Abstract
Background: Caregivers’ knowledge, attitude, and practice toward inhaled asthma medications constitute a major factor in helping to achieve successful asthma control in children. We aimed to assess factors associated with primary caregivers’ knowledge,
attitude, and practice toward inhaled asthma relievers in their children.
Methods: A cross - sectional descriptive study was conductedby interview (with questionnaires that assessed knowledge, attitude toward inhaled asthma relievers) combined with observation (with checklist that assessed practice) on 145 primary caregivers (PCs) of asthma patients treated at the Department of Pulmonology, Immunology and Allergology, Pediatric Center, Hue Central Hospital from May 2021 to August 2022.
Results: Nearly 80% of the PCs had poor knowledge and 67.6% of the PCs had negative attitude toward inhaled asthma relievers. 12.5% of the PCs performed incorrect nebulizer technique, while this percentage in the PCs using metered dose inhalers with spacers (MDI - spacers) was 75.2%. The PCs obtaining inhaled asthma reliever knowledge from multiple sources had significantly better nebulizer performance than those receiving information only from healthcare workers. The PCs whose children had experienced asthma attacks; and the PCs living in urban areas, having good knowledge and positive attitude toward inhaled asthma relievers demonstrated significantly better performance in using MDI - spacers than the other group.
Conclusions: Most of the PCs had poor knowledge, negative attitude and incorrect practice toward inhaled asthma relievers; and factors related to better performance in using MDI - spacers including the PCs having children experienced asthma attacks, the PCs living in urban areas, having good knowledge and positive attitude toward asthma relievers
References
Bộ Y Tế. Hướng dẫn chẩn đoán và điều trị hen trẻ em dưới 5 tuổi. Nhà xuất bản Y học, Hà Nội, 2016.
Serebrisky D, Wiznia A. Pediatric Asthma: A Global Epidemic. Ann Glob Health. 2019;85(1):6.
Franken MMA, Veenstra - van Schie MTM, Ahmad YI, Koopman HM, Versteegh FGA. The presentation of a short adapted questionnaire to measure asthma knowledge of parents. BMC Pediatr. 2018;18(1):14.
Aparna G, Sreenivasan VK. A clinical study of knowledge, attitude and practices regarding asthma among the parents of asthmatic children. International Journal of Medical and Health Research. 2019;5(8):119-123.
Al - Ali LA, Al Jasmi SA, Al Yammahi LM, Syeed A, Darwish EA. Parental knowledge, attitudes, and practices regarding the use of prescribed inhalers in asthmatic children attending Ambulatory Healthcare Services Clinics. Ibnosina J Med Biomed Sci 2019;11:68-76.
Alhammad AM, Alajmi G, Alenizi A, Alrashidi E, Alghannam G, et al. Parental attitude and knowledge towards asthma care measures for their children in Saudi Arabia. Pediatr Pulmonol. 2020;55(11):2901-2907.
Divecha CA, Tullu MS, Jadhav DU. Parental knowledge and attitudes regarding asthma in their children: Impact of an educational intervention in an Indian population. Pediatr Pulmonol. 2020;55(3):607-615.
AlOtaibi E, AlAteeq M. Knowledge and practice of parents and guardians about childhood asthma at King Abdulaziz Medical City for National Guard, Riyadh, Saudi Arabia. Risk Manag Healthc Policy. 2018;11:67-75.
Can C, Akkelle E, Gökmirza Özdemir P, Yazıcıoğlu M, Süt N. Assessment of regular drug use and inhaler technique skills in asthmatic children. Allergol Immunopathol (Madr). 2020;48(2):124-129.
Nguyễn Thị Ngọc Tuyến, Danh Mỹ Thanh Ngân, Đỗ Thị Phương Nga (2010). Khảo sát kiến thức, thái độ, thực hành trong sử dụng thuốc xịt cắt cơn và ngừa cơn của người chăm sóc chính bệnh nhi tại phòng khám hen suyễn. Bệnh viện Nhi Đồng I.
Zhao X, Furber S, Bauman A. Asthma Knowledge Among Parents of Asthmatic Children in Nanjing. Journal of Asthma. 2002;39(8):743-747.
Bos AC, Tiddens HA, Tong Minh K, Heeres I, OverweelUijterlinde JL et al. Daily Observations of Nebuliser Use and Technique (DONUT) in children with cystic fibrosis. J Cyst Fibros. 2016;15(5):645-51.
Capanoglu M, Dibek Misirlioglu E, Toyran M, Civelek E, Kocabas CN. Evaluation of inhaler technique, adherence to therapy and their effect on disease control among children with asthma using metered dose or dry powder inhalers. J Asthma. 2015;52(8):838-45.
Walia M, Paul L, Satyavani A, Lodha R, Kalaivani M, Kabra SK. Assessment of inhalation technique and determinants of incorrect performance among children with asthma. Pediatr Pulmonol. 2006;41(11):1082-7.
Samady W, Rodriguez VA, Gupta R, Palac H, Karamanis M, Press VG. Critical Errors in Inhaler Technique among Children Hospitalized with Asthma. J Hosp Med. 2019;14(6):361-365.
Deerojanawong J, Promsaka na Sakolnakorn V, Prapphal N, Hanrutakorn C, Sritippayawan S. Evaluation of metereddose inhaler administration technique among asthmatic children and their caregivers in Thailand. Asian Pac J Allergy Immunol. 2009;27(2-3):87-93.
Published | 28-12-2024 | |
Fulltext |
|
|
Language |
|
|
Issue | No. 88 (2023) | |
Section | Original article | |
DOI | 10.38103/jcmhch.88.5 | |
Keywords | kiến thức, thái độ, thực hành, thuốc xịt - khí dung cắt cơn hen, người chăm sóc chính, hen trẻ em Knowledge, attitude, practice, nhaled asthma relievers, primary caregivers, pediatric asthma |

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2023 Journal of Clinical Medicine Hue Central Hospital