An investigation of the current management of asthma in adolescents and children in Saudi Arabia, barriers to optimal care, and the influence of patient education (original) (raw)
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Comprehensive Child and Adolescent Nursing, 2020
The impact of a school-based, nurse-delivered asthma health education programme on quality of life, knowledge and attitudes of Saudi children with asthma ABSTRACT Background More than two million people have asthma in Saudi Arabia: 13% aged 6-10 years. Asthma is one of the most common childhood illnesses. Little has been explored about children's ability to learn more about their own asthma in Saudi Arabia. Aims The study was designed to assess the impact of a school-based, nurse-delivered asthma health education programme on asthmatic children's knowledge and attitude towards asthma, quality of life, anxiety level, and school absenteeism. Methods A quasi-experimental, non-equivalent groups, pre-test post-test design was used. The education programme was developed from existing evidence. The Paediatric Asthma Quality of Life Questionnaire, Spence Anxiety Tool, Asthma Knowledge Questionnaire, and Asthma Attitude Questionnaire were employed for data collection. Intervention (n=130) and control (n=98) groups were drawn from 10 schools in Ha'il region, Saudi Arabia. Descriptive and inferential statistics were used to examine differences within and between groups. Results Knowledge of asthma increased significantly more in the intervention group than in the control group. Attitude toward asthma was not changed by the intervention. Anxiety scores reverted to pretest level by post-test II. The intervention group had significantly better total quality of life scores 3 than the control group, and school absenteeism reduced significantly after delivery of the programme. Conclusion The asthma education programme impacted positively on students' knowledge, quality of life, and school attendance. However, asthma education did not change attitudes towards the condition, and the impact on anxiety was not persistent. The results emphasise the benefits of provision of health education directly to children. Asthma education should be integrated into the Saudi national child health programme.
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.
Perceptions and Practices in Parents of Saudi Children with Asthma: A Cross-Sectional Survey
Cureus, 2018
To acquire more precise data on perceptions and practices adopted by Saudi parents of asthmatic children regarding asthma and its management. A cross-sectional study was conducted through 2015 on 292 parents of children (aged 3-15 years) with asthma visiting the outpatient clinics and the emergency departments (ED) of two tertiary care medical centers in Riyadh city, using a self-administered questionnaire. Out of 292 parents who participated in this study, 60.2% reported that their children had previously difficulty in sleeping at night due to an asthma attack. The majority (70.4%) of parents was worried about adverse effects of inhaled corticosteroids, and 58.8% of participants were worried about other inhaler adverse effects, whereas 29.0% believed that their child would develop a dependency on asthma medications. Around 82% reported visiting the pediatric emergency department for asthma treatment and 61.2% of participants reported going to the routine physician follow-up visits....
Cureus, 2023
Asthma is a chronic heterogeneous inflammatory disease that affects millions of individuals around the globe. Standardized asthma management is crucial to maintain and control the disease. Caregivers are the leading players in managing asthma during childhood. Studies are lacking in the Tabuk region. The aim of this study was to elucidate knowledge levels and common practices of caregivers of pediatric patients with asthma in the Tabuk region of Saudi Arabia and its impact on asthma control. A validated cross-sectional survey of the population of the Tabuk region was conducted from July 1, 2022, to September 30, 2022. Convenience sampling via an internet-based questionnaire within the study area was deployed, followed by phone interviews. A total of 393 caregivers completed the questionnaire, and the data were analyzed. The median age of asthmatic children was nine years, and most of them were males (60.8%). Most caregivers had a higher education (62.1%). The symptoms of allergic rhinitis were found in almost 80% of children. Pulmonary function tests were performed in 42.5% of children, and only one-third underwent radioallergosorbent (RAST) skin testing. About half the children had an asthmatic attack and an emergency department visit once during the previous 12 months, and most were hospitalized during that period. Most caregivers showed good knowledge (score=7) about symptoms of asthma and factors that could worsen the child's asthma, as well as good asthma control practices (score ≥7). Children with poorly controlled asthma were younger, had significant allergic rhinitis symptoms (30%), and underwent pulmonary function tests (60%). In the Tabuk region, the extent of asthma control was significantly associated with caregivers' knowledge and practices for children with asthma. Future public education campaigns should focus on closing the observed knowledge and practice gaps to reduce the impact of childhood asthma.
Awareness regarding childhood asthma in Saudi Arabia
Annals of Thoracic Medicine, 2016
OBJECTIVE: Assessing the knowledge and awareness of the Saudi society about bronchial asthma in children. METHODS: Structured questionnaires were randomly distributed to 1039 Saudi Arabians in May 2014 at Jeddah, Riyadh, and Dammam. RESULTS: The awareness of bronchial asthma questions showed that 67% of total sample thought that it could be a fatal disease, and only 13.2% thought that there is a difference between bronchial asthma and chest allergies in children. 86.1% thought that the symptoms of bronchial asthma include dyspnea and nocturnal cough, and 45.7% thought that fever, a runny nose and throat inflammation are not symptoms. 60.2% thought that infectious respiratory diseases may increase bronchial asthma progression. In addition, 40% thought that the use of antibiotics doesn't help in diminishing bronchial asthma complications, and some thought that the patient can stop medication after an acute asthma attack. 34.1% thought that inhaled medication for asthma doesn't cause addiction. Very highly significant results are shown between bronchial asthma knowledge and age, the level of education, marital status, and if the individual knows a person who suffers from bronchial asthma (P < 0.001). There are positive correlations between bronchial asthma knowledge and age, marital status, and level of education (r = 0.152, 0.150, 0.197), respectively. CONCLUSION: The study demonstrated that bronchial asthma knowledge in the Saudi Arabian population is insufficient, and efforts should be carried out to spread bronchial asthma management.
Asthma knowledge, attitude, and self-efficacy in Iranian asthmatic patients
2011
Background: Worldwide, numerous people of all ages and ethnicities experience asthma. The achievements of current medical regimens for patients frequently depend on three factors: 1) knowledge of patients regarding this disease, 2) patient's attitude about asthma, including willingness to collaborate with the therapeutic group for disease control, and 3) patient's self-ef¿cacy for controlling asthma. Therefore, this study examined the relationship between knowledge, attitudes, and self-ef¿cacy with socio-economic factors in Iranian asthmatic patients during 2006 -2008. Methods: Participants consisted of 120 adults referred to Milad Hospital, Tehran, Iran during 2006 to 2008 whose physicians diagnosed their asthma. Socio-demographic factors such as sex, age, education level, occupation, marital status, family history of asthma, disease costs, and period of sickness were reviewed. Assessments of knowledge, attitudes and self-ef¿cacy were performed by the Persian version of an international standard questionnaire (KASE-AQ). Data were analyzed by SPSS version 14.
Respiratory Medicine, 2017
Objectives: To validate the Arabic version of the Asthma Control Test (ACT) in asthmatic children in Lebanon and identify risk factors that might affect asthma control in these children. Methods: This study, conducted between December 2015 and April 2016, included 300 children. Results: A high Cronbach's alpha was found for the full scale (0.959). The correlation factors between each item of the ACT scale and the whole scale ranged between 0.710 and 0.775(p < 0.001 for all items). Low mother's educational level as well as the history of asthma in the mother and the father would significantly increase the risk of uncontrolled asthma (p ¼ 0.001; Beta ¼ 1.862; p < 0.001; Beta ¼ 3.534; p < 0.001; Beta ¼ 1.885respectively). Cigarette smoking during breastfeeding and waterpipe smoking by the mother during pregnancy were both significantly associated with uncontrolled asthma (p ¼ 0.005; Beta ¼ 2.105 and p ¼ 0.041; Beta ¼ 2.325 respectively). The high mother's level of education was significantly associated with more asthma control (p ¼ 0.008; Beta ¼ À0.715). Conclusion: The Arabic version of the asthma control questionnaire is a valid tool to use in pediatric patients in the Lebanese population to assess asthma control. Waterpipe smoking during pregnancy and cigarette smoking during breastfeeding, as well as the lower education level are risk factors for uncontrolled asthma. Spreading awareness among health care professionals, as well as reinforcing health education seem to be an important step toward a better asthma control.
Journal of Complementary Medicine Research
Introduction: Asthma is a chronic inflammatory disease of the airways. Inflammation in airways leads to hypersensitivity and airway obstruction which is responsible for the symptoms of asthma like wheezing, dyspnea, chest tightness and cough that aggravates in the morning. The prevalence ranges from 1.1 to 9.9% in adults. Systemic therapy and inhalational therapy comprising of bronchodilators and steroids are the two major treatment options. Aims & objectives: To assess physicians' knowledge, attitude, and practise toward asthma inhaler devices and inhalation techniques, and classify physician’s attitudes as either poor or adequate. Methodology: A cross sectional study was conducted in Qassim, Saudi Arabia among healthcare providers for a duration of 6 months. Practicing physicians in the three major cities in Qassim were included in the study while non-practicing physicians and those practicing in the small cities and peripheries were excluded. Data collection was done by using...
2015
Aim: The purpose of this study is to evaluate the knowledge and attitude towards asthma care in hospital and community pharmacy settings at central Saudi Arabia. Materials and Methods: A cross-sectional study was carried out over a period of 2-month from July 2015 to August 2015. The study population involves pharmacists registered with the Health Affairs Directorate and was practicing in community pharmacy and hospital pharmacies. Results: More than two-third of participants (62.6%) claimed that they know the short-acting beta 2-agonist is the most efficient drug to relieve bronchial smooth muscle in acute attacks, about (34.2%) of them knew that the side effects of inhaled steroids and sympathomimetic drug. A very low percentage of participants know (16.2%) the knowledge of asthma pathophysiology. About 86.2% reported that poor asthma control is due to poor inhaler technique and 83.2%, did not know the appropriate time to use the peak flow meter. However, regarding attitudes, more...