Relationship among conditions for self-control and guardian care of bronchial asthmatic children in Hokkaido

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  • 北海道における気管支喘息児のコントロール状態と家庭での自己管理との関連性
  • ホッカイドウ ニ オケル キカンシ ゼンソクジ ノ コントロール ジョウタイ ト カテイ デ ノ ジコ カンリ ト ノ カンレンセイ

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Abstract

We surveyed children in Hokkaido with a diagnosis of bronchial asthma, visiting the hospital regularly as anoutpatient, and their parents between February and April 2010 to evaluate asthma control in children using the JapanesePediatric Asthma Control Program (JPAC). We analyzed the relationship between asthma control and self-managementto identify nursing support issues using our unique self-completion questionnaire. We assessed 403 valid questionnaireforms. The results revealed that asthma control was "completely controlled" in 24.8%, "well controlled" in 38.5%, and"poorly controlled" in 36.7%. In terms of asthma control in the home, 50% forgot to take drugs, 50 to 60% had parentswho smoked, 20% had pets, 20% kept an asthma diary, and 10 to 30% measured peak expiratory flow (PEF). Asignificant relationship between asthma control and management in the home was shown such that when asthma controlwas better, the rate of emergency room visits was lower while the rate of PEF measurement was higher. Topicsidentified for patient training were: to use objective parameters in daily living, to motivate patients and their families toachieve self-control, to promote self-monitoring and build a basis for actively working on health management.

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