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[A concept analysis of self-management of asthma in children]
1School of Nursing, Tzu Chi College of Technology. shuchen@tccn.edu.tw
Insights
Childhood asthma self-management is crucial for preventing attacks and reducing mortality. This study defines self-management for pediatric asthma, identifying key features for better care and research.
Area of Science:
- Pediatric Pulmonology
- Chronic Disease Management
- Health Behavior Research
Context:
- Asthma is a prevalent chronic childhood illness requiring effective management.
- Inconsistent definitions of 'self-management' hinder consistent care approaches.
- Empowering children and families with self-management skills is vital for reducing disease severity and mortality risk.
Purpose:
- To clarify the concept of 'self-management' in pediatric asthma through systematic concept analysis.
- To identify definitive features of asthma self-management in children.
- To establish a foundation for developing theoretical frameworks and research in pediatric asthma care.
Summary:
- A systematic review and concept analysis identified three definitive features of pediatric asthma self-management.
- These features encompass reciprocal influences of cognitive, physiological, behavioral, and environmental factors.
- They also include the prevention/management of acute asthma exacerbations and life normalization through condition control.
Impact:
- Provides a clear, operational definition of asthma self-management for children.
- Facilitates the development of targeted interventions and educational programs.
- Contributes to building a robust knowledge base for improving future pediatric asthma care and outcomes.
Abstract:
Asthma is a chronic disease commonly seen in children. It is absolutely essential for a child who suffers from the disease, and his/her family members, to learn how to perform self-management to minimize the rate of asthmatic deterioration, attack episodes, and the risk of mortality. Literature review indicates that there is no consistency of definition and terminology as far as the concept of "self-management" is concerned. This study, therefore, adopts the concept analysis proposed by Walker & Avant, by searching seven health-related databases via systematic review methodology. From the results of the concept analysis it can be concluded that there are three definitive features of self-management among asthmatic children: 1) the learning and performance process factors determined reciprocally by cognition, physiology, behavior, and environment, 2) the prevention and management of sudden asthma attacks, 3) the normalization of the patient's life with proper control of the asthmatic condition and a reduction of asthma attacks. On the basis of this concept analysis, the authors expect to develop a theoretical framework and related research to build up an asthma knowledge base for future care of children with asthma.
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