【摘要】 目的 探讨儿童行为特点及其家庭管理方式对儿童哮喘控制水平影响路径。方法 采用便利抽样法选取82例哮喘患儿，应用一般资料问卷、适应行为量表(AAMR)、家庭管理测量量表(FaMM)及儿童哮喘控制测试表(Childhood asthma control test, C-ACT)进行问卷调查，分析其影响路径。结果 患儿AAMR适应行为量表得分(84.87±9.16)分，FaMM量表得分(188.77±19.01)分，C-ACT得分(15.20±4.66)分。Pearson相关分析结果显示，适应性行为分别与家庭管理、哮喘控制呈正相关关系(r=0.580、0.219,P<0.05),家庭管理与哮喘控制呈正相关关系(r=0.401,P<0.05)。结构方程模型结果表明，家庭管理在哮喘患儿适应性行为和哮喘控制有部分中介调节作用，效应占比为45.95%。结论 儿童行为特点能够通过家庭管理方式对患儿哮喘控制水平产生影响，临床护理人员应重视对患儿家属的健康教育管理，提升家属对疾病的认知度及家庭管理能力，以改善患儿的行为方式，达到有效控制患儿疾病的目的。更多还原

【Abstract】 Objective To explore the influence of children’s behavior characteristics and their family management mode on the level of childhood asthma control. Method Convenience sampling method was used to select 82 children with asthma.General information questionnaire, adaptive behavior scale(AAMR) and family management measurement scale(FaMM) and Childhood asthma control test(C-ACT) questionnaire were used for impact path analysis. Results AAMR adaptive behavior scale score(84.87±9.16) score, FaMM scale score(188.77±19.01) score, and C-ACT score(15.20±4.66) score.The results of Pearson correlation analysis showed that adaptive behavior showed a positive correlation with family management and asthma control(r=0.580,0.219,P<0.05),and family management was positively associated with asthma control(r=0.401,P<0.05).The results of structural equation model showed that family management partially mediated the adaptive behavior and asthma control in children with asthma, with the effects accounting for 45.95%. Conclusion The characteristics of children’s behavior can affect the level of asthma control in children through family management mode.Therefore, clinical nursing staff should pay attention to the health education and management of children’s families, improve their family awareness and family management ability, to improve the behavior of children, and achieve the purpose of effective control of children’s diseases.更多还原