Impact of Asthma Educational Intervention on Self-Care Management of Bronchial Asthma among Adult Asthmatics
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Author(s)
Asthma is one of the most common chronic diseases
worldwide [1]. Despite advancement in science and technology and
pharmacological revolutions, worldwide asthma prevalence is
uncontrolled, morbidity and mortality from asthma. The most common
reasons are non adherence to treatment, poor knowledge and skills in
disease management [2]. Aim: The study aims to assess the impact of
Asthma Education on self care management among Bronchial asthma
patients. Objectives: 1) to assess the knowledge on self care management
of Bronchial asthma; 2) to develop and administer the Asthma
educational intervention on self care management of asthma; 3) to
evaluate the impact of Asthma educational intervention on patient
knowledge levels in comparison of pre and post test scores. Design:
Quasi experimental Pre test-post test design was chosen. Methods: Study
was done to assess the effectiveness of structured asthma education
program on self care management of Bronchial asthma. Thirty patients,
meeting the inclusive criteria, were selected by simple random sampling,
and were tested for their knowledge levels on identification of asthma
triggers, and warning signs, adherence to specified drugs, diet and
breathing exercises. Based on the patient needs, structured education
program was developed, validated and administered. Two weeks after
administering structured asthma education, post-test was conducted. The
Pre-test and Post-test scores were compared to evaluate the
effectiveness of the Asthma education. Results: There was significant
enhancement on knowledge levels on four areas of assessment and
education. After asthma education the knowledge levels on disease
process raised from minimum of 10% in the pre test to 77.50% in the post
test. The knowledge scores on asthma triggers and warning signs
enhanced 12% to 72%. The area of self monitoring and management records a
rise in knowledge levels from 20% minimum scoring in pre test to 82.5%
in the post test. The scores in diet, breathing exercises and adherence
to drugs rose from 12.5% to 72.5% after asthma education. Conclusion:
The findings reveal that educating patients remarkably increased their
knowledge levels, which facilitate their behavioral modification thus
enhances their self-care. Effective self care management at home level
decreases asthma related morbidity and frequent visit to hospitals.
KEYWORDS
Cite this paper
Manchana, V. and Mahal, R. (2014) Impact of
Asthma Educational Intervention on Self-Care Management of Bronchial
Asthma among Adult Asthmatics. Open Journal of Nursing, 4, 743-753. doi: 10.4236/ojn.2014.411080.
| [1] | Aggarwal, A.N., Chaudhry, K., Chhabra, S.K., et al. (2006) Prevalence and Risk Factors for Bronchial Asthma in Indian Adults: A Multicenter Study. Indian Journal of Chest Diseases and Allied Sciences, 48, 13-22. |
| [2] |
Braido, F., Brusselle, G., et
al. (2013) International Cross Sectional and Longitudinal Assessment on
Asthma Control in European Adult Patients—The LIASON Study Protocol. BMC
Pulmonary Medicine, 13, 8. http://www.biomedcentral.com/1471-2466/13/8 |
| [3] |
Wilson, B.R., Seamagar, P.,
German, D.F., et al. (1993) A Controlled Trial of Two Forms of Self
Management Education for Adults with Asthma. The American Journal of
Medicine, 94, 564-576. http://dx.doi.org/10.1016/0002-9343(93)90206-5 |
| [4] |
Gibson, P.G., Powell, H.,
Wilson, A., Hensley, M.J., Abramson, M.J., Bauman, A., Walters, E.H. and
Roberts, J.J.L. (2002) Limited (Information Only) Patient Education
Programs for Adults with Asthma (Review). http://onlinelibrary.wiley.com/book/10.1002/14651858 |
| [5] |
Thapar, A. (1994) Educating
Asthmatic Patients in Primary Care a Pilot Study of Small Group
Education. Family Practice, 11, 39-43. http://dx.doi.org/10.1093/fampra/11.1.39 |
| [6] | Masoli, M., Fabian, D., Holt, S. and Bearley, S. (2004) Global Burden of Asthma, Developed for the Global Initiative for Asthma (GINA). Allergy, 59, 469-478. |
| [7] | Prabhakaran, L., Lim, G., Abhisheganade, J., Chee, C.B.E. and Choo, Y.M. (2006) Impact of an Asthma Education Programme on Patients Knowledge, Inhaler Technique and Compliance to Treatment. Singapore Medical Journal, 47, 225-231. |
| [8] |
Hilton, S., Sibbald, B.,
Anderson, H. and Freeling, P. (1986) Controlled Evaluation of the
Effects of Pa-tients Education on Asthma Morbidity in General Practice.
The Lancet, 4, 26-29. http://dx.doi.org/10.1016/S0140-6736(86)91904-5 |
| [9] |
Lai, C.K.W., De Guia, T.S., Kim,
Y.Y., et al. (2002) Asthma Control in the Asia-Pacific Region. The
Asthma Insights and Reality in Asia Pacific Study. Journal of Allergy
and Clinical Immunology, 111, 263-268. http://dx.doi.org/10.1067/mai.2003.30 |
| [10] | Rabe, K.F., Adachi, M., Lai, C.K., Soriano, J.B., Vermeire, P.A., Weiss, K.B. and Weiss, S.T. (2004) Worldwide Severity and Control of Asthma in Children and Adults: The Global Asthma Insights and Reality Surveys. Journal of Allergy and Clinical Immunology, 114, 40-47. |
| [11] |
Global Global Strategy for
Asthma Management and Prevention (2007) Global Initiative for Asthma
(GINA). http://www.ginasthma.org |
| [12] |
Evans, G.W. and Kantrowitz, E.
(2002) Socioeconomic Status and Health: The Potential Role of
Environmental Risk Exposure. Annual Review of Public Health, 23,
303-331. http://dx.doi.org/10.1146/annurev.publhealth.23.112001.112349 |
| [13] |
Liu, A.H., Gilsenan, A.W.,
Stanford, R.H., Lincourt, W., Ziemiecki, R. and Ortega, H. (2010) Status
of Asthma Control in Pediatric Primary Care: Results from the Pediatric
Asthma Control Characteristics and Prevalence Survey Study (ACCESS).
The Journal of Pediatrics, 157, 276-281. http://dx.doi.org/10.1016/j.jpeds.2010.02.017 |
| [14] |
Burke, W., Fesinmeyer, M., Reed,
K., et al. (2003) Family History as a Predictor of Asthma Risk.
American Journal of Preventive Medicine, 24, 160-169. http://dx.doi.org/10.1016/S0749-3797(02)00589-5 |
| [15] |
Elder, W., Ege, M.J. and von
Mutius, E. (2006) The Asthma Epidemic. The New England Journal of
Medicine, 355, 2226-2235. http://dx.doi.org/10.1056/NEJMra054308 |
| [16] |
Evans, G.W. and Kantrowitz, E.
(2002) Socioeconomic Status and Health: The Potential Role of
Environmental Risk Exposure. Annual Review of Public Health, 23,
303-331. http://dx.doi.org/10.1146/annurev.publhealth.23.112001.112349 |
| [17] |
GINA Report (2012) Global Strategy for Asthma Management and Prevention. http://www.ginaasthma.org/2011 |
| [18] | Bousquet, J., Bousquet, P.J., Godard, P. and Davers, J.P. (2005) The Public Health Implications of Asthma. Bulletin of the World Health Organization, 83, 548-554. |
| [19] |
Scherer, Y.K. and Bruce, S.
(2001) Knowledge, Attitudes and Self-Efficiency and Compliance with
Medical Regimen, Number of Emergency Department Visits and
Hospitalization in Adults with Asthma. Heart & Lung, 30, 250-257. http://dx.doi.org/10.1067/mhl.2001.116013 |
| [20] | Moldefsky, H., Broder, I. Davies, G. and Leznoff, A. (1979) Videotape Educational Program for People with Asthma. Canadian Medical Association Journal, 120, 669-672. |
| [21] |
Stanford, R.H., Gilsenan, A.W.,
Ziemiecki, R., Zhou, X., Lincourt, W.R., Ortega, H. (2010) Predictors of
Uncontrolled Asthma in Adult and Pediatric Patients: Analysis of the
Asthma Control Characteristics and Prevalence Survey Studies (Access).
Journal of Asthma, 47, 257-262. http://dx.doi.org/10.3109/02770900903584019 |
| [22] | Singh, V., Khandelwal, R., Bohra, S., Gupta, R. and Gupta, B.S. (2002) Evaluation of Communication Skills of Physicians about Asthma. Journal of the Association of Physicians of India, 50, 1266-1269. eww141023lx |
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