Investigation and analysis of influencing factors of self-management behavior in school-age children with bronchial asthma
- MAI Guohua
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Objective To investigate the self-management behavior of school-age children with bronchial asthma, and to analyze its influencing factors, so as to provide scientific reference for the prevention and intervention of bronchial asthma in children. Methods A total of 132 school-age children with bronchial asthma treated in Pingdingshan Maternal and Child Health Hospital from January 2020 to May 2021 were selected as the study subjects. The self-management behavior of asthmatic children was investigated by questionnaire, and the influencing factors of self-management behavior of school-age children with bronchial asthma were determined by multivariate Logistic regression analysis. Results The total score of self-management behavior of 132 school-age children with bronchial asthma was(119.76±19.32) points. The average score of daily life management behavior, disease medical management behavior and social psychological management behavior was(23.13±3.51) points,(62.88±10.27) points and(33.75±5.54) points, respectively. The scores of daily life, disease medicine, social psychology and total score of self-management behavior in children aged 11 to 14 years, with a course of more than 4 years and guardian's education level of college or above were higher than those in children aged 7 to 10 years, with a course of less than 2 years or 2 - 4 years and guardian's education level of junior middle school/below and senior high school/technical secondary school(daily life: t=4.838, F=8.928, 8.764; disease medicine:t=3.507, F=9.205, 6.514; social psychology: t=3.901, F=12.028, 9.635; total score of self-management behavior: t=3.865, F=9.939, 7.791, P<0.01). The scores of disease medicine and total score of self-management behavior of children with family history were higher than those without family history(t=2.876, 2.088, P<0.05). There were significant differences in the scores of disease medicine, social psychology and total score of self-management behavior in children with different education methods(F=3.469, 73.525, 8.410, P<0.05 or <0.01). Multivariate Logistic regression analysis showed that 11 to 14 years old(OR=0.297,95%CI:0.139 - 0.541), family history(OR=0.600,95%CI:0.327 - 0.852) and persuasion education(OR=0.484,95%CI:0.206 - 713) were protective factors for the better self-management behavior of school-age children with bronchial asthma(P＜0.05), but the disease course of 2 to 4 years(OR=1.837, 95%CI:1.237 - 2.549) and less than 2 years(OR=2.881,95%CI:2.175 - 3.624), guardian education degree of senior school or secondary specialized school(OR=1.782,95%CI:1.266 - 2.582)and junior high school or below(OR=3.019,95%CI:2.352 - 3.607), beating and scolding parenting style(OR=1.322, 95%CI:1.017 - 1.823) were risk factors(P＜0.05). Conclusions The self-management behavior of school-age children with bronchial asthma still needs to be improved, which is affected by the children's age, course of disease, guardian's education level, family history and parenting style. Self-management education should be considered and conducted from multiple perspectives to improve the self-management ability of children with bronchial asthma.