جۆری توێژینه‌وه‌: Original Article

نوسه‌ران

1 Khanqin General Hospital

2 Department of Adult Nursing, College of Nursing. University of Sulaimani

پوخته‌

Background: As asthma is a controllable disease, the aim of asthma management is to control the disease and allow patients to have a normal and healthy life. Self-management of asthma is crucial for disease control and has a positive impact on patient quality of life.
Objectives: The main objective of this study was to determine the level of knowledge of self-management and asthma control and find out the relation between them in asthmatic patients
Methods: A quantitative descriptive design was used to recruit a sample of 83 asthmatics patients attending chronic disease department at Kalar general hospital, from November 2018 to June 2019. The study sample was chosen by convenience sample technique. Data were collected through the  questionnaire consist of 4 parts; patients’ characteristic, patients lifestyle and biomedical characteristic, Knowledge on Asthma Self-Management Questionnaire, and Asthma Control Test. Data were analyzed by (Statistical Package for the Social Sciences, version 24) descriptive and interferential statistics.
Results:  The finding revealed that the (12.0%) of participants had good knowledge and asthma for (13.3%) well-controlled. Knowledge and control of asthma correlated positively (p < 0.01). Elderly, low educated, housewife and not adhered to medications had poor knowledge. Whereas, asthma control was low among female, low educated, housewife and retied (p < 0.05).
Conclusions: the rate of asthma control was low and the patients had wide gaps in knowledge of important items related to asthma preventive strategies and medication use which are crucial to self- management of the disease. Substantial efforts to upgrade patients' knowledge are urgently needed, through intensive patient education.

وشه‌ بنچینه‌ییه‌كان

1.GINA. A Pocket Guide for Health Professionals. Retrieved August 6, 2019, from Global Initiative for Asthma (2019, June 1) [online] at: www.ginasthma.org.

2.GAN. The Global Asthma Report. Retrieved July 5, 2019, from Global Asthma Network 2018 [online] at: www.globalasthmanetwork.org.

3.Taylor DR, Bateman ED, Boulet LP, Boushey HA, Busse WW, Casale TB, Chanez P, Enright PL, Gibson PG, de Jongste JC, Kerstjens HA, Lazarus SC, Levy ML, O'Byrne PM, Partridge MR, Pavord ID, Sears MR, Sterk PJ, Stoloff SW, Szefler SJ, Sullivan SD, Thomas MD, Wenzel SE, Reddel HK. A   new perspective on concepts of asthma severity and control. European Respiratory Journal.2008;32:545-54. doi: 10.1183/09031936.00155307.

 

4.CDC. Asthma surveillance Data. Retrieved June 14, 2019, from Center of Disease Control. Asthma Data and Survillance (2018 a, March):[online] at: http://www.cdc.gov/asthma/asthmadata.htm.

5.Al-Moamary, M., Alhaider, S., Alangari, A., Al Ghobain, M., Zeitouni, M., Idrees, M., … Al-Hajjaj, M. The Saudi Initiative for Asthma -  Update: Guidelines for the diagnosis and management of asthma in adults and children. Annals of Thoracic Medicine. 2019; 14(1), 3. https://doi.org/10.4103/atm.atm_327_18 .

6.Nguyen, V., Huynh, T., and Chavannes, N., Knowledge on self-management and levels of asthma control among adult patients in Ho Chi Minh City, Vietnam, International Journal of General Medicine. 2018; 11;81–89.

7. Elbur, A. & Alharthi, B.J, & Alharthi.S.A, Self-management and control of asthma among adult patients in King Faisal Medical Complex Taif, KSA. International Journal of Research in Pharmacy and Science. 2017; 7. 24 – 29.

8.WHO. Asthma. Retrieved July 25, 2019, from World Health Organization .(2017, August 31), [online] at: https://www.who.int/news-room/fact-sheets/detail/asthma.

9.Sultan, K. M., Jamer, A. H., & Obaidy, M. W. A. Comparison of Asthma Control Test (ACT) with (GINA) guidelines in the Assessment of Asthma Control and determine if can use Asthmda Control Test ACT as alternative to Gina guidelines in control asthma. Journal of the Faculty of Medicine. 2016; 58(1), 1-7.

10.Aliwie A. and Ahmed S., Assessment the Severity of Asthma on Patients in Specialist Respiratory Center in Baghdad City, Kufa Journal For Nursing Sciences. 2016:6(1).

11.Roberts E, Velsor-Friedrich B, Keough V. Implementation of an Asthma Self-Management Education Guideline in the Emergency Department. Advanced emergency nursing journal. 2018; 40(1):45-58.

12.Mancuso CA, Sayles W, Allegrante JP. Knowledge, attitude, and selfefficacy in Asthma self-management and quality of life. J Asthma.2010;47(8):883–888.

13.Malarvizhi M, Hariprasad B, Bhavani M. Determine the level of knowledge and practice among asthmatic patients attending chest opd at selected hospitals, Chennai. International Journal of Advanced Information and communication Technology. 2014;1(3).32.

14.Sharifi L, Pourpak Z, Heidarnazhad H, Bokaie S, Moin M. Asthma knowledge, attitude, and self-efficacy in Iranian asthmatic 5patients. Arch Iran Med. 2011;14():315–320.

15.Madhushani HPD, Subasinghe HWAS. Knowledge attitudes and practices of asthma; Does it associate with demographic factors of adult patients? Asian Pac J Health Sci.2016;3(4S):94–99.

16. Schatz M, Sorkness CA, Li JT, et al. Asthma Control Test: reliability, validity, and responsiveness in patients not previously followed by asthma specialists. J Allergy Clin Immunol. 2006;117(3):549–556.

17.Merghani TH, Toum IM, Zaki AM, Ahmed AM., Knowledge, attitude and behaviour of asthmatic patients regarding asthma in urban areas in Khartoum State, Sudan. Khartoum Med J.2011;4(1):524–527.

18. Borges MC, Ferraz É, Pontes SM, et al. Development and validation of an asthma knowledge questionnaire for use in Brazil. J Bras Pneumol. 2010;36(1):8–13.

19.  Rodrigues  CD,  Pereira  RP,  DalcinPde  T.,  Effects  of  an outpatient education program in patients with uncontrolled asthma. J Bras Pneumol.2013; 39: 272-9.

20.Farrell, M., Smeltzer, S. C., & Bare, B. G.,  Smeltzer & Bare’s textbook of medical-surgical nursing ,4th ed. North Ryde, Nsw: Lippincott Williams & Wilkins.2017; 611–615.

21. Hugo, M. N., Walter, P. Y., Maïmouna, M., Malea, N. M., Ubald, O., Adeline, Wand Christopher, K. , Assessment of asthma control using asthma control test in chest clinics in Cameroon: a cross-sectional study. The Pan African medical journal, 2016;23, 70. doi:10.11604/pamj.70.8434.

22.Ozturk B,  Ozyigit Pur L, Kostek O, and. Keskin H., Association between asthma self-management knowledge and asthma control in the elderly, Annals of Allergy Asthma Immunol. 2015;114;  480-484.