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Adherence to therapy regimen by children with asthma and their parents
Alina Trojanowska1, Andrzej Emeryk1,2, Danuta Zarzycka1
1Department of Paediatrics and Paediatric Nursing, Medical University of Lublin, Lublin, Poland.
Insights
Many parents report their children with asthma adhere to treatment, yet nearly half fear using inhaled corticosteroids. Non-adherence stems from symptom relief, daily medication reluctance, and inhaler use challenges.
Area of Science:
- Pediatric Pulmonology
- Behavioral Medicine
Background:
- Asthma control requires strict adherence to medical advice.
- Inadequate compliance negatively impacts treatment effectiveness, increases costs, and leads to complications.
Purpose of the Study:
- To assess adherence to therapy in children with bronchial asthma.
- To identify factors influencing therapy adherence among pediatric asthma patients and their parents.
Main Methods:
- A 2019 survey involved 109 children (aged 7-18) with asthma and their parents.
- Utilized the Morisky-Green test, VAS Scale, and an original questionnaire.
Main Results:
- 91.74% of parents reported their child's adherence, but 44.44% feared using inhaled corticosteroids (GCSs).
- Reasons for non-compliance included symptom alleviation (45.83%), daily medication reluctance (44.43%), and inhaler difficulties (16.67%).
Conclusions:
- Therapy adherence in pediatric asthma patients is suboptimal.
- Adherence is influenced by disease severity, child's age, and treatment knowledge.
- Enhanced education for children with asthma and their parents is crucial.
Introduction:
Strict compliance with medical advice is a prerequisite for complete asthma control. Inadequate compliance with recommendations reduces the effectiveness of treatment, increases the costs of therapy and the number of related complications.
Aim:
To try to answer the question: To what extent is it, and what determines the adherence to therapy by children suffering from bronchial asthma and their parents?
Material And Methods:
The survey was conducted in 2019 among 109 children with bronchial asthma aged 7-18 years (mean age: 12.5 ±0.97) treated at the University Children's Hospital in Lublin and their parents. The research applied the Morisky-Green test and the VAS Scale for self-assessment of the degree of cooperation, as well as an original questionnaire.
Results:
The conducted research demonstrated that a large percentage of parents (91.74%) declare that their child complies with the therapy throughout the disease, but 44.44% of them express the fear of medicating their children with GCSs. Non-compliance with the therapy by the children subject to our analysis was mainly due to: resolution or alleviation of symptoms of the disease (45.83%), reluctance to take medications every day (44.43), and difficulties in using the inhaler (16.67%).
Conclusions:
In the investigated group of children with asthma and their parents, compliance with medical recommendations and, consequently, the therapy used, was not optimal and depended mainly on the severity of the disease, the child's age and knowledge about the treatment. There is a need for continued education of asthmatic children and their parents about recommended therapy.
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