英文摘要 |
This article reported nursing experience of applying self-management principles to a school-aged child with recurrent acute asthma attack. During the nursing period, we collected data from participant observation and individual interview. The holistic health assessment was used to identify health problems. The child had three major nursing health problems, including “ineffective breathing pattern”, “situational low self-esteem”, and “ineffective management of therapeutic regimen: families”. The authors utilized self-management principles to educate the child and his mother to learn asthma self-management behaviors, including preventive behaviors, managing behaviors and assessing behaviors. According to individual caring needs, we provided the case with appropriate nursing intervention. Through the cognitive analysis of asthma, we set goals with the child. We used puppet and teaching aids to conduct face-to-face health education. The child and his mother learned of asthma symptom assessment and self-management. The mother utilized simple selfmonitoring system to assess illness severity, then appropriately performed asthma self-management and home nursing skills to avoid acute asthma attack. The mother finally could express concerns about asthma control and action. We found positive effect in asthma self-management behaviors. It could improve the quality of life and asthma control for the child and his families. |