关键词: 哮喘, 肥胖, 运动恐惧, 质性研究, 儿科护理学

Abstract:

Objective To explore the experience and feelings of school-age obese children with asthma and their parents on fear of physical activity based on fear-avoidance model，in order to provide a basis for the construction of targeted exercise intervention programs for children with asthma. Methods From October 2021 to January 2022，the purposive sampling was used to select 13 cases of school-age obese asthmatic children and their parents for semi-structured in-depth interviews in the pediatric asthma outpatient department of a tertiary A hospital in Yangzhou City. Data was analyzed by Colaizzi phenomenon analyzing methods. Results Combined with the fear-avoidance model，3 themes are summarized，including the unscientific cognition of physical activity（physical activity can induce a variety of uncomfortable symptoms；parents can’t tell if discomfort after physical activity is an acute attack of asthma；some parents are over-alert to obesity and force children to physical activity）；the way to deal with the fear of physical activity（children actively avoid physical activity；parents limit children’s physical activity）；the adverse consequences of fear of physical activity（the increasing sedentary behavior affects the exercise endurance of children，further aggravating their obesity and fear of physical activity；communication between children and peers was reduced，triggering a sense of inferiority，further aggravating the fear of physical activity）. Conclusion The experience and feelings of fear of physical activity in school-age children with obesity and asthma and their parents were more complex with some unscientific cognitions. In clinical practice，measures should be taken to improve the cognitive level of children and their parents on appropriate and moderate physical activity，avoid excessive vigilance on exercise，reduce fear of physical activity，and promote scientific physical activity in children.

Key words: Asthma, Obesity, Fear of Physical Activity, Qualitative Research, Pediatric Nursing