The Effects of Health Education on self-care for moderate-severe asthma patients

Autor: Li Yu Tsui, 李育翠
Rok vydání: 2006
Druh dokumentu: 學位論文 ; thesis
Popis: 94
Asthma morbidity has been increasing in the past few years. According to the data presented by Department Of Health, the mortality rate of asthma was 7.04-9.10 per 100,000 population during 1998-2002. Hospital stay number caused by asthma increased by 16％, and the related expense greatly increased by 44％. Asthma is a chronic disease, which affects patient’s activity ability and increases use of healthcare resources. The purpose of this study was exploring the self-care ability, behavior, efficacy and prognosis for moderate and severe asthma patients, and examining the effectiveness of it by self-care and prognosis for moderate-severe asthma adult patients. This study adopted experimental design and randomly sampled 148 moderate-severe asthma patients. The subjects were categorized into three groups: comparison group, experimental 1 and experimental 2. The comparison received standard care; experimental 1 and experimental 2 received the intervention project of asthma education. Observation started in the first and the third month after educating. The subjects were measured in structure questionnaires, which included demographic data, asthma patient self-care agency scale, asthma patient self-efficacy scale, asthma patient self-care behavior scale and social support scale. The data analysis used SPSS for Windows 10 and SAS 8.1 software, including description statistics and deduction statistics data analysis. The major finding of this study revealed with different asthma education interventions are: 1. In “The knowledge of aspect in asthma self-care ability”: the experimental group are better than comparison group (F＝9.746, p＜.001); In ”The attitude of aspect in asthma self-care ability”: three groups are changing along with time ( F＝27.553, p＜.001). Also the average scores of experimental 1 and 2 groups are both higher than the comparison group; In ”The skill of aspect in asthma self-care ability”: three group are change along with time. (F＝20.402, p＜.001) 2.In “asthma self-care behavior”: experimental 2 is significantly higher than the comparison group and experimental 1. (F＝77.515, p＜.001) 3. In “asthma self-efficacy”: the comparison group is significantly lower than experimental 1 and experimental 2 groups. (F＝31.366, p＜.001) 4. In “social support”: the comparison group is significantly lower than experimental 1 and experimental 2 groups. (F＝5.052, p＝.001) 5. In “clinical result”: (1) lung function: PEFR (F＝2.497, p＝.086), FEV1(F＝0.723, p＝.487), FVC (F＝0.435, p＝.648), FEV1/ FVC (F＝1.882, p＝.156) all the three groups are not significant in statistic. (2) asthma control indicator: the experimental 2 group is better than the experimental 1 and the comparison groups. (F＝2.840, p＝.025) (3) use of unscheduled medical resources: all three groups are not significant in statistic. (p＝.544；p＝.169) (4) drug category and frequency: In “drug category”, all three groups are significant in the first and the third months. (p＝.025, p＝.033); In “drug frequency “, all three groups are not significant in statistics. (p ＝.375, p ＝.064) This study significantly verified the effect of individualized intervention project of asthma education in self-care and prognosis on moderate-severe asthma patients. This study could serve as a reference for future the nursing clinical experiments in asthma self-care.
Databáze: Networked Digital Library of Theses & Dissertations
Externí odkaz: