Maabreh Roqia, Alrabab'a Mahmoud H, Morsy Madiha Amin, Al-Akash Hekmat Yousef, Rajeh Saifan Ahmad, Al-Yateem Nabeel
Faculty of Nursing, Al-Balqa Applied University, Alsalt 19117, Jordan.
Pediatric Nursing Department, Faculty of Nursing, Ain Shams University, Cairo 11517, Egypt.
Healthcare (Basel). 2023 Jun 9;11(12):1693. doi: 10.3390/healthcare11121693.
Asthma imposes a significant social burden on children, their families, and society at large. As a chronic health condition, effective management could greatly benefit from consistent adherence to guidelines. Despite this, minimal effort has been exerted to examine the impact of asthma management guidelines and adherence to treatment on children with asthma and the mothers caring for them. This study was designed to evaluate the influence of asthma management guidelines on the knowledge and treatment adherence among children with asthma and their mothers. A quasi-experimental design was utilized, and the study was conducted at two large hospitals in Jordan: Princess Rahma Hospital and King Hussein Medical Center. A purposive sample of children aged 6-12 years ( = 100) who were accompanied by their mothers ( = 100) were recruited for this study. Data were collected using a structured questionnaire and an observation checklist before and after the implementation of guidelines. Statistical analyses were performed using SPSS. The results revealed a statistically significant improvement in knowledge related to asthma among children and their mothers ( < 0.001). Additionally, a statistically significant difference was observed in the children's adherence to their treatment regimen before and after the implementation of asthma management guidelines ( < 0.001). Moreover, the improvements in knowledge and practice related to asthma were sustained in the follow-up assessments. In conclusion, the guidelines had a beneficial effect on the children's adherence to their treatment regimen both before and after their implementation. Thus, asthma patients should adhere to conventional guidelines at various health services to manage their condition effectively.
哮喘给儿童及其家庭乃至整个社会都带来了沉重的社会负担。作为一种慢性健康状况，有效的管理将极大地受益于持续遵循指南。尽管如此，在研究哮喘管理指南以及坚持治疗对哮喘儿童及其照料母亲的影响方面所做的努力却微乎其微。本研究旨在评估哮喘管理指南对哮喘儿童及其母亲的知识水平和治疗依从性的影响。采用了准实验设计，研究在约旦的两家大型医院进行：拉赫玛公主医院和侯赛因国王医疗中心。本研究招募了100名6至12岁的儿童及其100名母亲作为有目的的样本。在指南实施前后，使用结构化问卷和观察清单收集数据。使用SPSS进行统计分析。结果显示，儿童及其母亲在哮喘相关知识方面有统计学上的显著改善（P<0.001）。此外，在哮喘管理指南实施前后，观察到儿童在治疗方案依从性方面有统计学上的显著差异（P<0.001）。而且，在后续评估中，与哮喘相关的知识和实践方面的改善得以持续。总之，这些指南在实施前后对儿童的治疗方案依从性都产生了有益影响。因此，哮喘患者应在各种医疗服务中遵循传统指南，以有效控制病情。
