OBJECTIVE A qualitative research was conducted to investigate the problems on the family management of asthmatic children and the needs for family health services in order to provide basis for family-centered care. METHODS Fifteen caregivers of children with asthma were interviewed with open-ended questions. The collected data were studied using Colaizzi's seven-step method of phenomenological analysis. RESULTS The problems of family management and the needs for family health services were shown as follows: insufficient knowledge to prevention and treatment of asthma, poor compliance, ignoring psychological effects of asthma on children, a family's failure to cope with the distress and financial burden. CONCLUSIONS It is important to provide asthma education and prevention program for caregivers and encourage them to participate in the design of medical program for asthmatic children. Individual asthma education and guides are also necessary for caregivers.

Objective:To explore correlation between life quality and their family adaptability and cohesion in children with asthma ,in order to provide scientific basis for improving their life qualities.Methods:Pediatric asthma quality of life questionnaire(PAQLQ) and family adaptability and cohesion scale(FACESII-CV) were used to evaluate 60 caregivers of asthmatic children.Results:There was a significantly positive inter-relationship between the life quality of children with asthma and their family adaptability and cohesion.Conclusion:In order to improve the life quality of children with asthma,we should promote their family adaptability and cohesion,encourage family members to participate therapy plan decision and provide family centered care in addition to routine medical treatment.

护患沟通是护士与患者之间的信息交流及相互作用的过程,所交流的内容是与患者的护理及健康直接或间接相关的信息,同时包括双方的思想、感情、愿望及要求等方面的沟通[1].自20世纪70年代末以来,世界范围内的医学思想发生了巨大变化,新医学模式的提出,要求护理工作的内容由"以疾病护理为中心"转变为"以病人为中心"或"以人的健康为中心"的个体化整体护理.

Aimed at the features of pediatric department,this article summarized the influence factors of nurse -client communication,such as the status of overload,noisy work environment,lack of effective communication skills of nurses,poor compliance of children,and misunderstandings of parents.Moreo- ver,this article put forward some strategies to promote nurse-client communication in pediatric department,such as developing rational nursing staff,im- proving work environment,enhancing nurses'quality and applying communication skills rationally.