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首页> 外文期刊>The journal of asthma >Caregiver knowledge and its relationship to asthma control among children in Saudi Arabia
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Caregiver knowledge and its relationship to asthma control among children in Saudi Arabia

机译:沙特阿拉伯儿童的保姆知识及其与哮喘控制的关系

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Objective: The objective of this study was to examine caregiver responses to individual questions of the asthma knowledge questionnaire and to compare the prevalence of uncontrolled asthma among children according to caregiver responses (correct vs. incorrect). Methods: We conducted an analytical cross-sectional study among 158 children with asthma aged 4-11 who were attending the pediatric primary care clinic of the King Khalid University Hospital in Riyadh, Saudi Arabia. The asthma knowledge questionnaire for use with parents or guardians of children with asthma was used to measure the knowledge of caregivers. Asthma control in the children was measured using an Arabic version of the childhood asthma control test. Pearson's chi-square or Fisher's exact tests were used to compare the prevalence of uncontrolled asthma according to the caregivers' responses. Results: This study showed substantial gaps in knowledge among caregivers of children with asthma. The answer to only one of 17 questions was well known (86.1%); this question involved the harm of smoking near a child with asthma. Answers on 11 of 17 questions were significantly (p<0.05) associated with asthma control in children. Among the key questions explored, the prevalence of uncontrolled asthma was 3.0 (1.8-4.9), 2.5 (95% confidence interval=1.7-3.9) and 1.8 (1.3-2.5) times higher among children of caregivers who did not disagree with the statements that it is not good for children to use an inhaler for too long, that inhalers can affect or damage the heart, and that children with asthma should use asthma medications only when they have symptoms. Conclusions: Although innovations are needed to help patients improve their adherence to treatment and to effectively utilize the benefits of contemporary asthma medications, we observe substantial knowledge-related problems in the asthma management of children in Saudi Arabia.
机译:目的:本研究的目的是检查照料者对哮喘知识调查表中各个问题的反应,并根据照料者的反应(正确与错误)比较儿童未控制哮喘的患病率。方法:我们在沙特阿拉伯利雅得国王哈立德大学医院儿科初级保健门诊的158名4-11岁的哮喘儿童中进行了横断面分析。与哮喘儿童的父母或监护人一起使用的哮喘知识调查表用于衡量护理人员的知识。儿童的哮喘控制使用儿童哮喘控制测试的阿拉伯版本进行。根据护理人员的反应,使用Pearson的卡方检验或Fisher的精确检验来比较未控制哮喘的患病率。结果:这项研究显示哮喘儿童的看护人之间的知识差距很大。 17个问题中只有一个的答案是众所周知的(86.1%);这个问题涉及在患有哮喘的儿童附近吸烟的危害。在17个问题中,有11个问题的答案与儿童哮喘控制相关(p <0.05)。在所探讨的关键问题中,不同意见的看护者患未控制哮喘的患病率分别为3.0(1.8-4.9),2.5(95%置信区间= 1.7-3.9)和1.8(1.3-2.5)倍。吸入器使用时间过长不利于儿童,吸入器会影响或损害心脏,哮喘儿童仅在出现症状时才应使用哮喘药物。结论:尽管需要创新来帮助患者提高对治疗的依从性并有效利用现代哮喘药物的益处,但我们发现沙特阿拉伯儿童哮喘管理中存在与知识相关的重大问题。

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