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[Asthma management and asthma control level in children]
1Department of Pediatrics, Provincial Hospital Affiliated to Anhui Medical University, Hefei 230001, China (Pan J-H,
Insights
Effective asthma management in children involves early treatment and robust family support. Promptly escalating asthma medication during respiratory infections significantly improves asthma control in pediatric patients.
Area of Science:
- Pediatric Pulmonology
- Asthma Management
- Family Health
Context:
- Childhood asthma affects numerous children globally.
- Effective management strategies are crucial for long-term health outcomes.
- Understanding influencing factors is key to improving pediatric asthma care.
Purpose:
- To investigate factors influencing asthma management and control levels in children.
- To analyze the association between parental awareness, family management, and pediatric asthma control.
- To identify key indicators for successful asthma management in pediatric populations.
Summary:
- A study of 202 children with asthma revealed that complete asthma control was associated with longer disease duration, treatment time, and fewer asthma attacks.
- Children in the complete control group had lower rates of respiratory infections, wheezing, and allergic family history.
- Parents in the complete control group demonstrated better awareness of medication escalation during infections and enhanced maintenance medication management.
- Abnormal initial pulmonary function was more prevalent in the incomplete control group.
- Asthma control levels correlated with medication escalation during respiratory infections and initial lung function.
Impact:
- Findings highlight the critical role of early intervention and comprehensive family management in pediatric asthma control.
- Emphasizes the importance of parental education and adherence to maintenance medication.
- Provides insights for developing targeted interventions to improve asthma outcomes in children.
Objectives:
To investigate the influencing factors for asthma management and asthma control level in children.
Methods:
A total of 202 children with a confirmed diagnosis of asthma were enrolled. The questionnaire of asthma control level and family management was used to investigate the influencing factors for asthma control level and the indicators of family management. The awareness of childhood asthma and its management was analyzed among the parents, as well as the influence on asthma control level in children, and the association between them was analyzed.
Results:
Compared with the non-complete control group, the complete control group had significantly longer course of asthma and treatment time (P<0.05). The proportions of asthma attacks ≥3 times and aerosol treatment for asthma attacks >3 times in one year in the complete control group were significantly lower than those in the non-complete control group (P<0.05). The complete control group had a significantly lower proportion of children with frequent respiratory infection, wheezing during respiratory infection, or a family history of allergic diseases (P<0.05). The parents in the complete control group had significantly stronger awareness of short-term escalation to asthma medication after respiratory infection and significantly enhanced management of maintenance medication (P<0.05). Compared with the complete control group, the non-complete control group had a significantly higher proportion of children with abnormal pulmonary function at the initial stage (P<0.05). The level of asthma control in children was associated with short-term escalation to asthma medication during respiratory infection and initial lung function (P<0.05).
Conclusions:
The level of asthma control in children is closely associated with the severity of asthma and the comprehensive management of childhood asthma. Early treatment and family management, especially escalation to asthma medication during the early stage of respiratory infection, are of great importance in asthma control. Citation:Chinese Journal of Contemporary Pediatrics, 2023, 25(1): 73-79.
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