دورية أكاديمية
أعرض في EDS

Perceptions towards childhood asthma and barriers to its management among patients, caregivers and healthcare providers: a qualitative study from Ethiopia.

التفاصيل البيبلوغرافية
العنوان: Perceptions towards childhood asthma and barriers to its management among patients, caregivers and healthcare providers: a qualitative study from Ethiopia.
المؤلفون: Kassa E; College of Health Sciences, Defence University, Bishoftu, Ethiopia.; Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia., Kebede RA; Department of Pediatrics and Child Health, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia., Habte BM; Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia. bruck.messele@aau.edu.et.
المصدر: BMC pulmonary medicine [BMC Pulm Med] 2022 May 08; Vol. 22 (1), pp. 184. Date of Electronic Publication: 2022 May 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968563 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2466 (Electronic) Linking ISSN: 14712466 NLM ISO Abbreviation: BMC Pulm Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001]-
مواضيع طبية MeSH: Asthma*/drug therapy , Asthma*/psychology , Caregivers*/psychology, Child ; Ethiopia ; Health Personnel ; Humans ; Qualitative Research
مستخلص: Background: The management of asthma, which is one of the major causes of childhood morbidity and mortality has been affected by non-adherence to recommended treatment regimens with severe consequences. The aim of the present study was therefore to explore the perceptions of the children with asthma, their caregivers and their healthcare providers towards asthma and barriers to long term childhood asthma management in an institutional setting in Addis Ababa, Ethiopia.
Methods: A qualitative descriptive design was followed for the present study that used individual interviews as a data collection method. The study participants were 23 pairs of children with asthma that had treatment follow-ups in two tertiary hospitals and their caregivers and eight healthcare providers who cared for these children. The data was analyzed using thematic analysis approach.
Results: The study findings revealed that the children's reported adherence to the recommended treatment regimens was low and they along with their caregivers were facing physical, emotional and social burdens related to asthma. Some of the influencing factors affecting childhood asthma management were found to be the low-level implementation of the asthma management guidelines by the healthcare providers, limited awareness about asthma and its management by the children and their caregivers, use of traditional home remedies and religious healing on a complementary and alternative basis and inadequate education received from healthcare professionals. Further identified barriers to the adherence of especially inhaled corticosteroids appear to be the low necessity beliefs towards chronic administration of treatment regimens and concerns related with difficulty of administration, fear of side effects and general negative attitude towards it, in addition to their low availability and affordability.
Conclusions: Low awareness of the biomedical treatment regimens and use of traditional home remedies and religious healing by the children with asthma and their caregivers, the low-level implementation of the asthma management guidelines as well as low access to medications may among other things contribute to the low adherence of the children to their recommended regimens. The findings support the need for implementation of asthma management guidelines, institution of strong asthma care and education programs that are sensitive to local and individual patients' and caregiver perceptions and experiences including emotional distress, the need to institute chronic care approach and ways to address patients' medication access issues.
(© 2022. The Author(s).)
References: Int J Tuberc Lung Dis. 2014 Nov;18(11):1269-78. (PMID: 25299857)
Br J Gen Pract. 2003 Mar;53(488):185-90. (PMID: 14694693)
Global Health. 2016 Jun 02;12(1):26. (PMID: 27255329)
J Asthma. 2008 Aug;45(6):437-43. (PMID: 18612894)
Ann Allergy Asthma Immunol. 2000 Nov;85(5):416-21. (PMID: 11101187)
Ann Intern Med. 1978 Feb;88(2):251-8. (PMID: 626456)
BMC Pulm Med. 2015 Apr 25;15:42. (PMID: 25907709)
Biomolecules. 2020 Jun 18;10(6):. (PMID: 32570769)
Croat Med J. 2013 Dec;54(6):519-31. (PMID: 24382846)
Complement Ther Med. 2017 Dec;35:115-119. (PMID: 29154055)
J Nurs Res. 2015 Dec;23(4):298-307. (PMID: 26562461)
NPJ Prim Care Respir Med. 2017 Sep 11;27(1):53. (PMID: 28894094)
Pediatr Allergy Immunol. 2015 May;26(3):197-205. (PMID: 25704083)
J Natl Med Assoc. 2004 Jul;96(7):954-60. (PMID: 15253327)
Allergol Immunopathol (Madr). 2021 May 01;49(3):138-145. (PMID: 33938199)
PLoS One. 2021 Aug 19;16(8):e0256132. (PMID: 34411148)
Pharmacoeconomics. 2013 Nov;31(11):1063-82. (PMID: 24127259)
NPJ Prim Care Respir Med. 2019 Feb 25;29(1):5. (PMID: 30804340)
BMC Pulm Med. 2017 Sep 20;17(1):126. (PMID: 28931381)
Ethn Health. 2022 May;27(4):877-893. (PMID: 32931314)
Int J Environ Res Public Health. 2018 Jun 30;15(7):. (PMID: 29966322)
J Res Nurs. 2020 Aug;25(5):443-455. (PMID: 34394658)
BMC Pulm Med. 2014 Mar 25;14:51. (PMID: 24666682)
Respir Med. 2013 Oct;107(10):1481-90. (PMID: 23643487)
فهرسة مساهمة: Keywords: Barriers to management; Caregivers; Children with asthma; Ethiopia; Qualitative study
تواريخ الأحداث: Date Created: 20220508 Date Completed: 20220510 Latest Revision: 20220716
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9080199
DOI: 10.1186/s12890-022-01984-2
PMID: 35527248
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2466
DOI:10.1186/s12890-022-01984-2