jsmc-10202

PATIENT KNOWLEDGE ON SELF­-MANAGEMENT AND LEVEL OF ASTHMA CONTROL IN SULAIMANI

Kosar Mohamed Ali a and Othman Jalal Sahb b

a Department of Medicine, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq. 

b General Internal Medicine Hospital, Sualimani (Kurdistan Board).

 

 

Submitted: 14/5/2019; Accepted: 27/6/2019; Published: 21/9/2019

DOI Link: https://doi.org/10.17656/jsmc.10202 

ABSTRACT

Background 

Asthma is a common clinical Condition, its inflammatory disorder of air passage in which many cell and elements play a role, its non-communicable, non-curable, reversible obstructive airway disease. Most of the patients with asthma are not well controlled according to guidelines. The best way for management bronchial asthma is to control the disease, once asthma is controlled, it allows patients to do everything just like a normal healthy person, this might be achieved by good knowledge about the disease, because asthma may affect anyone regardless age, education level, and location.

Objectives

The goal of the study is to identify how asthma knowledge differs among groups of people and find out the relationship between the patient's knowledge and their level of asthma control in Sulaimani.

Patients and Methods

A cross-sectional study with randomized sample was collected from one hundred asthmatic patients in Sulaimani, using questionnaires filled in via a direct interview which consisted of three parts: 1- sociodemographic, 2- asthma knowledge, and 3- asthma control test. The relationship between asthma knowledge and demographic factors and asthma control levels was determined. The collected data were reviewed and analyzed using the Statistical Package for Social sciences (SPSS version 22). P value was obtained for the continuous variable using chi square, and considered significant if it was less than 0.05.

Results 

The asthma knowledge was adequate, only 0.9% of these patients had a good knowledge, 58% had adequate knowledge, and 33% had poor knowledge. Most participants (62%) had poor asthma control, 35% had partial control, and only 3% had complete control. The higher the patient’s level of control, the better the asthma knowledge scores, Conversely, patients with better knowledge of asthma had better asthma control based on the Asthma Control Test score (p= 0.001). Also, a higher education level was associated with more asthma control level (p=0.001).

Conclusion

In these patients, the level of asthma control was low and significantly correlated with the level of asthma knowledge. There is a clear need to improve knowledge in order to improve asthma control in Sulaimani.

KEYWORDS

Asthma Control, Asthma Knowledge, Sulaimani.

References 

1. GINA Reports - Global Initiative for Asthma - GINA [Internet]. [cited 2019 Jun 16]. Available from: https://ginasthma.org/gina-reports/

2. WHO | Asthma. WHO [Internet]. 2013 [cited 2019 May 7]; Available from: https://www.who.int/respiratory/asthma/en/

3. Ukena D, Fishman L, Niebling W. Bronchial Asthma : Diagnosis and Long-Term Treatment in Adults. 2008;105(21). 

4. Blumenthal MN. The role of genetics in the development of asthma and atopy [Internet]. Vol. 5, Current Opinion in Allergy and Clinical Immunology. 2005 [cited 2019 May 7]. p. 141–5. 

5. Maddox L, Schwartz DA. The pathophysiology of asthma. Annu Rev Med [Internet]. 2002 [cited 2019 May 7];53:477–98. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11818486

6. KleinJan A. Airway inflammation in asthma. Curr Opin Pulm Med [Internet]. 2016 Jan [cited 2019 Jun 18];22(1):46–52. 

7. Global Asthma Network The Global Asthma Report 2018 [Internet]. 2018 [cited 2019 May 7]. Available from: www.globalasthmanetwork.org

8. D’Amato G, Vitale C, Molino A, Stanziola A, Sanduzzi A, et al. Asthma-related deaths. Multidiscip Respir Med [Internet]. 2016 [cited 2019 May 7];11. 

9. WORLD ASTHMA DAY 2019 | MetroHealth HMO [Internet]. [cited 2019 Jun 18]. Available from: http://www.metrohealthhmo.com/what-to-know-about-asthma/

10. C.L. E. Managing asthma in the emergency department: Cost-effective strategies [Internet]. Vol. 13, Drug Benefit Trends. 2001 [cited 2019 May 7]. p. 35. 

11. Nunes C, Pereira AM, Morais-Almeida M. Asthma costs and social impact. Asthma Res Pract [Internet]. 2017 [cited 2019 Jun 18];3:1. 

12. Murdoch JR, Lloyd CM. Chronic inflammation and asthma. Mutat Res [Internet]. 2010 Aug 7 [cited 2019 May 7];690(1–2):24–39. 

13. Price D, Fletcher M, van der Molen T. Asthma control and management in 8,000 European patients: the REcognise Asthma and LInk to Symptoms and Experience (REALISE) survey. NPJ Prim care Respir Med [Internet]. 2014 Jun 12 [cited 2019 Jun 18];24:14009. 

14. Reed CE. The natural history of asthma in adults: the problem of irreversibility. J Allergy Clin Immunol [Internet]. 1999 Apr [cited 2019 Jun 18];103(4):539–47. 

15. Nhu Nguyen V, Huynh Thi Hoai T, Chavannes NH. Knowledge on self-management and levels of asthma control among adult patients in Ho Chi Minh City, Vietnam. Int J Gen Med [Internet]. 2018 Feb 26 [cited 2019 May 7];Volume 11:81–9. 

16. Mancuso CA, Sayles W, Allegrante JP. Knowledge, attitude, and self-efficacy in asthma self-management and quality of life. J Asthma [Internet]. 2010 Oct [cited 2019 May 8];47(8):883–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20831465

17. Grant EN, Turner-Roan K, Daugherty SR, Li T, Eckenfels E, et al. Development of a Survey of Asthma Knowledge, Attitudes, and Perceptions. Chest [Internet]. 1999 Oct 1 [cited 2019 May 9];116:178S-183S. Available from: 

18. Alzahrani YA, Becker EA. Asthma Control Assessment Tools. Respir Care [Internet]. 2016 Jan 1 [cited 2019 May 9];61(1):106–16. 

19. Schatz M, Sorkness CA, Li JT, Marcus P, Murray JJ, et al. Asthma Control Test: Reliability, validity, and responsiveness in patients not previously followed by asthma specialists. J Allergy Clin Immunol [Internet]. 2006 Mar [cited 2019 Jun 18];117(3):549–56. 

20. Alith MB, Gazzotti MR, Montealegre F, Fish J, Nascimento OA, et al. Negative impact of asthma on patients in different age groups. J Bras Pneumol [Internet]. 2015 Feb [cited 2019 May 9];41(1):16–22. 

21. Zillmer LR, Gazzotti MR, Nascimento OA, Montealegre F, Fish J, et al. Gender differences in the perception of asthma and respiratory symptoms in a population sample of asthma patients in four Brazilian cities. J Bras Pneumol [Internet]. 2014 Dec [cited 2019 May 9];40(6):591–8. 

22. Agrawal S, Pearce N, Millett C, Subramanian S V, Ebrahim S. Occupations with an increased prevalence of self-reported asthma in Indian adults. J Asthma [Internet]. 2014 Oct [cited 2019 May 9];51(8):814–24. 

23. Amiri A, Asadi S, Almasi V, Ghobadi A. The Prevalence of Asthma in an Adult Population in Khorramabad, Iran. West Indian Med J [Internet]. 2014 Sep [cited 2019 May 9];63(5):443–6. 

24. Tug T, Acik Y. Prevalence of asthma, asthma-like and allergic symptoms in the urban and rural adult population in Eastern Turkey. Asian Pacific J allergy Immunol [Internet]. 2002 Dec [cited 2019 May 9];20(4):209–15. 

25. Malik HU-R, Kumar K, Frieri M. Minimal difference in the prevalence of asthma in the urban and rural environment. Clin Med Insights Pediatr [Internet]. 2012 [cited 2019 May 9];6:33–9. 

26. Zhu W-J, Ma H-X, Cui H-Y, Lu X, Shao M-J, et al. Prevalence and Treatment of Childrenʼs Asthma in Rural Areas Compared with Urban Areas in Beijing. Chin Med J (Engl) [Internet]. 2015 Sep [cited 2019 May 9];128(17):2273–7. 

27. Perzanowski MS, Canfield SM, Chew GL, Mellins RB, Hoepner LA, et al. Birth order, atopy, and symptoms of allergy and asthma among inner-city children attending Head Start in New York City. Clin Exp Allergy [Internet]. 2008 Jun [cited 2019 May 9];38(6):968–76. 

28. Bernsen RMD, de Jongste JC, van der Wouden JC. Birth order and sibship size as independent risk factors for asthma, allergy, and eczema. Pediatr Allergy Immunol [Internet]. 2003 Dec [cited 2019 May 9];14(6):464–9. 

29. Dik N, Tate RB, Manfreda J, Anthonisen NR. Risk of Physician-Diagnosed Asthma in the First 6 Years of Life. Chest [Internet]. 2004 Oct [cited 2019 May 9];126(4):1147–53. 

30. Kuiper S, Muris JWM, Dompeling E, van Schayck CP, Schonberger HJAM, et al. Association between first-degree familial predisposition of asthma and atopy (total IgE) in newborns. Clin <html_ent glyph="@amp;" ascii="&amp;"/> Exp Allergy [Internet]. 2006 May [cited 2019 May 9];36(5):594–601. 

31. Rai SP, Patil AP, Vardhan V, Marwah V, Pethe M, et al. Best Treatment Guidelines For Bronchial Asthma. Med journal, Armed Forces India [Internet]. 2007 Jul [cited 2019 Jun 18];63(3):264–8. 

32. Parvin IA, Ahmad SA, Islam MN. Knowledge about inhaler use among the chronic asthma patients in selected hospitals. Bangladesh Med Res Counc Bull [Internet]. 2011 Aug [cited 2019 May 9];37(2):47–50. 

33. Bruton A, Lee A, Yardley L, Raftery J, Arden-Close E, et al. Physiotherapy breathing retraining for asthma: a randomised controlled trial. Lancet Respir Med [Internet]. 2018 Jan [cited 2019 May 9];6(1):19–28. 

34. Ozturk AB, Ozyigit Pur L, Kostek O, Keskin H. Association between asthma self-management knowledge and asthma control in the elderly. Ann Allergy, Asthma Immunol [Internet]. 2015 Jun [cited 2019 May 9];114(6):480–4. 

35. Al Ghobain MO, AlNemer M, Khan M. Assessment of knowledge and education relating to asthma during pregnancy among women of childbearing age. Asthma Res Pract [Internet]. 2018 [cited 2019 May 9];4:2. 

36. Sharifi L, Pourpak Z, Heidarnazhad H, Bokaie S, Moin M. Asthma knowledge, attitude, and self-efficacy in Iranian asthmatic patients. Arch Iran Med [Internet]. 2011 Sep [cited 2019 May 9];14(5):315–20. 

37. AlOtaibi E, AlAteeq M. Knowledge and practice of parents and guardians about childhood asthma at King Abdulaziz Medical City for National Guard, Riyadh, Saudi Arabia. Risk Manag Healthc Policy [Internet]. 2018 [cited 2019 May 9];11:67–75. 

38. Chiron R, Vachier I, Khanbabaee G, Molinari N, Varrin M, et al. Impact of Rhinitis on Asthma Control in Children: Association With FeNO. J Asthma [Internet]. 2010 Aug 14 [cited 2019 May 9];47(6):604–8. 

39. Braido F, Baiardini I, Balestracci S, Fassio O, Ravera S, et al. The relationship between asthma control and quality-of-life impairment due to chronic cough: a real-life study. Ann Allergy, Asthma Immunol [Internet]. 2008 Oct [cited 2019 Jun 18];101(4):370–4. 

40. Nguyen K, Zahran H, Iqbal S, Peng J, Boulay E. Factors Associated with Asthma Control among Adults in Five New England States, 2006–2007. J Asthma [Internet]. 2011 Aug 13 [cited 2019 May 9];48(6):581–8. 

41. Stanford RH, Gilsenan AW, Ziemiecki R, Zhou X, Lincourt WR, et al. Predictors of Uncontrolled Asthma in Adult and Pediatric Patients: Analysis of the Asthma Control Characteristics and Prevalence Survey Studies (ACCESS). J Asthma [Internet]. 2010 Apr 8 [cited 2019 May 9];47(3):257–62. 

42. Dursun AB, Kurt OK, Bayiz H, Ozkan E, Cakaloglu A, et al. Does gender affect asthma control in adult asthmatics? Chron Respir Dis [Internet]. 2014 May 21 [cited 2019 May 9];11(2):83–7. 

43. Trzcińska H, Przybylski G, Kozłowski B, Derdowski S. Analysis of the relation between level of asthma control and depression and anxiety. Med Sci Monit [Internet]. 2012 Mar [cited 2019 May 9];18(3):CR190-4. 

Full Text

 © The Authors, published by University of Sulaimani, College of Medicine

This work is licensed under a Creative Commons Attribution 4.0 International License.