哮喘儿童家庭管理水平现状及影响因素分析

PARENTAL MANAGEMENT LEVEL OF CHILDREN WITH ASTHMA:CURRENT SITUATION AND INFLUENCING FACTOR

目的调查支气管哮喘（简称哮喘）儿童家庭自我管理水平的状况及影响因素,为哮喘的防治提供依据。方法选取120例4~11岁哮喘病儿及其家长作为研究对象,应用自行设计的儿童哮喘家庭自我管理量表调查儿童哮喘家庭自我管理水平,并分析年龄、性别、父母文化程度、家庭月收入等因素对哮喘管理的影响。结果最终进入回归方程的哮喘管理影响因素有母亲文化程度、家庭月收入、病儿病程及家庭所在地。母亲文化程度和家庭月收入在总量表得分和疾病医学管理得分上存在差异（F=2.885~3.849,P〈0.05）,病程和家庭所在地总量表得分、疾病医学管理得分和日常生活管理得分差异有显著意义（F=4.220~7.522,t=5.053~6.889,P〈0.05）。结论家庭因素对哮喘病儿家庭自我管理水平有重要的影响。

Objective To investigate the family self-management level of children with bronchial asthma and its influen cing factors, so as to provide reference for prevention and care of this disease. Methods A total of 120 children （4--11 years old） with asthma and their families were selected as the object of this research. A self-designed family selbmanagement rating scale was used to survey the self-management level of the disease and analyze the parent age, sex, educational background, and family monthly income that affected the care of asthma. Results Multiple liner regression analyses showed the educational level of mother, family monthly income, course of disease and home location were influencing factors of asthma control. Mother＇s educa- tion level and family income were different in the total table scores and disease medical management scores （F =2.885--3.849 ,P〈 0.05）. The difference of scores between course of disease and home location, disease medical management as well as daily manage- ment was significant （F=4.220--7.522,t=5.053--6.889,P〈0.05）. Conclusion Family factor is an important influence on self-management of family in children with asthma.