DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20185520

Knowledge and beliefs of parents of asthmatic children presenting to the outpatient department in Kovai medical centre and hospital, Tamil Nadu, India

Rajendran ., P. Aarthi

Abstract


Background: Childhood asthma has a major impact on a child’s quality of life and that of their parents. To assess the level of understanding and beliefs by parents of asthmatic children about causation, pathophysiology, treatment, and prognosis.

Methods: The study was conducted in Kovai medical centre and hospital Coimbatore in 2017. Totally 101 asthmatic children were included in the study. Asthmatic children aged 6 years to 15 years. A total of 101 parents participated in this study. The sex and age of the informant, mother’s literacy and mother’s occupation were noted. The socio-economic status of the family was computed using modified Kuppuswamy scale 2016.

Results: In present study among the 101 children, 38.61% are in the school age (5-8 years), 38.61% are in the tweens (9-12 years) and 22.78% are teenagers. 45.54% of the children are from the rural area. Half of the children are experiencing the disease for more than 6 years now, the other half less than 6 years. 5.94% of the parents interviewed were not aware of the diagnosis. 71.29% thought that asthma is a hereditary condition.

Conclusions: A wide gap exists between recommendations and the actual practice. Hence by improving parents’ knowledge about asthma, their attitude and practice can be positively affected.


Keywords


Awareness about asthma, Chronic obstructive pulmonary disease, Kuppuswamy scale, Low socio-economic status

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References


Arshad SH, Tariq SM, Matthews S, Hakim E. Sensitization to common allergens and its association with allergic disorders at age 4 years: a whole population birth cohort study. Pediatr. 2001;108(2):33.

Bijanzadeh M, Mahesh P, Ramachandra N. An understanding of the genetic basis of asthma. Indian J Med Res. 2011;134(2):149.

Brightling CE, Bradding P, Symon FA, Holgate ST, Wardlaw AJ, Pavord ID. Mast-cell infiltration of airway smooth muscle in asthma. New England J Med. 2002;346(22):1699-705.

Cohn L, Elias JA, Chupp GL. Asthma: mechanisms of disease persistence and progression. Annu Rev Immunol. 2004;22:789-815.

Covaciu C, Bergström A, Lind T, Svartengren M, Kull I. Childhood allergies affect health-related quality of life. J Asthma. 2013;50(5):522-8.

Rao D, Phipatanakul W. Impact of environmental controls on childhood asthma. Current Allergy Asthma Reports. 2011;11(5):414-20.

Doull IJ. The effect of asthma and its treatment on growth. Archiv Dis Childhood. 2004;89(1):60-3.

Eder W, Ege MJ, von Mutius E. The Asthma Epidemic. N Engl J Med. 2006;355(21):2226-35.

Expert Panel Report 3(EPR-3): Guidelines for the diagnosis and management of Asthma-Summary Report 2007. J Allergy Clinic Immunol. 2007;120(5):S94-138.

Ford ES. The epidemiology of obesity and asthma. J Allergy Clinic Immunol. 2005;115(5):897-909.

Guilbert TW, Morgan WJ, Zeiger RS, Mauger DT, Boehmer SJ, Szefler SJ, et al. Long-term inhaled corticosteroids in preschool children at high risk for asthma. New England J Med. 2006;354(19):1985-97.

Holgate ST, Polosa R. The mechanisms, diagnosis, and management of severe asthma in adults. Lancet. 2006;368(9537):780-93.

Horwood LJ, Fergusson DM, Shannon FT. Social and familial factors in the development of early childhood asthma. Pediatr. 1985;75(5):859-68.

Illi S, von Mutius E, Lau S, Bergmann R, Niggemann B, Sommerfeld C, et al. Early childhood infectious diseases and the development of asthma up to school age: a birth cohort study. BMJ. 2001;322(7283):390-5.

Martinez FD, Wright AL, Taussig LM, Holberg CJ, Halonen M, Morgan WJ, Group Health Medical Associates. Asthma and wheezing in the first six years of life. New England J Med. 1995;332(3):133-8.

Pal R, Dahal S, Pal S. Prevalence of bronchial asthma in Indian children. Ind J Community med: Official publication Ind Assoc Preventive and Social Med. 2009;34(4):310.

Sigurs N, Bjarnason R, Sigurbergsson F, Kjellman B. Respiratory syncytial virus bronchiolitis in infancy is an important risk factor for asthma and allergy at age 7. Am J Respiratory and critical care med. 2000;161(5):1501-7.

Stein RT, Sherrill D, Morgan WJ, Holberg CJ, Halonen M, Taussig LM, et al. Respiratory syncytial virus in early life and risk of wheeze and allergy by age 13 years. Lancet. 1999;354(9178):541-5.

Stevenson DD, Szczeklik A. Clinical and pathologic perspectives on aspirin sensitivity and asthma. J Allerg Clinic Immunol. 2006;118(4):773-86.

van den Bemt L, Kooijman S, Linssen V, Lucassen P, Muris J, Slabbers G, et al. How does asthma influence the daily life of children? Results of focus group interviews. Health Quality Life Outcomes. 2010;8(1):5.

Viswanathan R, Prasad M, Thakur AK, Sinha SP, Prakash N, Mody RK, et al. Epidemiology of asthma in an urban population. A random morbidity survey. J Ind Med Assoc. 1966;46(9):480.

Sears MR, Herbison GP, Holdaway MD, Hewitt CJ, Flannery EM, Silva PA. The relative risks of sensitivity to grass pollen, house dust mite and cat dander in the development of childhood asthma. Clinic Exp Allerg. 1989;19(4):419-24.