Impact of educational intervention for correct inhaler technique on the quality of life of children with asthma
Background/Aim. Asthma is the most common chronic disease in children and adolescents and has shown an apparent increase in incidence in recent years. The first purpose of the study was to evaluate the influence of education about proper use of inhalers on quality of life in children with asthma. Se...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2020-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501900036K.pdf |
| _version_ | 1819019348203798528 |
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| author | Konević Slavica Đonović Nela Đurić Dušan Marković-Denić Ljiljana Vasić Dobrila Martinović Jelena |
| author_facet | Konević Slavica Đonović Nela Đurić Dušan Marković-Denić Ljiljana Vasić Dobrila Martinović Jelena |
| author_sort | Konević Slavica |
| collection | DOAJ |
| description | Background/Aim. Asthma is the most common chronic disease in children and adolescents and has shown an apparent increase in incidence in recent years. The first purpose of the study was to evaluate the influence of education about proper use of inhalers on quality of life in children with asthma. Secondly, we aimed to understand which aspects of quality of life in children with asthma can be significantly improved after education and to identify factors that may affect the level of that improvement. Methods. In this prospective, before-and-after interventional study, a total of 147 children with asthma were enrolled. The Pediatric Asthma Quality of Life Questionnaire (PAQLQ) was used to measure the functional problems that are most troublesome to children with asthma. We used the Asthma Control Test (ACT), based on a series of question about symptoms and daily functioning, to identify patients with poorly controlled asthma. Forced expiratory volume in one second (FEV1) and peak expiratory flow (PEF) were also determined. Trained educators estimated patients’ inhaler technique and collected questionnaire information. Results. Multivariate analysis of covariance indicated significant differences between PAQLQ and ACT scores which all were significantly higher after education about proper use of inhalers (p < 0.001). A number of children demonstrating a correct inhalation technique improved from 28 (19%) to 127 (86.4%) (p < 0.001). Asthma severity accounted for the largest proportion of variability PAQLQ and ACT scores (38.4%). Conclusion. Inhaler technique improvement contributes to better asthma control in children with asthma rather than to their quality of life. Asthma severity proved to be a major contributor to variations in PAQLQ and ACT scores and significant obstacle for quality of life improvement in children with asthma. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. 175046] |
| first_indexed | 2024-12-21T03:33:53Z |
| format | Article |
| id | doaj.art-6abe97ffc8c54f4a9d3229f7cbbc5be1 |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-12-21T03:33:53Z |
| publishDate | 2020-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-6abe97ffc8c54f4a9d3229f7cbbc5be12022-12-21T19:17:23ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202020-01-0177885986510.2298/VSP180815036K0042-84501900036KImpact of educational intervention for correct inhaler technique on the quality of life of children with asthmaKonević Slavica0Đonović Nela1Đurić Dušan2Marković-Denić Ljiljana3Vasić Dobrila4Martinović Jelena5Community Health Center Rakovica, Department of Specialist Consultancy Services, Belgrade, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Department of Hygiene and Ecology, Kragujevac, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Department of Clinical Pharmacy, Kragujevac, SerbiaUniversity of Belgrade, Faculty of Medicine, Institute of Epidemiology, Belgrade, SerbiaCommunity Health Center Rakovica, Department of General Medicine, Belgrade, SerbiaCommunity Health Center Rakovica, Laboratory Department, Belgrade, SerbiaBackground/Aim. Asthma is the most common chronic disease in children and adolescents and has shown an apparent increase in incidence in recent years. The first purpose of the study was to evaluate the influence of education about proper use of inhalers on quality of life in children with asthma. Secondly, we aimed to understand which aspects of quality of life in children with asthma can be significantly improved after education and to identify factors that may affect the level of that improvement. Methods. In this prospective, before-and-after interventional study, a total of 147 children with asthma were enrolled. The Pediatric Asthma Quality of Life Questionnaire (PAQLQ) was used to measure the functional problems that are most troublesome to children with asthma. We used the Asthma Control Test (ACT), based on a series of question about symptoms and daily functioning, to identify patients with poorly controlled asthma. Forced expiratory volume in one second (FEV1) and peak expiratory flow (PEF) were also determined. Trained educators estimated patients’ inhaler technique and collected questionnaire information. Results. Multivariate analysis of covariance indicated significant differences between PAQLQ and ACT scores which all were significantly higher after education about proper use of inhalers (p < 0.001). A number of children demonstrating a correct inhalation technique improved from 28 (19%) to 127 (86.4%) (p < 0.001). Asthma severity accounted for the largest proportion of variability PAQLQ and ACT scores (38.4%). Conclusion. Inhaler technique improvement contributes to better asthma control in children with asthma rather than to their quality of life. Asthma severity proved to be a major contributor to variations in PAQLQ and ACT scores and significant obstacle for quality of life improvement in children with asthma. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. 175046]http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501900036K.pdfasthmachildnebulizers and vaporizersquality of lifeeducation, medicalrespiratory function tests |
| spellingShingle | Konević Slavica Đonović Nela Đurić Dušan Marković-Denić Ljiljana Vasić Dobrila Martinović Jelena Impact of educational intervention for correct inhaler technique on the quality of life of children with asthma Vojnosanitetski Pregled asthma child nebulizers and vaporizers quality of life education, medical respiratory function tests |
| title | Impact of educational intervention for correct inhaler technique on the quality of life of children with asthma |
| title_full | Impact of educational intervention for correct inhaler technique on the quality of life of children with asthma |
| title_fullStr | Impact of educational intervention for correct inhaler technique on the quality of life of children with asthma |
| title_full_unstemmed | Impact of educational intervention for correct inhaler technique on the quality of life of children with asthma |
| title_short | Impact of educational intervention for correct inhaler technique on the quality of life of children with asthma |
| title_sort | impact of educational intervention for correct inhaler technique on the quality of life of children with asthma |
| topic | asthma child nebulizers and vaporizers quality of life education, medical respiratory function tests |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501900036K.pdf |
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