Rastogi D, Gupta S, Kapoor R
Children's Hospital at Montefiore, Albert Einstein College of Medicine, 3415 Bainbridge Avenue, Bronx, NY 10467, USA.
J Asthma. 2009 Nov;46(9):911-5. doi: 10.3109/02770900903191323.
Asthma prevalence is increasing in developing countries such as India. Little is known on parental knowledge of asthma severity, management and psychosocial impact, particularly among rural dwellers. Further, it is not known whether the female asthmatic child is particularly vulnerable.
To evaluate parental asthma knowledge and psychological impact of having an asthmatic child.
134 consecutive caregivers were surveyed at the visit for their child's asthma exacerbation at an urban hospital in Kanpur, India between 3/2007-3/2008.
The child's age range was 5.7A +/- 2.7 years. 76% were urban city dwellers with significantly higher number having a college degree. 23% children had moderate to severe persistent asthma; however, only 42% were on inhaled steroids. Parental severity perception was comparable to National Heart, Lung and Blood Institute (NHLBI) classification. While 67% identified bronchoconstriction occurred with asthma, only 8.9% recognized that inflammation played a role. There was no difference in the perceived stress by area of residence with 89% reported not or only sometimes feeling stressed with having an asthmatic child. Similarly, the concern among those with a female asthmatic child did not differ with 73% of caregivers believing that asthma would not affect their daughter's future.
In an urban Indian hospital, 23% of asthmatic children had moderate to severe persistent asthma but only 9% were on controllers. Their parents were well educated, able to identify asthma severity appropriately and denied being stressed with having asthmatic children, irrespective of the gender of the child. However, their understanding of asthma pathophysiology was sub-optimal. Increased disease knowledge may lead to greater medication adherence among asthmatic children in India.
在印度等发展中国家，哮喘患病率正在上升。对于父母对哮喘严重程度、管理及心理社会影响的了解情况知之甚少，尤其是在农村居民中。此外，尚不清楚患哮喘的女童是否特别脆弱。
评估父母对哮喘的了解以及有哮喘患儿对其心理的影响。
2007年3月至2008年3月期间，在印度坎普尔的一家城市医院，对134名因孩子哮喘发作前来就诊的连续护理人员进行了调查。
患儿年龄范围为5.7±2.7岁。76%为城市居民，其中拥有大学学位的人数显著更多。23%的儿童患有中度至重度持续性哮喘；然而，只有42%的儿童使用吸入性类固醇药物。父母对严重程度的认知与美国国立心肺血液研究所（NHLBI）的分类相当。虽然67%的人认为哮喘会导致支气管收缩，但只有8.9%的人认识到炎症也起作用。不同居住地区的父母感知到的压力没有差异，89%的人表示没有或只是有时因孩子患哮喘而感到压力。同样，有患哮喘女童的父母的担忧也没有差异，73%的护理人员认为哮喘不会影响女儿的未来。
在一家印度城市医院，23%的哮喘患儿患有中度至重度持续性哮喘，但只有9%的患儿使用控制药物。他们的父母受过良好教育，能够正确识别哮喘严重程度，并且不管孩子性别如何，都否认因孩子患哮喘而感到压力。然而，他们对哮喘病理生理学的理解并不理想。增加疾病知识可能会提高印度哮喘患儿的药物依从性。
