷調查，共199位主要照顧者完成問卷。
研究結果發現：（1）本研究氣喘學童多為男性，佔64.3％；平均年齡為9.85歲；74.88％在五歲以前發病；62.81％屬輕度氣喘；74.37％有使用氣喘藥物；39.2％接受另類療法。（2）本研究之主要照顧者女性多於男性，佔83.92％；平均年齡為39.45歲，以35-44歲居多，佔76.38％；91％為已婚；37.2％為高中職學歷；45.2％屬中社經地位；氣喘知識平均得分14.6分，標準化得分為73分，屬中等程度氣喘知識。（3）健康信念的平均得分134.39分，標準化得分為69.19分，屬正向健康信念。（4）氣喘照護行為的平均得分89.01分，標準化得分為68.47分，執行情形屬中上程度。（5）主要照顧者婚姻狀況及氣喘知識與照護行為有顯著相關，已婚、氣喘知識得分愈高，照護行為愈佳。（6）主要照顧者健康信念中，自覺行動利益與自覺行動障礙與照護行為有顯著正相關，自覺行動利益愈多，自覺行動障礙愈少，則照護行為愈佳（7）主要照顧者氣喘照護行為可由「修正因素」－婚姻狀況與氣喘知識及「健康信念」－自覺行動利益與自覺行動障礙等四個變項預測，共可解釋氣喘照護行為變異量之22.2％，其中氣喘知識為預測照護行為的重要因子。 | zh_TW |
| dc.description.abstract | Asthma is one of the most common chronic diseases in children. Its impacts cover biological, psychological, family, and social aspects, and result in rises in medical and social costs. School-age children at are not yet mature individuals; therefore asthmatic pupils rely mainly on caregivers to provide assistance with asthmatic care. In order to find out the current situation of how asthmatic care is being given to school-age pupils by their main caregivers in the community, this study sets out to investigate the correlations among modifying factors, health beliefs, and asthma care behaviors in Becker’s health belief model, as well as fundamental predictors that influence asthmatic care behaviors. Random samplings were conducted in the period from April 14th 2005 to May 11th 2005 on 59 municipal elementary schools in Taichung City, and questionnaires were given to the main caregivers (the research subjects of this study) of asthmatic pupils registered at the health center of 9 elementary schools in Taichung that these pupils go to. A total of 199 completed questionnaires were received.
As the study reveals: (1) The proportion of boy pupils is higher (64.3%) than that of girl pupils, with a mean age of 9.85 years. 74.88% of the asthmatic pupils experienced their first asthma attack by the age of five. 62.81% are mild asthma patients. 74.37% take asthma medications while 39.2% receive alternative medicine. (2) The proportion of female main asthma caregivers is higher (83.92%) than that of male ones, with a mean age of 39.45 years. Most of the main caregivers are 35-44 years old (76.38%) and married (91%). 37.2% of them have received high school / vocational school education, while 45.2% belong to a middle social-economic status. The average score for asthma knowledge is 14.6, which equals to a standardized score of 73 and falls into a medium level of asthma knowledge. (3) The research subjects have an average score of 134.39 in health beliefs, which equals a standardized score of 69.19 and this indicates positive health beliefs. (4) The research subjects have an average score of 89.01 in asthma care behavior, which equals a standardized score of 68.47 and this indicates a middle-to-high level of caretaking. (5) The marital status and asthma knowledge of main caregivers are closely related to their caretaking behaviors. Married caregivers and caregivers who score high in asthma knowledge tend to demonstrate better behaviors in caretaking. (6) In terms of health beliefs, the main caregivers’ caretaking behaviors are positively correlated to their “perceived benefits to action” and “perceived barriers to actions.” The more the “perceived benefits to action” and the less “the perceived barriers to actions,” the better their caretaking behaviors. (7) Asthma care behaviors are predictable using four variants: modifying factors, including “marital status,” and “asthma knowledge”; and health beliefs, including “perceived benefits to action,” and “perceived barriers to actions.” These variants function to account for 22.2% of all asthma care behavior variances, while asthma knowledge stands out as a significant predictor in predicting caretaking behaviors. Key words: asthma care behavior; health beliefs; caregivers | en |
| dc.description.provenance | Made available in DSpace on 2021-06-13T06:46:36Z (GMT). No. of bitstreams: 1 ntu-94-R92426026-1.pdf: 630570 bytes, checksum: dbb1be6ec20a6e78900e9c62459337e6 (MD5) Previous issue date: 2005 | en |
| dc.description.tableofcontents | 目錄
頁次 致謝……………………………………………………………………..I 論文摘要……………………………………………………………...II 論文目錄……………………………………………………………...VI 圖表目錄……………………………………………………………...XI 第壹章 緒論……………………………………………………….....1 第一節 研究動機及重要性 ………………………………………..1 第二節 研究目的…………………………………………………....7 第三節 研究問題…………………………………………………....7 第四節 研究假設…………………………………………………....8 第五節 研究架構…………………………………………………....9 第六節 名詞解釋…………………………………………………....9 第貳章 文獻查證…………………………………………………....11 第一節 氣喘的定義及特性 ……………………………………...11 第二節 氣喘對於學童及家庭的影響 ……………………………..28 第三節 健康信念模式.………………………………………......31 第四節 主要照顧者氣喘照護行為之影響因素.................35 第參章 研究方法…………………………………………………....40 第一節 研究對象…………………………………………………….40 第二節 研究場所……………………………………………….....40第三節 研究倫理…………………………………………………...40 第四節 研究工具…………………………………………………….41 第五節 研究工具信效度…………………………………………….42 第六節 資料收集過程……………………………………………….48 第七節 資料處理與分析…………………………………………….49 第肆章 研究結果………………………………………….………...52 第一節 氣喘學童之基本資料分佈………………………………….52 第二節 主要照顧者之修飾因素分佈……………………………….59 第三節 主要照顧者之健康信念模式的分佈……………………….63 第四節 主要照顧者之照護行為分佈……………………………….70 第五節 修正因素與氣喘照護行為的關係………………………….75 第六節 健康信念與氣喘照護行為的關係…………………….....78 第七節 主要照顧者氣喘照護行為之重要預測變項分析………….81 第伍章 討論………………………………………………………....86 第一節 氣喘學童人口學與疾病特性分析………………………….86 第二節 主要照顧者之修飾因素之分析…………………………….87 第三節 主要照顧者之健康信念模式之分析……………………….88 第四節 主要照顧者之照護行為分析……………………………….91 第五節 修正因素與氣喘照護行為關係之分析…………………….95 第六節 健康信念與氣喘照護行為關係之分析…………………….97 第七節 主要照顧者氣喘照護行為重要預測因子分析...........98 第陸章 結論與建議與限制………………………………………...99 第一節 結論……………………………………………….........99 第二節 建議與研究限制…………………………………........101 參考資料..………………………………………………………..…105 中文部份….………………………………………………………...105 英文部分…………………………………………………………....110 附錄一：主要照顧者氣喘照護問卷…………………………………117 附錄二：問卷效度評定專家名單……………………………………124 附錄三：主要照顧者氣喘照護行為正式施測問卷…………………125 附錄四：家庭社經地位表..................................132 附錄五：主要照顧者修飾因素之類別變項與健康信念..........134 | |
| dc.language.iso | zh-TW | |
| dc.subject | 主要照顧者 | zh_TW |
| dc.subject | 健康信念 | zh_TW |
| dc.subject | 氣喘照護行為 | zh_TW |
| dc.subject | care givers | en |
| dc.subject | health beliefs | en |
| dc.subject | asthma care behavior | en |
| dc.title | 社區氣喘學童之主要照顧者其氣喘照護行為與健康信念關係之研究 | zh_TW |
| dc.title | The Study of the Relationship between Asthma Care Behavior and Health Beliefs among Care Givers of Children with Asthma in Community | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 93-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 高碧霞(Bih-Shya Gau),江伯倫(Bor-Luen Chiang) | |
| dc.subject.keyword | 氣喘照護行為,健康信念,主要照顧者, | zh_TW |
| dc.subject.keyword | asthma care behavior,health beliefs,care givers, | en |
| dc.relation.page | 134 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2005-07-29 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 護理學研究所 | zh_TW |
| Appears in Collections: | 護理學系所 | |
Files in This Item:
| File | Size | Format | |
|---|---|---|---|
| ntu-94-1.pdf Restricted Access | 615.79 kB | Adobe PDF |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.