A comparison, by quantitative and qualitative methods, between the self-management behaviors of parents with asthmatic children in two hospitals.
This study compared the self-management behaviors of parents with asthmatic children staying in two hospitals and explored barriers to self-management behaviors by interviewing. 227 parents were recruited for quantitative analysis by completing a self-report structured questionnaire, 94 of these parents were from the Taipei area and 133 were from the Taoyuan area. Sixteen parents were interviewed from this population. The results indicated that the parents in theTaoyuan area had younger age, lower socioeconomic status (SES), and higher exercise limitations for children. Their knowledge, enabling factors, and self-management behaviors were also lower than their counterparts in the Taipei area. The determining factors of self-management behaviors were socioeconomic status, self-efficacy, sources of education, and perceived effectiveness (Adjusted R2= .593) in 227 parents. Six major themes about the influencing factors of self-management were deduced from the interview data: lack of understanding and dislike of the asthma label, less self-perceived severity, lack of understanding about asthma medication, lack of confidence in environmental controls, financial burden of anti-mite products, and doubt about effectiveness. Three major barriers to self-management behaviors of parents in the Taoyuan area were inconsistent use of alternative treatments, overdependence on medical service, and lack of use of peak flow meter. Parents with asthmatic children living in the Taoyuan area had poorer self-management behaviors than those in the Taipei area, and SES was one of the determining factors. The health beliefs of Taoyuan parents included many misconceptions. Conducting the educational needs assessment through quantitative and qualitative methods could provide proficiency information for designing educational content appropriate to specific populations.
School of Nursing, Graduate Institute of Nursing, China Medical University.
Li-Chi
LC
Chiang
Jing-Long
JL
Huang
Shu-Yuan
SY
Chao
D000328:Adult; D000367:Age Factors; D001249:Asthma / Q000453:epidemiology / Q000517:prevention & control*; D001294:Attitude to Health; D015984:Causality; D002648:Child; D002673:Child, Hospitalized; D017281:Cost of Illness; D004522:Educational Status; D017079:Exercise Tolerance; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000592:standards; D006801:Humans; D008297:Male; D008960:Models, Psychological; D020380:Needs Assessment; D015404:Nursing Methodology Research; D010290:Parents / Q000193:education / Q000523:psychology; D036301:Qualitative Research; D012107:Research Design; D012648:Self Care / Q000379:methods* / Q000523:psychology; D020377:Self Efficacy; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology