Abu-Shaheen Amani, AlFayyad Isamme, Nofal Abdullah, Al-Tannir Mohamad, AlMadaney May, Heena Humariya
Research Center, King Fahad Medical City, Riyadh, Saudi Arabia.
Disaster Management Unit, King Saud University Medical City.
Cureus. 2018 Feb 21;10(2):e2213. doi: 10.7759/cureus.2213.
To acquire more precise data on perceptions and practices adopted by Saudi parents of asthmatic children regarding asthma and its management.
A cross-sectional study was conducted through 2015 on 292 parents of children (aged 3-15 years) with asthma visiting the outpatient clinics and the emergency departments (ED) of two tertiary care medical centers in Riyadh city, using a self-administered questionnaire.
Out of 292 parents who participated in this study, 60.2% reported that their children had previously difficulty in sleeping at night due to an asthma attack. The majority (70.4%) of parents was worried about adverse effects of inhaled corticosteroids, and 58.8% of participants were worried about other inhaler adverse effects, whereas 29.0% believed that their child would develop a dependency on asthma medications. Around 82% reported visiting the pediatric emergency department for asthma treatment and 61.2% of participants reported going to the routine physician follow-up visits. Family income was significantly associated with parental concerns about the adverse effects of inhaled medications and corticosteroids as well as drug dependency (p = 0.044, p = 0.033, and p = 0.001, respectively). One hundred and seventy (57%) of the children used inhaled β-agonists while only 39 (13.3%) were using inhaled corticosteroids.
Participated parents had misperceptions regarding the use of asthma medications and thus adopted ineffectual practices in its management. Therefore, to enhance asthma care and compliance in children, it is essential to develop different comprehensive parental education programs.
获取沙特哮喘儿童家长对哮喘及其管理的认知和做法的更精确数据。
2015年对利雅得市两家三级医疗中心门诊和急诊科就诊的292名3至15岁哮喘儿童的家长进行了横断面研究，使用自行填写的问卷。
在参与本研究的292名家长中，60.2%报告他们的孩子此前因哮喘发作夜间睡眠困难。大多数家长（70.4%）担心吸入性糖皮质激素的不良反应，58.8%的参与者担心其他吸入器的不良反应，而29.0%认为他们的孩子会对哮喘药物产生依赖。约82%报告因哮喘治疗前往儿科急诊科就诊，61.2%的参与者报告进行常规医生随访。家庭收入与家长对吸入药物和糖皮质激素不良反应以及药物依赖的担忧显著相关（分别为p = 0.044、p = 0.033和p = 0.001）。170名（57%）儿童使用吸入性β受体激动剂，而只有39名（13.3%）使用吸入性糖皮质激素。
参与研究的家长对哮喘药物的使用存在误解，因此在管理中采取了无效的做法。因此，为提高儿童哮喘护理水平和依从性，制定不同的全面家长教育计划至关重要。
