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Correlation analysis of self-management level and family management mode in children with acute attack of asthma |
WANG Simin LIANG Juan▲ |
Department of Pediatric, the First Affiliated Hospital of the Chinese People’s Liberation Army Air Force Military Medical University Xijing Hospital, Shaanxi Province, Xi’an 710032, China |
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Abstract Objective To observe the self-management level in children with acute attack of asthma and to analyze its correlation with family management mode. Methods From January 2018 to December 2019, 100 children with acute attack of asthma admitted to the Department of Pediatric, the First Affiliated Hospital of the Chinese People’s Liberation Army Air Force Military Medical University were prospectively enrolled. They were inhaled with Salbutamol and treated with inhaled glucocorticoids for long-term treatment after symptom control. The self-management level (assessed by the family self-management scale for children with bronchial asthma) and family management mode (assessed by the family management measurement [FAMM]) of all children were evaluated before treatment, three days after treatment, and one week after treatment, respectively, and the correlation between them was analyzed. Results Before treatment, three days after treatment, and one week after treatment, There were high statistical significance in each dimension and total score of the family self-management scale for children with bronchial asthma (P < 0.01); and pairwise comparison showed that the differences in each dimension and total score of the family self-management scale for children with bronchial asthma at each time point were statistically significant (P < 0.05). Before treatment, three days after treatment, and one week after treatment, there were high significant differences in each dimension and total score of FAMM (P < 0.01); and pairwise comparison showed that each dimension and total score of FAMM at each time point were statistically significant (P < 0.05). The family self-management scale for children with bronchial asthma (daily life management, disease medical management, and emotional cognitive management) and total score were positively correlated with children’s daily life, disease management ability, and parental mutual support in FAMM; and was negatively correlated with energy consumption, difficulty in disease management, and fear of disease effects in FAMM (P < 0.05). Conclusion The self-management level of children with acute attack of asthma is closely related to family management mode, clinical intervention can be carried out accordingly to improve the self-management level or family management mode.
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