Correlation Between Asthma Children’s Family Function,family Management Style And Asthma Control

Objective:To investigate the family function,family management measure,and control level in children with asthma,and to analyze the associations between them to provide theoretical basis for more targeted health management for nursing workers and help asthma children’s families to improve their family management capabilities and family function to promote better asthma control in children.Methods:A convenience sampling method was used,122 cases of 7-11 years old asthma children and their parents who attended the pediatric clinic of a tertiary hospital in Urumqi,Xinjiang from October2018 to March 2019 were taken as the research survey objects.The survey contents are as follows:（1）General information survey of children;（2）Family Assessment device（FAD）to assess the family function of children;（3）Family Management Measure（FaMM）to assess children’s family management ability;（4）Childhood asthma control questionnaire（C-ACT）and pulmonary function tests were used to assess the level of asthma control in children.Results:1.There was a statistically significant difference in whether children in different asthma control groups regularly take medication.2.The lung function（FEV₁%,FEV₁/FVC）of different asthma control groups was statistically significant（P<0.05）.FEV₁%and FEV₁/FVC were higher in children with complete asthma control（P<0.05）.3.The scores of FAD subscales in different asthma control groups were statistically significant（P<0.05）.The FAD of the completly controled group had the lowest scores on each subscale.All dimensions in FAD,namely communication,problem-solving ability,emotional response,role division,behavior control,emotional intervention,and total functional scores,are negatively correlated with C-ACT（r are-0.53,-0.77,-0.77,-0.66,-0.60,-0.54,-0.56,P<0.05）,which were negatively correlated with FEV₁%and FEV₁/FVC（P<0.05）.Multiple stepwise regression analysis shows that emotional response,problem solving ability,behavior control,and role division have an impact on C-ACT scores;problem solving ability has an impact on FEV₁%value;problem solving ability and communication have an impact on FEV₁/FVC values.4.There were significant differences in FaMM subscale scores between different asthma control groups（P<0.05）.In FaMM,children’s recognition,care ability,parental relationship were positively correlated with C-ACT（r are 0.68,0.71,0.39,P<0.05）,and were positively correlated with FEV₁%and FEV₁/FVC（P<0.05）.In FaMM,disease impact,living difficulties,and disease burden were negatively correlated with C-ACT（r are-0.72,-0.70,-0.59,P<0.05）,and were negatively correlated with FEV₁%and FEV₁/FVC（P<0.05）.Multiple stepwise regression analysis showed that the impact of disease,difficulty in life,care ability,children’s recognition,burden of disease,parental relationship had an impact on C-ACT scores;the ability to manage disease had an impact on FEV₁%;the ability to manage disease and disease energy consumption has an effect on the FEV₁/FVC value.5.Multi-stepwise regression analysis of FAD and FaMM scores with C-ACT scores at the same time showed that emotional response,disease impact,problem solving ability,care ability,burden of disease,and children’s recognition of C-ACT scores influential.Conclusion:1.FEV₁%,FEV₁/FVC and C-ACT have a certain degree of correlation and consistency in assessing the level of asthma control in children.C-CAT can assess the prevalence and control level of childhood asthma more roundly and objectively by combining lung function indicators;2.All aspects of family function will affect children’s asthma control.Nursing workers should strengthen their knowledge of all aspects of family function in the process of caring for children,so as to help parents of children to improve their family function,in order to facilitate the control of asthma children.3.All dimensions of family management will affect the child’s asthma control.When performing routine care for children,Nursing workers should actively learn the relevant knowledge of family management and propose more targeted health education and family management programs for children’s families in order to improve the family management of children and thereby promote disease control in children with asthma.