Ortiz MI, Cano-Fragoso CV, Lazcano-Ortiz M,Romo-Hernández G, Escamilla-Acosta MA

Language: Spanish
References: 17
Page: 126-132
PDF size: 159.29 Kb.

ABSTRACT

Introduction. Asthma is the most common chronic respiratory disease in children. Previous studies have shown that there are different factors that may influence asthma in children. For this reason it is important for parents to be aware of these risk factors. The first objective of the study was to determine the pre-existing risk factors in this condition, the second objective was to evaluate the course of patients during the last 4 weeks, the third objective was to ascertain the degree of knowledge that parents have about this disease.
Material and Methods. A study was conducted applying a questionnaire to parents of asthmatic patients who attended the Emergency Department at the Hospital del Niño DIF in the state of Hidalgo, Mexico during the second half of 2010.
Results. Fifty-three parents completed the questionnaire. The identified risk factors were: to have a family member with asthma; cold weather; stress; frequent respiratory diseases. Regarding the course of patients in the last month, their parents reported that their child had one or more spells of cough, wheezing and dyspnea per day. Most of the children went to the hospital once a month for their condition. The level of parental knowledge on asthma, was estimated at a score of 56.7 ± 7.0.
Conclusion. We found that parents have a low awareness of the condition of their children; educational programs of parents and care takers are necessary in order to improve care of asthmatic patients.

REFERENCES

1. Coronel-Carvajal C. Factores asociados al asma bronquial en niños. Rev Mex Ped 2003;70:232-6.

2. The International Study of Asthma and Allergies in Childhood (ISAAC). Steering committee. Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. Lancet 1998;351:1225-32.

3. Del Rio B, Ito F, Berber A, Zepeda B, Sienra J, Garcia R, et al. Study of the Relationship Between Acetaminophen and Asthma in Mexican Children Aged 6 to 7 Years in 3 Mexican Cities Using ISAAC Methodology. J Investig Allergol Clin Immunol 2008;18:194-201.

4. Del Rio B, Del Rio J, Berber A, Sienra J, Rosas M, Baeza M. Asthma prevalence in children living in North Mexico City and a comparison with other Latin American cities and world regions. Allergy Asthma Proc 2006;27:334-40.

5. Bel EH. Clinical phenotypes of asthma. Curr Opin Pulm Med 2004;10:44-50.

6. Barraza-Villarreal A, Sanín-Aguirre LH, Téllez-Rojo MM, Lacasaña-Navarro M, Romiew I. Prevalencia de asma y otras enfermedades alérgicas en niños escolares de Ciudad Juárez, Chihuahua. Salud Pública Mex 2001;43:433-43.

7. Padula V, Bonini J, Sierra L, Vargas F, Urdaneta R, Milgram E, et al. Asma: Diagnóstico y Clasificación. Arch Venez Pueri Pediatr 2001;64:S5-S8.

8. Townwnley RG. What factors cause bronchial hyperresponsiveness? Airway inflammation and oesinophilia are only part of the puzzle. Ann Allergy Asthma Immunol 2003;90:176-8.

9. Carrasco E, Feijoó RM, Guzmán C, Rodríguez C, Sepúlveda R, Vicencio MT, et al. Guías para el diagnóstico y manejo del asma: Recomendaciones de la Sociedad Chilena de Enfermedades Respiratorias. Rev Chil Enf Respir 2004;20:144-6.

10. The American Lung Association Asthma Clinical Research Centers. Randomized Comparison of Strategies for Reducing Treatment in Mild Persistent Asthma. N Engl J Med 2007;356:2027-39.

11. Castillo Laita JA, De Benito Fernández J, Escribano Montaner A, Fernández Benítez M, García de la Rubia S, Garde Garde J, et al. Consenso sobre tratamiento del asma en pediatría. An Pediatr (Barc) 2007;67:253-73.

12. Nelson HS. The importance of allergens in the development of asthma and the persistence of symptoms. J Allergy Clin Immunol 2000;105:628-32.

13. Green LW, Frankish CJ. Theories and principles of health education applied to asthma. Chest 1994;4:219S-230S.

14. National Institutes of Health/National Heart, Lung, and Blood Institute. Global Initiative for Asthma. Global strategy for asthma management and prevention. Bethesda: National Institutes of Health; 2002. NIH. No. publication 02-3659.

15. Allen RM, Jones M. The validity and reliability of an asthma knowledge questionnaire used in the evaluation of a group asthma education self-management program for adults with asthma. J Asthma 1998;35:537-45.

16. Neri M, Migliori GB, Spanevello A, Berra D, Nicolin E, Londoni CV, et al. Economic analysis of two structured treatment and teaching programs on asthma. Allergy 1996;51:313-9.

17. Rodríguez-Martínez C, Sossa MP. Validación de un cuestionario de conocimientos acerca del asma entre padres o tutores de niños asmáticos. Arch Bronconeumol 2005;41:419-24.