Assessment of knowledge and attitude of adult asthmatics towards asthma and impact of family support on adherence to the use of inhalers (original) (raw)

A Study on Knowledge, Attitude and Practice of Asthmatic Patients towards Inhaler Use

IOSR Journals , 2019

Asthma is a common respiratory disease characterised by chronic inflammation of airways leading to reversible airway obstruction. Inhalation therapy forms the mainstay of treatment of asthma. Inhaled medications are available in various dispensers which includes metered dose inhaler, dry powder inhaler, nebulizers etc. Adherence to inhalation therapy has direct relationship to the treatment outcome of asthma and it requires proper understanding by the patientabout the modality of treatment they receive. Various patient related factors has shown to affect the usage of inhalers among asthmatics, including lack of awareness, false beliefs etc. Hence this study was planned to be undertaken to assess the knowledge, attitude and practice of asthmatic patients towards inhaler use. This was a cross-sectional observational study. About 190 asthmatic patients attending the Department of Pulmonary Medicine, Government Medical College Patiala were enrolled for the study.The study showed a high prevalence of misconceptions about inhaler use among asthmatic patients indicating an urgent need for increasing patient awareness in this regard.

Parental Asthma-Related Knowledge and Asthma Control in their Children in Accra, Ghana

Texila International Journal of Public Health, 2024

Asthma ranks among the top 20 chronic conditions for the global ranking of disability-adjusted life years in children and is the most prevalent chronic condition in children. In the mid-childhood ages of 5–14 years, it is among the top 10 causes. Parental asthma knowledge is a crucial influencer of management practices and disease control. To achieve guided self-management, education is one of the six essential features. Assessing parents' asthma-related knowledge (ARK) is a significant requirement for improving childhood asthma management. The primary objective of this study was to document the ARK of parents of children (0-18 years) with asthma and identify how their knowledge impacts the control of the medical condition in their children in Accra, Ghana. A short questionnaire was designed and implemented to gather relevant information for the study. We also determined the number of children using an asthma action plan. A total of 200 questionnaires were administered. The median age of the children in the study was 10.7 years, with a mean age of 10.0 years. Seventy-one per cent of the children were males. This variation is based on the standard population, where asthma in boys is nearly twice as significant as in girls before age 14. Asthma educators should pay attention to the level of education of the parents of asthmatic children. The result indicates a higher level of asthma control in children whose parents have a higher level of education. However, it is concerning that only 17.2% of children had an asthma action plan, highlighting the urgent need for action in this area.

Knowledge and Perceptions of Asthma in a Nigerian High School

Asthma is a serious global health problem that affects people of all backgrounds and ages with morbidity and mortality higher among older school-age children and early adolescents which causes have been attributed to inadequate knowledge and the wrong perceptions about asthma. The study assessed the level of knowledge and perceptions of asthma; investigated the association of certain demographic characteristics with the level of asthma knowledge and perceptions and determined the correlation between the asthma knowledge and perceptions among secondary school students of Ambassadors College, Ile-Ife, Nigeria. It is a cross-sectional study which used a pre-tested 71-item, purpose designed, self-administered questionnaires to collect information on knowledge and perceptions of the respondents on asthma. Data were collated and analyzed based on descriptive and inferential study design. The result showed that the majority of the respondents had intermediate level of asthma knowledge (68.5%, 285). It also showed that majority of the respondents 63.7% (265) have intermediate level of asthma perceptions. In addition, the result showed significant association between asthma knowledge score and age; and class of the respondents (p <0.05). It also showed a significant association between asthma perceptions scores and age; and class of the students (p <0.05). The results also showed significant correlation between asthma knowledge and perceptions scores of the students (p <0.05). It was, therefore, concluded that the secondary school students of Ambassadors College, Ile-Ife, Nigeria have intermediate asthma knowledge and perceptions levels.

An Investigation of Knowledge, Attitudes, and Practices Concerning Asthma among Patients in Tabuk, Saudi Arabia

International Journal of Research Studies in Medical and Health Sciences, 2020

Background: Sufficient knowledge and positive attitudes among patients with asthma are prerequisites for managing the potential risks of asthma symptoms and providing optimal treatment. Aims and Objectives: The aim of this study is to evaluate the knowledge and attitudes of asthmatic patients regarding asthma and to determine the gap between their knowledge and proper practices to alleviate dangerous symptoms. Methods: A cross-sectional study was conducted from February to April 2019 at two governmental hospitals in Tabuk city.Only those asthmatic patients who met the inclusion criteria (aged ≤ 18 years old) were recruited. Both genders were considered in this study. This study excluded those who had other chronic diseases than asthma.The participants were selected from specific clinical area settings (outpatient clinic, Emergency Room, medical and surgical wards), using purposive sampling method. Returned responses numbered 112, with a response rate of 56%.Asthma Knowledge Questionnaire (AKQ) was used, based on previous studies, to evaluate their knowledge and attitudes concerning asthma symptoms. All data were analyzed descriptively using the Statistical Package for Social Sciences (SPSS).Descriptive statistics of percentage, mean, frequency and standard deviation were applied. Results: Of the 112 total respondents (52.7% female and 47.3% male), 40% declared that they had heard of this disease from a healthcare professional (doctor or nurse), 24% from the internet, and only 4% from television. Overall, 100% of participants reported thatasthma can becaused by an allergy, air pollution, or any other type of irritant (dust, fumes, etc.); 83.9 % believed that the common cold and exercise can lead to asthma; 79.5% thought that asthma is life-threatening; and 59.8% said that asthma is a genetic disease. Approximately 18% believed that asthma is not a dangerous disease; 82% reported that inhalers are the best medical intervention to alleviate asthma symptoms; and only 11% said that medication should be continued even if symptoms no longer occur. Conclusion: Educational programs about asthma should be adopted in health systems to improve the knowledge, attitudes, and practices of patients and their families regarding asthma attacks, in order to prevent acute exacerbations.

Assessment of Knowledge and Attitude of Bronchial Asthma Patients Towards Their Disease

Journal of Evolution of Medical and Dental Sciences, 2015

Asthma is chronic inflammatory, airway hyper-responsiveness, reversible disorder which occurs at any age, and requires special attention towards management of drug therapy. There is lack of patients awareness in having the complete knowledge about the disease, attitude towards disease management, medication adherence behavior and treatment outcomes. The objective of the present study was to assess the knowledge and attitude of the patients towards their disease in improving the outcome in asthma patients. MATERIALS AND METHODS: This was a prospective, observational, questionnaire and hospital based study in a tertiary care teaching hospital at two different centers for a period of 12 months. The data was collected by face to face interview of outpatients and inpatients of Pulmonary Medicine and Internal Medicine departments by administering the questionnaires for the assessment of knowledge, attitude and adherence towards the bronchial asthma disease. RESULTS: A total of 160 patients with confirmed diagnosis of bronchial asthma were included in this study, out of which male patients were 87(54.5%) and female patients 73(45.5%). On an average, each patient had already visited 3 doctors prior to coming to us. Out of 160 patients, 68% patients were ignorant regarding disease etiology, and another 54% patients were reluctant to accept the diagnosis of asthma. About 88% had the knowledge that lungs are affected by this disease. Another 44% opined that the medicines used for asthma can cause airways narrowing on long turn. Attitude of the patients varied greatly among the patients in this study. Regarding precipitating factors, 46% parents attributed the disease exacerbations due to multiple causes. The compliance rate in using inhalers for asthma was low (60%), and many patients stopped medications in spite of proper advice regarding inhalational therapy. CONCLUSION: This study concludes that the assessment of knowledge and attitude towards the disease of bronchial asthma patients is low. Controller medications and aerosol therapy is underused and unnecessarily blamed. Awareness raising strategies are needed in community. Patient education program should augment awareness about disease, eliminate social stigma, and misconcepts in the community regarding bronchial asthma.

Knowledge and perception about asthma in a Nigerian university community

The Nigerian Journal of Pharmacy, 2022

Background: Asthma, a global health issue, affects people of all ages and backgrounds. There are some misconceptions about asthma. This study assessed the knowledge and perception about asthma in a Nigerian university community. Methods: This cross-sectional study was conducted among students in University of Nigeria Nsukka on WAD 2021. A self-administered structured questionnaire was filled by conveniently sampled students in a strategic location on campus. Inferential statistics utilized the Pearson's Chi-Square test and multiple linear regression with P < 0.05 of statistical significance. Results: One hundred and fifty-eight (158) students participated in the study. Majority of the participants were between the ages of 18 to 23 years (n = 128; 81.0%), in their first or second year of university (n = 106; 77.1%), and in Social Sciences or Arts (n = 147; 93.0%). Less than a tenth of the participants had been previously diagnosed of asthma (n = 12; 7.6%). Close to a quarter of them had a family history of asthma (n = 37, 23.4%). The awareness about asthma was high (n = 155; 98.1%). Less than half of the participants had good knowledge of asthma (n = 52; 32.9%) and positive perception of asthma (n = 76; 48.1%). Conclusion: Majority of the students had high awareness about asthma but with poor knowledge of the disease. In addition, less than half of the participants had positive perceptions about asthma. These necessitate the need for health education on asthma.

Assessment of Knowledge and Attitude of Parents Towards the Allergy and Bronchial Asthma in Their Children

International Journal of Medicine and Public Health, 2016

Introduction: Bronchial asthma is a chronic airway disease that affects a significant children population with limitation of their activities and school absenteeism. The objective of the present study was to assess the knowledge and attitude of the parents towards the disease in their children. Materials and Methods: A hospital based cross-sectional study was conducted in Pulmonary Medicine department in a tertiary care hospital with diagnosed asthmatic children and their parents were enrolled. Two questionnaire one comprising clinical aspects including etiology and other regarding knowledge and attitude among parents regarding asthma were administered. Results: A total of 150 children with confirmed diagnosis of asthma were included in this study. On an average, each child had already visited 3 doctors prior to coming to us. Out of 150 patients, 77% parents were ignorant regarding disease etiology, 41% parents thought that their disease is fatal, 54% parents were reluctant to accept the diagnosis of asthma. Regarding precipitating factors, 46% parents attributed the disease exacerbations due to multiple causes. Almost half of the parents had sought alternative for of medicine for management of disease with nearly one-third opting for homeopathic treatment. Oral medications were preferred by 79% patients, while inhalers were used by only 21% of children. The compliance rate in using inhalation therapy in children was very low. Conclusion: Asthma awareness among parents of asthmatic children is inadequate. Controller medications and aerosol therapy is underused and unnecessarily blamed. Awareness raising strategies are needed in community. Patient education program should augment awareness; eliminate social stigma, and misconcepts in the community regarding bronchial asthma.

Evaluation of Knowledge, Attitude and Medication Adherence among Asthmatics Outpatients in Tertiary Care Teaching Hospital-A Questionnaire Based Study

Journal of Young Pharmacists, 2015

This is a prospective, observational, questionnaire based study conducted at the Pulmonary Medicine, (OPD) of specialized Asthma Clinic of a tertiary care teaching hospital after the approval of institutional ethics committee. The study was conducted over a period of six-months and total 154 patients were included. The inclusion criteria of the study comprised of diagnosed asthmatic patients both male and females above 18 years of age who were on prior medication for at least two-weeks. All participants were enrolled after obtaining their informed consent. Face-to-face interviews of participants were conducted by using the assessment questionnaire for knowledge, attitude and medication