Summary: | 碩士 === 長庚大學 === 護理學研究所 === 91 === The purpose of this study was to explore the medical adherence behavior and associated factors of asthmatic children. A cross-section quantitative design with structured questionnaires was employed. In total, 88 subjects were the II-III stage asthmatic children and their parents. The data were analyzed by descriptive statistics, t-test, one -way ANOVA. Pearsone’s productment correlation, stepwise multiple regression and receiver operating characteristic curve. The main findings of this study were as follows:
1.The level of medical adherence behavior of asthmatic children’s parents report(4.64) was higher than that of asthmatic children report(4.28). The average of OPD follow up rate was 77% . PEF measurement of 62% showed health outcome to compliance that kept by moderate persistent asthma level of severity.
2.Asthmatic children self report and asthmatic children’s parents report showed significant positive relationships.
3.Independent variables and adherence behavior: there were significant positive relationships between “Age of children” and “Adherence scale of children” (t=-2.6, p <0.05), “Cognitive of children” and “Adherence scale of children”(r=0.23; p <0.05), “Client-professional interaction of parents” and “Adherence scale of children”(r=0.38; p <0.01), “Client-professional interaction of parents” and “Adherence scale of parents” (r=0.32; p <0.05).
4.Associated factor “Client-professional interaction of parents” was the best predictor of adherence behavior.
5.The identification of adherence behavior of assessment methods did not show the statistically significant level.
Based on this study, we suggest that, in order to improve quality of care, nurses need to understand the related factors of adherence behavior and further provide health education for asthma.
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