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Published on: August 7, 2017
Association between family management and asthma control in children with asthma
Li Han1, Jing Shangguan2, Guiling Yu3
1School of Nursing, Qingdao University, Qingdao, China.
Insights
Effective family management strategies are linked to better asthma control in children. Pediatric nurses can improve outcomes by educating parents on family management techniques for childhood asthma.
Area of Science:
- Pediatric Pulmonology
- Family Health
- Asthma Management
Background:
- Asthma is a prevalent chronic respiratory disease in children, significantly impacting their quality of life and requiring comprehensive management.
- Family involvement and management play a crucial role in the effective control of chronic conditions like childhood asthma.
- Understanding the association between family management dimensions and objective/subjective asthma control measures is essential for targeted interventions.
Purpose of the Study:
- To investigate the association between various dimensions of family management and asthma control in children.
- To explore the relationship between family management strategies and both clinical (FeNO) and self-reported (C-ACT) asthma control metrics.
- To identify specific family management factors that predict asthma control in pediatric populations.
Main Methods:
- A cross-sectional descriptive study involving 142 children with asthma and their parents.
- Utilized the Family Management Measure (FaMM) for assessing family management.
- Employed the Childhood Asthma Control Test (C-ACT) and fractional exhaled nitric oxide (FeNO) for evaluating asthma control.
Main Results:
- No significant difference was found between C-ACT and FeNO in evaluating asthma control (p=0.593).
- Positive correlations were observed between specific family management aspects (Child's Daily Life, Condition Management Ability, Parental Mutuality) and C-ACT scores.
- Conversely, other family management factors (Condition Management Effort, Family Life Difficulty, View of Condition Impact) showed negative correlations with C-ACT and positive correlations with FeNO, indicating complex relationships.
Conclusions:
- Family management dimensions significantly predict asthma control, as measured by both C-ACT and FeNO.
- Pediatric nurses can leverage these findings to provide targeted family management education to parents, aiming to enhance asthma control in children.
- A combined approach using C-ACT and FeNO may offer a more comprehensive assessment of asthma control in pediatric patients.
Purpose:
The purpose of this study is to investigate the association between family management and asthma control in children with asthma.
Design And Methods:
This cross-sectional descriptive study recruited 142 children with asthma and their parents. We used the Family Management Measure (FaMM), the Childhood Asthma Control Test (C-ACT), and fractional exhaled nitric oxide (FeNO) detectors to assess family management and asthma control. The McNemar's test was used to determine the proportional difference between C-ACT and FeNO in evaluating asthma control. Pearson correlation analysis and multiple linear regression analysis were used to assess the relationship between family management and asthma control in children with asthma.
Results:
There was no significant difference in the proportion of C-ACT and FeNO in evaluating asthma control (McNemar's test p = .593). Child's Daily Life, Condition Management Ability, and Parental Mutuality were positively correlated with C-ACT (r = 0.398 to 0.655; all p < .05) and negatively correlated with FeNO (r = -0.245 to -0.402; all p < .05); Condition Management Effort, Family Life Difficulty, and View of Condition Impact were negatively correlated with C-ACT (r = -0.416 to -0.672; all p < .05) and positively with FeNO (r = 0.248 to 0.427; all p < 0.05). Child's Daily Life, Condition Management Effort, and View of Condition Impact dimensions significantly predicted the C-ACT results, and the Condition Management Effort and View of Condition Impact dimensions significantly predicted the FeNO results (p < .05).
Practical Implications:
Pediatric nurses could provide family management education for parents to improve asthma control in children. In addition, pediatric nurses might assess asthma control condition of asthmatic children in combination with C-ACT and FeNO levels.
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