| Objective:Study to examine the impact of the China Childhood Asthma Action Plan(CCAAP)on the knowledge,attitudes and practices of parents of children aged 6-14years with asthma.Methods:One hundred and eighty-two patients aged 6-14 years who attended the standardized asthma clinic at the Affiliated Hospital of Yan’an University and were diagnosed with bronchial asthma from August 2021 to October 2022 were enrolled in the study.Children with asthma were randomly divided into a control group(n=96 patients)and a CCAAP management group(n=86 patients)using the completely randomized numerical method.The control group was managed according to the Global Initiative for Asthma Prevention and Control 2021 edition(GINA)for home management of bronchial asthma in children,and the children in the management group were managed according to the paper version of the China Childhood Asthma Action Plan management protocol on the basis of conventional treatment and patient education.Parents of children in both groups were instructed to complete the asthma knowledge,attitudes and practices questionnaire.The questionnaires were completed before the intervention,after 1 month of intervention and again after 3 months.Results:1.General data:A total of 182 children aged 6 to 14 years with asthma were included in this study;86 children with asthma were included in the management group and 96 children with asthma were included in the control group;the two groups were not included in the study in terms of gender(χ~2=3.183,P>0.05),age(t=0.434,P>0.05),mode of delivery(χ~2=3.343,P>0.05),presence of urticaria(χ~2=3.122,P>0.05),presence of allergic rhinitis(χ~2=0.165,P>0.05),presence of milk protein allergy(χ~2=3.324,P>0.05),presence of eczema or atopic dermatitis(χ~2=0.552,P>0.05),presence of allergic conjunctivitis(χ~2=0.595,P>0.05)were not statistically significant and were comparable.2.The current situation of parents’knowledge attitude and practice of children with asthma:(1)Asthma knowledge survey:only 31.2%of parents could correctly recognize the nature of asthma,31.9%recognized that asthma could be controlled with regular medication,and only 17%recognized that improvement in symptoms after using dilators suggested asthma.32.2%recognized that stopping medication on their own could trigger an acute asthma attack,and 56.3%did not know that the situation suggested an acute asthma attack.(2)Parents’attitudes towards asthma.:36.3%of parents recognised that asthma was related to passive smoking,34.1%recognised that asthma was related to rhinitis,33%recognised that their child could participate in physical activity if they were taking regular medication,28.6%recognised that asthma was related to pet ownership and exposure to stuffed toys,59.30%incorrectly believed that long-term use of Only 33.5%of parents recognized that their children with asthma needed to maintain long-term medication.85.70%of parents obtained asthma-related knowledge through doctors’explanations,and 95.1%of parents hoped to obtain asthma-related knowledge through one-on-one communication with doctors.(3)Parental practices:43.96%of parents would try to avoid their child’s exposure to cigarette smoke and 31.87%of parents would try to avoid their child playing with stuffed animals after the diagnosis of asthma.Only 30.80%of parents would only add antibiotics if there was an infection.Only 22%of parents gave their child ICS in combination with a beta2 agonist to prevent an asthma attack,while 58.5%of parents did not know what to give their child to prevent an asthma attack.40.70%of parents thought they had the correct knowledge of how to use inhaled medication,only 33.52%of parents were willing to stick to long-term ICS treatment,and only 24.73%of parents would monitor their child’s condition.Only 24.73%of parents monitor their child’s condition.The above findings suggest that parents of children with asthma had poor knowledge,attitudes and practices before the intervention.3.Comparison of parents of children with asthma before and after the intervention:(1)Comparison of knowledge of asthma between parents of asthmatic children in the control and management groups after 3 months of intervention:awareness of asthma as a chronic inflammatory disease of the airways(χ~2=28.309,P<0.05),awareness that asthma can be controlled but needs to be regular(χ~2=26.878,P<0.05),awareness that the use of bronchodilators improved cough suggested that the child was asthmatic(χ~2=16.550,P<0.05),recognition that stopping medication on its own could trigger an acute asthma attack(χ~2=16.690,P<0.05);The differences were statistically significant.(2)comparison of attitudes towards asthma:recognition that asthma was associated with rhinitis(χ~2=25.418,P<0.05),asthma is associated with passive smoking(χ~2=32.125,P<0.05),belief that children can participate in physical activity with regular medication(χ~2=25.005,P<0.05),belief that asthma was associated with pet ownership/exposure to stuffed toys(χ~2=20.837,P<0.05),that children with asthma needed to be on consistent long-term medication(χ~2=27.217,P<0.05),that regular inhaled glucocorticoids had no effect on the child’s growth and development(χ~2=23.581,P<0.05);The differences were statistically significant.(3)comparison of parental practice:avoiding exposure to cigarette smoke after a child is diagnosed with asthma(χ~2=26.221,P<0.05),avoiding playing with stuffed animals after a child is diagnosed with asthma(χ~2=14.31,P<0.05),and avoiding playing with stuffed animals after a child is diagnosed with asthma(χ~2=14.31,P<0.05),gave their child inhaled hormones combined with beta2 agonists to prevent asthma attacks(χ~2=7.4901,P<0.05),believed that they could correctly administer inhaled medication(χ~2=23.585,P<0.05),and monitoring the child’s condition(χ~2=21.704,P<0.05).The differences were statistically significant.The above findings suggest that the management group showed more significant improvements in asthma knowledge,asthma attitude change and parental practices than the parents of control children after 3 months of intervention.Conclusion:1.1.Parents of children with asthma did not have a good overall understanding of asthma before the intervention,and their knowledge,attitudes and practice in managing medication at home,monitoring and avoiding acute asthma attacks was poor.2.The CCAAP,as an asthma management tool,increased the awareness of and compliance with bronchial asthma by enhancing asthma knowledge,medication guidance,supervision and follow-up for children with asthma and their parents. |
PDF Full Text Request