2010 Volume 24 Issue 5 Pages 685-692
For the purpose of clarifying the factors influencing on environment control behaviors in pediatric asthma management and the shaping process of the continuation to control environment, semi-structured interviews were individually held with 74 parents with asthmatic children. As a result of analysis with modified grounded-theory-approach, “experience of hospitalization”and “patient education”were influencing on starting action. They had passed though “conflict and burden”, thereafter “moderators”and“mediators” caused the maintenance to control environment. Categories included “moderators”of kept on trigger reduction behaviors were ‹use of resources›, ‹custom›, ‹trigger-related knowledge›, etc. and “mediators” of motivate to behavior change, or psychosocial influences were ‹self-efficacy›, ‹outcome expectation›.
To better understanding of the process through which nurses lead patient education cause a changes in environmental behaviors, information on theoretical concepts that moderate and mediate behavior change in trigger control(i.e. self-efficacy, outcome expectation, family support, coping) is needed. In relation to this process, need of the continual support for the shaping the maintenance to control environment was suggested.
