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Enfermería Global

On-line version ISSN 1695-6141

Abstract

FELIX, Andreia Filipa Sousa; LOPES, Bruno Acácio Branco Rocha; HENRIQUES, Maria Adriana Pereira  and  SOARES, Maria de la Salete Rodrigues. Child asthma control: main associated factors. Enferm. glob. [online]. 2020, vol.19, n.57, pp.1-41.  Epub Mar 16, 2020. ISSN 1695-6141.  https://dx.doi.org/eglobal.19.1.360321.

Introduction

Asthma is an airways chronic and inflammatory disease characterized by episodes of reversible bronchial obstruction and can be triggered by several factors. It is the most common childhood disease, an important hospitalization cause and a public health problem. International guidelines of asthma management recognize that treatment based on current management and exacerbations risk, which are based on symptom management. Regarding the control perception of childhood asthma, there are discrepancies between the caregiver's perception and the international indications.

Objectives

To describe and analyze the clinical, sociodemographic and factors associated with childhood asthma control.

Methodology

Methodological, quantitative and transversal study, in a sample of 60 children, between 6 and 11 years, and caregivers. Asthma control was evaluated by the instrument childhood Asthma Control Test.

Results

The sample consisted of 60 children and caregivers. 12% (n = 7) of the children had uncontrolled asthma, 53% (n = 32) partly controlled asthma. In 38% (n = 23) of the caregivers there were discrepancies between the grade classified through the international guidelines and their perception. Logistic Regression analysis confirms that children with inhalational rescue therapy needs 7 times more likely asthma to be uncontrolled.

Conclusion

The complexity of the factors that interfere in the control of asthma is urgent and there is a need for symptom management intervention programs focused on the caregivers, the child and the identified needs.

Keywords : Children asthma; Care provider; Symptom management; Asthma control; Nursing.

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