Self-Efficacy Theory Of School-Age Children With Asthma Evaluation Of Self-Management

Objective:To know the self-efficacy theory under the guidance of self-management of school-aged children with asthma and the effect of self-efficacy theory under the guidance of self management of children with asthma self-management behaviors and the influence of the quality of life.Methods:This study is very convenient to choose between July 2014 and December 2014 in Harbin, a certain level of first-class hospital pediatric clinic on 7～11 years old of asthma in children with 76 cases as the research object, according to random number table method, the object of study is divided into intervention group and the control group (n= 38, three-month intervention respectively. Intervention group of children with self-efficacy theory under the guidance of self management, mainly includes:(1) direct experience:knowledge introduction, atomization operation demonstration, diary records of asthma and asthma action plan;(2) alternative experience:patients experience; Watch the video;(3) words to persuade and to develop and regulate mood and physical condition:phone steering and individualized instruction. The control group given outpatient routine nursing and health education. Respectively for 3 months prior to the intervention, intervention evaluation, evaluation index are: childhood asthma control test (C-ACT), children asthma self-management scale, standard childhood asthma quality of life questionnaire (PAQLQ) and at the same time record children with asthma intervention and intervention for 3 months before the medical and health resource usage.Results:A total of 62 cases of children with asthma have completed the data collection. The control group 30 cases, the intervention group 32 cases. Before intervention, two groups of children with general information, medical and health resource usage, the level of asthma control, self management behavior and the quality of life of the score comparison difference has no statistical significance (P> 0.05).(1) After the intervention, two groups of children with asthma control level, self management behavior, quality of life scores, total score were higher than before, the difference was statistically significant (P< 0.05).In addition to the emergency number and treatment cost, two groups of children with medical and health resource utilization are lower than before the intervention, the difference was statistically significant (P< 0.05).(2) After the intervention, the intervention group and control group with childhood asthma control test (C-ACT) total score, respectively (20.03±0.45), (19.01 ±0.48), the difference was statistically significant (P< 0.05);Self-management scale total score, respectively (138.01±2.16), (121.08±3.33), the difference was statistically significant (P< 0.05);Childhood asthma quality of life scale (PAQLQ) total score, respectively (6.07±0.47), (5.12±0.43), the difference was statistically significant (P< 0.05);Medical and health resource usage of the difference was statistically significant (P< 0.05).Conclusion:Self-efficacy theory under the guidance of self management can improve the self-management behavior of school-aged children with asthma and the quality of life, reduce the medical and health resources to use.For the school-age children with asthma management provides an effective method.